Deficiencies (last 5 years)
Deficiencies (over 5 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
46% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 72
Capacity: 157
Deficiencies: 11
Aug 26, 2025
Visit Reason
The inspection was conducted as a renewal review of the facility's license to ensure continued compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including issues with the quality management plan, food labeling and storage, combustible storage near heat sources, staff training for transportation, medication administration errors, medication labeling inaccuracies, missing medications, medication record discrepancies, failure to follow prescriber's orders, and incomplete resident support plans. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (11)
| Description |
|---|
| Quality management plan did not address reportable incidents and complaint procedures. |
| Unlabeled and undated leftover food items found in resident lounge refrigerators, kitchen freezer, and pantry. |
| Combustible materials (washcloth and dryer sheets) found near dryers in laundry rooms. |
| Staff transporting residents had not completed required new hire direct care staff training. |
| Medication administration error: resident was administered incorrect dosage of drops (6 drops instead of 5). |
| Discontinued medications were kept in the medication cart. |
| Pharmacy label for resident's PRN medication did not match medication order regarding administration frequency. |
| PRN medications were not available in the medication cart as ordered. |
| Medication administration record did not indicate the correct number of drops to be instilled. |
| Failure to follow prescriber's orders for medication dosage and administration times; repeat violation. |
| Resident support plan was not finalized within required timeframe. |
Report Facts
License Capacity: 157
Residents Served: 72
Total Daily Staff: 73
Waking Staff: 55
Current Hospice Residents: 1
Inspection Report
Census: 62
Capacity: 157
Deficiencies: 0
Jun 24, 2025
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 62
Waking Staff: 47
Resident Support Staff: 0
License Capacity: 157
Residents Served: 62
Residents Age 60 or Older: 62
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 0
Residents with Physical Disability: 0
Current Hospice Residents: 0
Inspection Report
Census: 62
Capacity: 157
Deficiencies: 0
Jun 12, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of the inspections conducted on 06/12/2025, 06/13/2025, and 06/23/2025.
Report Facts
Total Daily Staff: 63
Waking Staff: 47
Residents Served: 62
License Capacity: 157
Have Mobility Need: 1
Are 60 Years of Age or Older: 62
Inspection Report
Follow-Up
Census: 62
Capacity: 157
Deficiencies: 1
Mar 10, 2025
Visit Reason
The inspection was conducted as a follow-up review of the submitted plan of correction for the facility following an incident.
Findings
The submitted plan of correction was determined to be fully implemented as of the inspection date. The facility was found to be in compliance with the regulatory requirements related to the initial resident assessment.
Deficiencies (1)
| Description |
|---|
| The home did not complete an initial Resident Assessment Support Plan for a resident within 15 days of admission. |
Report Facts
License Capacity: 157
Residents Served: 62
Total Daily Staff: 62
Waking Staff: 47
Inspection Report
Follow-Up
Census: 60
Capacity: 157
Deficiencies: 2
Feb 11, 2025
Visit Reason
The inspection visit was conducted as a follow-up to review the submitted plan of correction related to an incident involving a resident elopement and support plan documentation.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing resident elopement prevention and accurate documentation of medical support plans. Corrective actions included staff re-education, audits, and updated policies to ensure resident safety and compliance.
Deficiencies (2)
| Description |
|---|
| Resident elopement incident where a resident was found outside without a coat in cold weather due to a triggered wander guard alarm. |
| Resident's support plan did not document the use, risks, and safety related to a bedside mobility device as required. |
Report Facts
License Capacity: 157
Residents Served: 60
Total Daily Staff: 60
Waking Staff: 45
Current Residents in Hospice: 0
Residents Age 60 or Older: 60
Residents with Physical Disability: 1
Inspection Report
Census: 68
Capacity: 157
Deficiencies: 0
Dec 19, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 69
Waking Staff: 52
Residents Served: 68
License Capacity: 157
Current Residents Hospice: 1
Inspection Report
Renewal
Census: 66
Capacity: 157
Deficiencies: 12
Oct 1, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of the facility to determine compliance with regulatory requirements and to verify the implementation of the submitted plan of correction.
Findings
Multiple deficiencies were identified during the onsite inspections on 10/01/2024 and 10/03/2024, including issues with carbon monoxide detector battery labeling, sanitary conditions related to glucometer contamination, outdated food, fire extinguisher inspections, fire drill timing, exit signage, annual medical evaluations, medication storage and administration, resident assessments, and support plan documentation. All deficiencies had accepted plans of correction with completion dates and were implemented by mid-November 2024.
Deficiencies (12)
| Description |
|---|
| Carbon monoxide detector batteries were not labeled with the last change date as required. |
| Glucometers were used on incorrect residents, creating contamination risks. |
| A dented can of cheese was found in the kitchen dry storage area. |
| Fire extinguishers were past their annual inspection date. |
| Fire drill during sleeping hours was conducted at 10:45pm instead of between 12am and 6am. |
| Exit doors in the kitchen lacked proper exit signage initially. |
| Resident #1 lacked a completed annual medical evaluation document. |
| Medication found loose on chair in resident room; medication not administered correctly. |
| Expired medication drops found for Resident #2; unidentified pill found loose in medication cart. |
| Prescriber's orders were not followed correctly for Residents #6 and #7 regarding medication administration and holding. |
| Resident #8's initial assessment was completed late, exceeding 15 days from admission. |
| Resident #9's support plan did not document the need for a bed shaker alert during emergencies. |
Report Facts
License Capacity: 157
Residents Served: 66
Total Daily Staff: 66
Waking Staff: 50
Deficiency Count: 12
Inspection Report
Plan of Correction
Census: 73
Capacity: 157
Deficiencies: 1
May 14, 2024
Visit Reason
The inspection was conducted as a partial, unannounced incident review on 05/14/2024, followed by a plan of correction submission and document review.
Findings
The facility was found to have a deficiency where Resident #1 did not have an annual medical evaluation completed in 2023. The submitted plan of correction was accepted and fully implemented by 06/26/2024.
Deficiencies (1)
| Description |
|---|
| Resident #1 failed to have an annual health evaluation completed in 2023. |
Report Facts
License Capacity: 157
Residents Served: 73
Current Hospice Residents: 1
Residents Age 60 or Older: 73
Residents with Mobility Need: 3
Inspection Report
Renewal
Census: 71
Capacity: 157
Deficiencies: 6
Oct 3, 2023
Visit Reason
The inspection was conducted as a renewal and incident review of the facility on 10/03/2023 and 10/04/2023 by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
The inspection identified multiple deficiencies including sanitary conditions related to blood glucose monitoring equipment sharing, hot water temperature exceeding regulatory limits, incomplete medical evaluation documentation, medication labeling errors, inaccurate medication records, and delayed resident assessment documentation. Plans of correction were accepted and implemented with follow-up audits planned.
Deficiencies (6)
| Description |
|---|
| Resident #2's glucometer was used on Resident #3 and Resident #3's glucometer was used on Resident #2, violating sanitary conditions. |
| Hot water temperature of 141°F was measured in the bathroom of room 110, exceeding the maximum allowed 120°F. |
| Medical evaluation for Resident #4 lacked documentation of weight, pulse rate, blood pressure, and temperature. |
| Medication label for Resident #1's prescription indicated incorrect dosage information. |
| Resident #1's medication record contained inaccurate blood glucose level transcription. |
| Resident #5's initial assessment was finalized more than 15 days after admission. |
Report Facts
License Capacity: 157
Residents Served: 71
Hot Water Temperature: 141
Hot Water Temperature Audit: 117
Inspection Report
Renewal
Census: 71
Capacity: 157
Deficiencies: 3
Jul 19, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection identified deficiencies related to medication administration, prescription currency, and storage procedures. The facility submitted a plan of correction which was determined to be fully implemented.
Deficiencies (3)
| Description |
|---|
| Medication administration procedures were not properly followed; a medication cup with a pill was left for a resident to take later without proper supervision. |
| Resident had a medication order that was still in the medication cart and was not administered as ordered. |
| Errors in documentation related to medication storage and administration by trained staff; medication technician documented units incorrectly. |
Report Facts
License Capacity: 157
Residents Served: 71
Total Daily Staff: 71
Waking Staff: 53
Inspection Report
Routine
Deficiencies: 0
Jun 15, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Routine
Deficiencies: 0
Apr 12, 2022
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report
Renewal
Census: 70
Capacity: 157
Deficiencies: 4
Aug 18, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Wesley Village facility to review compliance with licensing requirements.
Findings
The report found deficiencies related to staff orientation and training, including incomplete initial orientation and annual training topics, as well as issues with medication equipment calibration. All deficiencies had accepted plans of correction which were fully implemented by the time of the follow-up.
Deficiencies (4)
| Description |
|---|
| Staff person A did not receive orientation on fire safety and emergency preparedness topics #1 through #3 on their first day of work. |
| Staff person A did not complete required training in topics #1 through #7 within 40 scheduled working hours. |
| Direct care staff persons A, B, C, D, and E did not receive training in instructions on meeting the needs of residents during training year 2019. |
| Resident #1, #2, #3, and #4's glucometers were not calibrated to the correct date and time. |
Report Facts
License Capacity: 157
Residents Served: 70
Total Daily Staff: 70
Waking Staff: 53
Current Hospice Residents: 1
Notice
Capacity: 157
Deficiencies: 0
Jul 21, 2021
Visit Reason
The document serves as a renewal notification for the operation of Wesley Village Personal Care Home and informs that an onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document; it is a license renewal letter and certificate of compliance confirming the facility's authorized capacity and licensing status.
Report Facts
Maximum licensed capacity: 157
Inspection Report
Routine
Deficiencies: 0
May 3, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 05/03/2021 and 05/04/2021.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 0
Mar 18, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 03/18/2021.
Findings
No regulatory citations were identified as a result of this inspection.
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