Inspection Reports for
Westlake Woods by New Perspective

PA, 16505

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20 Reports

2022–2026

Notice — Jul 10, 2026

Date: Jul 10, 2026

Visit Reason
This document is an invoice issued by the Pennsylvania Department of Human Services Bureau of Human Services Licensing for assessment fees related to the assisted living facility Westlake Woods AL.

Findings
The document details the assessment charge of $4,700.00 classified as a Class II fine under 55 PA Code § 2600, with a total balance due of $37,335.00 including previous balances. No inspection findings or compliance details are provided.

Report Facts
Assessment charge: 4700 Total balance due: 37335

Notice — May 20, 2026

Date: May 20, 2026

Visit Reason
This document is an invoice issued by the Pennsylvania Department of Human Services for assessment fees related to the assisted living facility Westlake Woods AL.

Findings
The document details the assessment fee charges, payment history, and total balance due for the facility. It does not contain inspection findings or regulatory compliance information.

Report Facts
Assessment fee: 7050 Balance from last invoice: 26085 Payments since last invoice: 500 Total balance due: 32635

Inspection Report — Dec 10, 2025

Enforcement
Date: Dec 10, 2025

Visit Reason
The Department of Human Services issued a notice of intent to assess a fine for regulatory violations related to 55 Pa. Code Chapter 2800 at the Westlake Woods Assisted Living Residence.

Findings
The facility was found to have uncorrected violations under 55 Pa. Code Chapter 2800 Section 23a, Class II, resulting in a fine assessment. The total fine from 12/11/2025 to 1/6/2026 is $6,345, with fines continuing to accumulate until violations are fully corrected and verified.

Citations (1)
55 Pa. Code Chapter 2800 Section 23a Class II violation was found during the inspection on 12/10/2025. The violation remained uncorrected as of the report date.
Report Facts
Fine amount: 6345 Fine per resident per day: 5 Fine calculated per day: 245

Inspection Report — Nov 6, 2025

Complaint Investigation
Date: Nov 6, 2025

Visit Reason
The inspection was an unannounced partial complaint investigation and provisional review conducted on 11/06/2025 and 11/07/2025 to assess compliance with licensing regulations.

Complaint Details
The inspection was complaint-related and provisional. The submitted plan of correction was fully implemented as of 01/22/2026.
Findings
The inspection identified multiple deficiencies including incomplete criminal background checks, unqualified direct care staff, unsafe resident equipment, improper food storage, medication self-administration assessment failures, unsecured medications, incomplete blood glucose documentation, and untimely medication administration recording. Corrective actions and plans of correction were accepted and implemented by 01/22/2026.

Citations (8)
51 Criminal background checks: A staff member was hired without a completed criminal background check prior to providing care.
54a Direct care staff qualifications: A staff member lacked a high school diploma, GED, or active nurse aide registry status.
81b Resident equipment – good repair: Bed enablers on two residents' beds were unsecured, posing entrapment and fall risks.
103g Storing food: Multiple food items including frozen hamburger patties, bacon, and dried peas were opened and not sealed.
181c Self-Administer Assessment: A resident was self-administering medication without a proper medical evaluation authorizing this or allowing medication at bedside.
183b Medications and syringes locked: Medications and syringes were found unlocked and accessible in residents' living units without proper assessment.
185a Storage procedures: Blood glucose readings were not consistently documented on medication administration records for multiple residents.
187b Date/time of medication administration: Medication administration was not documented at the time of administration for a resident's wound dressing and cream.
Report Facts
Residents Served: 61 Total Daily Staff: 81 Waking Staff: 61 Resident Mobility Need: 20 Residents Age 60 or Older: 42 Residents with Physical Disability: 1 Frozen hamburger patties: 14

Inspection Report — Oct 1, 2025

Complaint Investigation
Date: Oct 1, 2025

Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 10/01/2025.

Complaint Details
The inspection was complaint-driven and unannounced. The report does not state substantiation status.
Findings
The facility was found to have deficiencies related to safeguarding resident property and furniture/equipment maintenance. Specifically, a resident was not provided a working lockbox, and locks on kitchen sink drawers in a resident room were non-operational and unable to be locked.

Citations (2)
42x Safeguard money/property: A resident was not afforded a working lockbox in his resident room, and the home did not provide any lockbox services.
95 Furniture & Equipment: Locks of the top and bottom drawers furthest left of the kitchen sink in a resident room were not operational and could not be locked.
Report Facts
Residents Served: 43 Staffing Hours - Resident Support Staff: 0 Staffing Hours - Total Daily Staff: 60 Staffing Hours - Waking Staff: 45 Residents with Mobility Need: 17 Residents Age 60 or Older: 43 Residents with Physical Disability: 2

Inspection Report — May 12, 2025

Complaint Investigation
Date: May 12, 2025

Visit Reason
Complaint and incident investigation with multiple follow-up reviews and plan of correction submissions.

Complaint Details
The inspection was complaint-driven with substantiated findings of abuse, neglect, failure to report, and inadequate staff training and supervision.
Findings
Multiple violations were found related to resident abuse, neglect, failure to report incidents timely, inadequate staff qualifications and training, improper medication handling, and safety hazards. The facility was issued a second provisional license with required corrective actions and monitoring.

Citations (9)
2800.15a The residence failed to immediately report suspected resident abuse to the local Area Agency on Aging, delaying report until 5/9/25 after an incident on 4/25/25 involving staff hitting a resident's head.
2800.15b The residence did not immediately suspend or supervise staff involved in alleged abuse; staff persons A, B, and D continued working after abuse allegations until 5/9/25.
2800.16c The residence failed to report an incident involving resident abuse to the Department within 24 hours, reporting only on 5/9/25.
2800.42b Resident #1 was physically abused by staff persons A and B who hit the resident's head on the wall causing injury and bruising.
2800.42c Resident #2 was treated without dignity and respect, including being physically blocked from leaving and subjected to restraint by staff.
2800.54a Direct care staff persons A, B, and C lacked required qualifications including high school diploma, GED, or active nurse aide registry status.
2800.201 The residence failed to use positive interventions to modify resident #2's behavior, resulting in agitation and violence during exit attempts.
2800.202 Manual restraints were used improperly to block resident #2 from leaving, violating prohibition on manual restraints.
2800.183b A tube of Voltaren gel was found unsecured and accessible in a resident's bedroom.
Report Facts
Residents served: 42 Staffing hours: 58 Deficiency counts: 9

Notice — May 8, 2025

Date: May 8, 2025

Visit Reason
The document serves to grant a waiver for a direct care staff person at Westlake Woods AL who is not scheduled to graduate from high school until a future date, allowing employment under specific conditions.

Findings
The waiver is granted with conditions including that the staff person shall serve as direct care staff, shall not provide medication administration prior to graduation, and documentation of qualifications must be maintained and available for review. The Department will review this waiver annually during inspections.

Inspection Report — Apr 9, 2025

Monitoring
Date: Apr 9, 2025

Visit Reason
The inspection was an unannounced partial review conducted for monitoring purposes to verify the implementation of a previously submitted plan of correction.

Findings
The inspection found multiple deficiencies including failure to treat residents with dignity and respect, unqualified direct care staff, unsanitary conditions, presence of discontinued medications in the medication cart, unlabeled resident medications, and failure to follow prescriber's orders. The submitted plan of correction was determined to be fully implemented as of the follow-up date.

Citations (6)
Resident left sitting alone for extended periods without assistance, resulting in distress and soiling.
Direct care staff person does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Unsanitary condition found: a white washcloth covered in a dark brown, foul smelling substance on the shower floor of a resident's bathroom.
Discontinued medications were found in the residence's medication cart.
Resident medication lacked a pharmacy label matching the prescribed order.
Medication prescribed to a resident was not administered on specified dates due to unavailability in the residence.
Report Facts
Residents served: 44 Total daily staff: 56 Waking staff: 42 Current hospice residents: 8 Residents 60 years or older: 44 Residents with mobility need: 12 Residents with physical disability: 1

Inspection Report — Mar 14, 2025

Complaint Investigation
Date: Mar 14, 2025

Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.

Complaint Details
The inspection was triggered by a complaint and incident. The submitted plan of correction was reviewed and found fully implemented on 03/14/2025.
Findings
The inspection found deficiencies related to medication administration errors, failure to follow prescriber orders, and incomplete resident support plans. The submitted plan of correction was determined to be fully implemented as of the follow-up review.

Citations (3)
Prescription medications were administered to a resident other than the one for whom they were prescribed.
The home failed to follow the directions of the prescriber regarding medication administration.
Resident support plan did not include the use of a fall mat next to the bed as required.
Report Facts
Residents Served: 46 Current Hospice Residents: 8 Residents Age 60 or Older: 46 Residents with Mobility Need: 14 Residents with Physical Disability: 1 Total Daily Staff: 60 Waking Staff: 45

Inspection Report — Nov 22, 2024

Complaint Investigation
Date: Nov 22, 2024

Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations of mistreatment or abuse of residents, failure to comply with plans to correct noncompliance items, and other regulatory concerns at Westlake Woods AL.

Complaint Details
The complaint investigation was substantiated with findings of mistreatment, abuse, neglect, failure to report incidents timely, inadequate staffing, and failure to follow regulatory requirements. Multiple family complaints were investigated with resolutions communicated.
Findings
Multiple violations were found including failure to provide timely assistance with ADLs, failure to report incidents and abuse timely, inadequate staffing levels, failure to follow prescriber's orders, lack of proper staff qualifications and training, failure to maintain sanitary conditions, and failure to investigate and resolve complaints. Several residents experienced neglect, abuse, and dignity violations.

Citations (21)
Failure to provide immediate access to requested staff records.
Failure to report an assault incident to the department within 24 hours.
Failure to provide assistance with ADLs as indicated in resident assessments and support plans.
Resident neglect and abuse including failure to administer medications and unsafe resident transport.
Failure to complete criminal background checks for staff.
Emergency telephone numbers not posted by resident telephones.
Failure to follow prescriber's orders including medication administration.
Resident support plans not signed by residents.
Failure to maintain sanitary conditions including feces found in resident shower.
Failure to report suspected abuse immediately and notify resident and designated person.
Failure to investigate and resolve complaints and designate responsible staff.
Failure to provide status reports and written decisions on complaints within required timeframes.
Direct care staff lacked required qualifications including high school diploma or nurse aide registry status.
Staffing levels inadequate to meet resident needs during certain shifts.
Insufficient staff trained in first aid and CPR present during shifts.
Direct care staff did not receive required orientation and training on fire safety, job duties, resident rights, abuse reporting, and core competencies.
Poisonous materials were not locked and accessible to residents who are not assessed as safe to use or avoid them.
Resident bed linens soiled with urine and feces.
Unannounced fire drill not held during December 2024 and no fire drill during sleeping hours within required timeframe.
Medication administration records showed medications administered when they were not available in the residence.
Failure to follow prescriber's orders with multiple missed medication administrations.
Report Facts
Residents Served: 48 Staffing: 71 Waking Staff: 53 Fine Amount: 245 Correction Date: 5 Residents with Mobility Need: 23 Residents with Physical Disability: 2 Residents Served: 50 Residents with Mobility Need: 15 Residents with Physical Disability: 1 Total Daily Staff: 65 Waking Staff: 49 Residents Served: 49 Residents with Mobility Need: 11 Residents with Physical Disability: 1 Total Daily Staff: 60 Waking Staff: 45

Employees mentioned
NameTitleContext
Staff person ANamed in multiple findings including failure to report abuse, neglect, failure to follow prescriber orders, lack of training, and inappropriate conduct during care.
Staff person BWitnessed abuse incident and reported it; involved in abuse and neglect findings.
Staff person CWitnessed abuse incident and involved in abuse and neglect findings.
Staff person ENamed in findings for lack of qualifications, training, and orientation.
Staff person FNamed in findings for lack of qualifications, training, and orientation.
Staff person HNamed in findings for lack of orientation and dementia training.
Executive DirectorNamed as responsible for implementing corrective actions, training, audits, and compliance monitoring.
Care Team ManagerNamed as responsible for audits, training, and monitoring compliance.
Environmental Services ManagerNamed as responsible for training housekeeping staff and conducting fire drills.
Operations SpecialistNamed as responsible for training leadership and maintaining fire drill schedules.
Health and Wellness DirectorNamed as responsible for medication administration training and audits.
Area Director of OperationsNamed as responsible for reviewing grievance logs and compliance.
Area Director of Clinical ServicesConducted medication administration training.

Notice — Sep 10, 2024

Date: Sep 10, 2024

Visit Reason
The document is a response to a request for a waiver of Pennsylvania Code § 2800.190(b) to allow unlicensed direct care staff to administer subcutaneous injections of GLP-1 agonist medications in an assisted living residence.

Findings
The waiver outlines specific training and monitoring requirements for direct care staff administering GLP-1 agonist injections, including successful completion of medication administration courses, in-person training by licensed professionals, annual training hours, and facility policies for administration and clinical contact availability.

Employees mentioned
NameTitleContext
Theresa HartmanBureau Director, Human Services LicensingSigned the waiver approval letter.

Inspection Report — Apr 12, 2024

Complaint Investigation
Date: Apr 12, 2024

Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

Complaint Details
The visit was complaint-related, triggered by a complaint received by the licensing authority. The complaint involved concerns about sanitary conditions and medication management.
Findings
Multiple deficiencies were found including unsanitary conditions in a resident's apartment, missing medications, failure to document and report medication refusals, and failure to follow prescriber orders. Plans of correction were submitted and later determined to be fully implemented.

Citations (4)
Multiple heavily soiled smears of fecal matter and urine stains were found on resident #1's bed and floor, indicating unsanitary conditions.
Medications prescribed for resident #2 were not present in the home at one point, indicating failure in safe storage and availability of medications.
Resident #3 refused medication multiple times but the home failed to immediately notify the prescribing physician as required.
Resident #2 and resident #4 were not administered prescribed medications on certain occasions because the medications were not present in the home, indicating failure to follow prescriber orders.
Report Facts
Residents Served: 59 Total Daily Staff: 82 Waking Staff: 62 Residents Diagnosed with Mental Illness: 3 Residents Aged 60 or Older: 59 Residents with Mobility Need: 23 Residents with Physical Disability: 1

Inspection Report — Sep 28, 2023

Complaint Investigation
Date: Sep 28, 2023

Visit Reason
The inspection was an unannounced partial complaint investigation conducted due to a complaint indicator.

Complaint Details
The visit was complaint-related, triggered by a complaint indicator. The complaint involved medication errors, failure to report incidents, inadequate ADL assistance, and staffing concerns. The complaint was substantiated with multiple deficiencies found.
Findings
The inspection identified multiple deficiencies including failure to report medication errors, inadequate assistance with activities of daily living (ADLs), insufficient staffing during overnight hours, medication storage and documentation issues, and failure to follow prescriber orders. Plans of correction were submitted and later determined to be fully implemented.

Citations (6)
Failure to report a medication error involving administration of medication to the wrong resident.
Resident did not receive assistance with showering as indicated in the resident’s assessment and support plan.
Inadequate staffing during overnight hours to safely evacuate residents, especially those with mobility needs.
Medications were not available in the home and medication administration was not properly documented.
Failure to follow prescriber’s orders for medication administration.
Medication error was not immediately reported to the resident, designated person, and prescriber as required.
Report Facts
Residents Served: 48 Total Daily Staff: 71 Waking Staff: 53 Residents with Mobility Need: 23 Staff on Duty Overnight: 3 Fire Drill Evacuation Time: 18

Inspection Report — May 9, 2023

Complaint Investigation
Date: May 9, 2023

Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 05/09/2023 and 05/10/2023.

Complaint Details
The inspection was complaint-driven and included a follow-up on the plan of correction submission. The plan of correction was accepted and fully implemented as of 11/15/2023.
Findings
The facility was found to have staffing deficiencies related to meeting residents' needs for emergency evacuation assistance, with insufficient direct care staff during certain shifts. A plan of correction was submitted and later determined to be fully implemented.

Citations (1)
On 4/23/23 and 5/6/23, there were insufficient direct care staff to assist residents with mobility needs during emergency evacuations, with only 2 staff working during critical overnight hours.
Report Facts
Residents Served: 53 Residents with mobility needs: 23 Direct care staff: 2 Staffing hours: 76 Waking staff: 57 Residents evacuated in fire drill: 45 Staff participated in fire drill: 3

Inspection Report — Mar 30, 2023

Renewal
Date: Mar 30, 2023

Visit Reason
The inspection was conducted as a renewal inspection of the facility license, with an unannounced full inspection on 03/30/2023 and an exit conference on 04/03/2023.

Findings
The inspection identified multiple deficiencies including failure to update resident-residence contracts after a change of legal entity, direct care staff qualification issues, cleanliness and maintenance concerns such as stains on carpet, combustible storage near heat sources, failure to conduct a monthly fire drill, and incomplete medical evaluations for residents. Plans of correction were submitted and accepted with implementation dates noted.

Citations (6)
Resident-residence contracts were not updated to reflect the change of legal entity for multiple residents.
Direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Multiple stains on the living room carpet in apartment #219.
Combustible paperwork was located on top of the furnace in the furnace room.
An unannounced fire drill was not held during the month of March 2023.
Medical evaluation for resident #3 was incomplete or outdated.
Report Facts
Residents Served: 50 Current Hospice Residents: 3 Staffing Hours: 73 Waking Staff: 55

Employees mentioned
NameTitleContext
Staff person ADirect care staff personNamed in finding for lacking required qualifications.
Environmental Services ManagerNamed in findings related to combustible storage and housekeeping.
Health and Wellness DirectorNamed in relation to medical evaluation compliance and audits.

Inspection Report — Dec 27, 2022

Date: Dec 27, 2022

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: 87 Waking Staff: 65 Residents Served: 60 Current Hospice Residents: 1 Residents Age 60 or Older: 60 Residents with Mobility Need: 27

Inspection Report — Dec 5, 2022

Follow-Up
Date: Dec 5, 2022

Visit Reason
The inspection visit was a partial, unannounced review triggered by an incident to assess compliance with regulatory requirements and to verify the implementation of a previously submitted plan of correction.

Complaint Details
The visit was related to an incident complaint involving allegations of resident abuse by staff person A. The allegations included forceful physical and verbal abuse of residents, which were not reported timely to the local Area Agency on Aging or the Department. The Executive Director notified the Area Agency on Aging immediately upon receipt of the allegations and conducted retraining and monitoring to ensure compliance.
Findings
The inspection identified multiple violations related to resident abuse reporting, resident abuse supervision plans, incident reporting, abuse/neglect, and direct care staff qualifications. The facility was found to have delayed reporting suspected abuse incidents and employed a direct care staff person without proper qualifications. Plans of correction were submitted and accepted, with full implementation confirmed by August 4, 2023.

Citations (5)
Failure to immediately report suspected abuse of residents as required by law.
Failure to immediately develop and implement a plan of supervision or suspend staff involved in alleged abuse incidents.
Failure to report incidents or conditions to the Department's assisted living residence office within 24 hours as required.
Resident abuse and neglect including forceful handling, verbal abuse, and physical mistreatment by staff person A.
Direct care staff person A lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Report Facts
Residents Served: 57 Current Hospice Residents: 3 Total Daily Staff: 85 Waking Staff: 64 Residents with Mobility Need: 28 Residents Age 60 or Older: 57

Inspection Report — Sep 26, 2022

Re-Inspection
Date: Sep 26, 2022

Visit Reason
The inspection was conducted as a licensing inspection of a newly licensed assisted living facility. A re-inspection will be conducted within 3 months to ensure full compliance.

Findings
The facility was found to be in substantial compliance with the applicable regulations at the time of inspection. The licensing inspector was unable to complete a full inspection due to the new legal entity operating the home.

Inspection Report — Sep 26, 2022

Re-Inspection
Date: Sep 26, 2022

Visit Reason
The inspection was conducted due to a change in the legal entity operating the assisted living facility, Westlake Woods AL, as part of licensing requirements.

Findings
The facility was found to be in substantial compliance with applicable regulations, but the licensing inspector was unable to complete a full inspection because this is a new legal entity. No deficiencies were found during this partial inspection.

Report Facts
Resident Support Staff: 0 Total Daily Staff: 79 Waking Staff: 59 Residents Served: 53 Current Residents in Hospice: 4 Residents 60 Years of Age or Older: 53 Residents with Mobility Need: 26

Document — April 8, 2026

Date: April 8, 2026

Visit Reason
This document is an invoice issued by the Pennsylvania Department of Human Services for an additional assessment/fine related to regulatory compliance at Westlake Woods Assisted Living facility.

Findings
The invoice details a Class II violation under 55 PA Code § 2600 with an additional assessment amount of $19,740.00 for the period from 1/7/2026 to 3/31/2026.

Report Facts
Additional Assessment Amount: 19740 Total Balance Due: 26085 Balance From Last Invoice: 6345

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