Inspection Reports for Westminster Place of Oakmont

1215 HULTON ROAD,, PA, 15139

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 73% occupied

Based on a September 2025 inspection.

Census over time

60 80 100 120 140 Jul 2021 May 2022 Apr 2023 Jan 2024 Aug 2024 Sep 2025 Sep 2025
Inspection Report Plan of Correction Census: 73 Capacity: 100 Deficiencies: 1 Sep 29, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident involving resident abuse.
Findings
The report details multiple incidents of resident-to-resident abuse involving physical altercations causing injuries, including a skin tear and bite mark. The facility took corrective actions including separating residents, involving crisis center consultations, hiring private sitters, and implementing medication and safety plans. A 30-day written notice was served to relocate the residents involved due to ongoing violent disruptions.
Deficiencies (1)
Description
Resident abuse incidents involving physical harm between residents, including hitting with a cane and biting.
Report Facts
License Capacity: 100 Residents Served: 73 Current Residents in Hospice: 7 Residents Age 60 or Older: 73 Residents with Mental Illness: 1 Residents with Mobility Need: 14 Residents with Intellectual Disability: 0 Residents with Physical Disability: 0 Staff Total Daily: 87 Staff Waking: 65
Inspection Report Renewal Census: 76 Capacity: 100 Deficiencies: 7 Sep 3, 2025
Visit Reason
The inspection was conducted as a renewal inspection combined with a complaint investigation at Westminster Place of Oakmont.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, maintenance issues such as rusted vent covers, improper food storage, unsecured medications, incorrect medication labeling, and use of correction fluid on resident records. All deficiencies had plans of correction accepted and were reported as fully implemented by the follow-up date.
Complaint Details
The inspection included a complaint investigation component as indicated by the inspection reason 'Renewal, Complaint'. Specific substantiation status is not stated.
Deficiencies (7)
Description
Resident-home contracts for residents #1 and #2 were not signed by the residents.
Rusted and peeling paint on air conditioning vent cover in resident room #212.
Open and unsealed bag of frozen French toast found in freezer.
Multiple unlabeled and undated frozen food items found in freezer, including frozen waffles and French toast.
Prescription and OTC medications found unlocked, unattended, and accessible in resident rooms #1, #2, #4, and #5, with residents unable to self-administer.
Pharmacy labels for medications of residents #5 and #6 did not match prescribed instructions.
Correction fluid used on resident records for residents #1, #6, and #7 in various sections.
Report Facts
License Capacity: 100 Residents Served: 76 Current Hospice Residents: 7 Residents with Mobility Need: 12 Residents Diagnosed with Mental Illness: 1 Total Daily Staff: 88 Waking Staff: 66
Inspection Report Follow-Up Census: 71 Capacity: 100 Deficiencies: 1 Jan 8, 2025
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident.
Findings
The submitted plan of correction was found to be fully implemented, with staff retraining on resident rights and abuse completed, and the involved staff member terminated. Resident interviews confirmed no new concerns and feelings of safety.
Deficiencies (1)
Description
A resident was intimidated and felt unsafe when a staff member aggressively took away the resident's call bell pendant for approximately 45 minutes, violating resident rights and abuse prevention policies.
Report Facts
License Capacity: 100 Residents Served: 71 Current Hospice Residents: 7 Staffing Hours - Total Daily Staff: 83 Staffing Hours - Waking Staff: 62 Residents Who Receive Supplemental Security Income: 1 Residents Who Are 60 Years of Age or Older: 71 Residents Diagnosed with Mental Illness: 2 Residents Diagnosed with Intellectual Disability: 0 Residents Who Have Mobility Need: 12 Residents Who Have Physical Disability: 0
Inspection Report Census: 66 Capacity: 100 Deficiencies: 0 Aug 8, 2024
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 0 Total Daily Staff: 73 Waking Staff: 55 License Capacity: 100 Residents Served: 66 Current Hospice Residents: 4 Residents Age 60 or Older: 66 Residents Diagnosed with Mental Illness: 2 Residents with Mobility Need: 7 Residents Receiving Supplemental Security Income: 0 Residents Diagnosed with Intellectual Disability: 0 Residents with Physical Disability: 0
Inspection Report Complaint Investigation Census: 73 Capacity: 100 Deficiencies: 0 Mar 14, 2024
Visit Reason
The inspection was conducted as a complaint investigation at Westminster Place of Oakmont on 03/14/2024.
Findings
No regulatory citations or deficiencies were identified during this complaint investigation inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, and follow-up was not required.
Report Facts
License Capacity: 100 Residents Served: 73 Current Hospice Residents: 4 Total Daily Staff: 77 Waking Staff: 58 Resident Support Staff: 0
Inspection Report Follow-Up Census: 75 Capacity: 100 Deficiencies: 6 Jan 18, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident, to review the submitted plan of correction and verify compliance.
Findings
The facility was found to have multiple deficiencies related to staff qualifications, orientation, medication storage and administration, and adherence to medication policies. The submitted plan of correction was determined to be fully implemented as of the inspection date.
Deficiencies (6)
Description
Direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Staff person did not receive required orientation on fire safety and emergency preparedness topics on their first day.
Prescription medications and syringes were not kept locked; a bottle of spray was found unlocked and unattended on a resident's bedside table.
Failure to follow proper procedures for medication cart shift exchange and narcotic counts, including unsecured med cart keys and missing signatures on count logs; unmarked medications were found replacing resident medications without proper reporting to law enforcement.
Medication prescribed to a resident was not available in the home; staff obtained medication from the skilled nursing facility stock, which is not permitted.
Medications prescribed to a resident were not administered because staff was unable to locate them in the home; this was a repeat violation.
Report Facts
License Capacity: 100 Residents Served: 75 Current Hospice Residents: 3 Total Daily Staff: 78 Waking Staff: 59 Number of times staff person A did not sign on/off shift count logs: 14 Number of unmarked tablets replaced for resident: 3 Number of unmarked tablets replaced for another resident: 2
Inspection Report Census: 73 Capacity: 100 Deficiencies: 0 Oct 19, 2023
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility on 10/19/2023.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
License Capacity: 100 Residents Served: 73 Current Hospice Residents: 5 Resident Support Staff: 81 Waking Staff: 61 Residents Age 60 or Older: 73 Residents with Mobility Need: 8
Inspection Report Census: 73 Capacity: 120 Deficiencies: 0 Apr 27, 2023
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
License Capacity: 120 Residents Served: 73 Current Hospice Residents: 2 Residents Age 60 or Older: 73 Residents with Mobility Need: 3 Total Daily Staff: 76 Waking Staff: 57
Inspection Report Follow-Up Census: 69 Capacity: 120 Deficiencies: 4 Sep 26, 2022
Visit Reason
The visit was a follow-up inspection to verify the implementation of a previously submitted plan of correction related to medication administration and abuse policies.
Findings
The facility was found to have fully implemented the plan of correction addressing medication administration errors, including incorrect dosages and labeling discrepancies, as well as abuse policy education. Continued compliance was required and ongoing medication audits were planned.
Deficiencies (4)
Description
Resident #3 was administered 20 times the prescribed dosage of medication due to a medication administration error.
Resident #1 had discontinued medication stored in the medication cart.
Resident #2 had expired and undated medications stored in the medication cart.
Resident #2's medication label indicated incorrect dosage frequency compared to the prescription.
Report Facts
License Capacity: 120 Residents Served: 69 Total Daily Staff: 72 Waking Staff: 54
Inspection Report Renewal Census: 69 Capacity: 120 Deficiencies: 6 May 18, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies including failure to complete direct care training before unsupervised care, hot water temperatures exceeding 120°F in multiple locations, furniture and equipment hazards, inadequate bedside lighting, outdated prescription medication, and improper storage procedures for medical equipment. Plans of correction were accepted and fully implemented.
Deficiencies (6)
Description
Direct care staff person provided unsupervised care before completing Department-approved direct care training and competency test.
Hot water temperature exceeded 120°F in four separate locations during inspection.
Resident's handheld showerhead did not rest snugly in cradle, allowing it to fall freely.
Resident was unable to reach lamp or other operable source of light from bedside.
Discontinued medication was found in medication strip packaging delivered after discontinuation date.
Resident's glucometer time reading was off by 4 hours, indicating improper storage procedures.
Report Facts
License Capacity: 120 Residents Served: 69 Hot Water Temperature: 127.8 Hot Water Temperature: 124.5 Hot Water Temperature: 125 Hot Water Temperature: 124.8 Hot Water Temperature: 131.2
Inspection Report Routine Deficiencies: 0 Mar 2, 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 Follow-Up Census: 78 Capacity: 120 Deficiencies: 1 Nov 1, 2021
Visit Reason
The inspection was a partial, unannounced visit conducted on 11/01/2021 to review the facility's compliance following an incident and plan of correction submission.
Findings
The facility was found to have fully implemented the submitted plan of correction related to a supervision violation involving an allegation of abuse against a staff member. Continued compliance was required.
Complaint Details
An allegation of abuse was made against staff person A involving resident #1 on 10/19/21. The staff person continued to work without a plan of supervision being submitted to the Department. The staff person was later removed from schedule pending investigation.
Deficiencies (1)
Description
Failure to immediately submit a plan of supervision or notice of suspension of the affected staff person following an allegation of abuse.
Report Facts
License Capacity: 120 Residents Served: 78 Current Hospice Residents: 5 Residents with Mobility Need: 4
Inspection Report Follow-Up Census: 80 Capacity: 120 Deficiencies: 9 Jul 12, 2021
Visit Reason
The inspection was a full, unannounced review conducted on 07/12/2021 and 07/13/2021 as a follow-up to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have implemented the plan of correction fully, addressing multiple deficiencies including record confidentiality, resident personal equipment safety, poisonous materials storage, emergency telephone numbers posting, unobstructed egress, medication labeling and storage, medication record keeping, and preadmission screening documentation. Continued compliance and monitoring were emphasized.
Deficiencies (9)
Description
Resident records were found unlocked and unattended containing personal information and narcotic logs.
Bed enablers for residents #7 and #8 posed possible entrapment hazards due to improper positioning and cover openings.
An unlabeled spray bottle with unknown pink liquid was found stored improperly.
Emergency telephone numbers were missing on or by the telephone on resident #10's dresser.
A metal chain blocked the egress route from the home's front porch to the steps.
Resident #11's inhaler lacked a pharmacy label and medication orders had inconsistencies.
Resident #11's prescribed Oxycodone 5mg was not available in the home for administration on 7/13/21.
Medication administration records (MAR) for residents #11 and #12 lacked staff initials for administered medications on multiple dates.
Resident #13's preadmission screening did not indicate if the resident can safely use and avoid poisonous materials.
Report Facts
Residents Served: 80 License Capacity: 120 Total Daily Staff: 85 Waking Staff: 64 Current Residents on Hospice: 4 Residents Age 60 or Older: 80 Residents with Mobility Need: 5
Notice Capacity: 120 Deficiencies: 0 Jun 15, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Westminster Place of Oakmont, a Personal Care Home, following receipt of the renewal application. It also advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license and outlines the Department's obligation to conduct an annual inspection and take enforcement action if noncompliance is found.
Report Facts
Maximum licensed capacity: 120
Employees Mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter

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