Inspection Reports for
Westminster Woods
360 WESTMINSTER DRIVE,, HUNTINGDON, PA, 16652
Back to Facility Profile16 Reports
Inspection Report — Mar 5, 2026
Renewal
Date: Mar 5, 2026
Visit Reason
The inspection was a full, unannounced renewal inspection conducted to review compliance with licensing requirements and verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have multiple deficiencies related to medical evaluations, medication storage and documentation, and following prescriber's orders. The submitted plan of correction was determined to be fully implemented as of the inspection dates.
Citations (5)
141a - Medical Evaluation: Resident #1's medical evaluation was not completed within the required timeframe after admission.
141a - Medical Evaluation: Residents #1, #2, and #3's medical evaluations lacked a general physical examination by a qualified practitioner.
185a - Implement Storage Procedures: Resident #3's blood sugar measurements were incorrectly documented on the Medication Administration Record on multiple dates.
187a - Medication Record: Resident #1 and Resident #3's medication administration records did not include diagnoses for prescribed medications.
187d - Follow Prescriber's Orders: Resident #2's medication administration did not follow prescriber's orders on 3/5/26, including failure to record administration and incorrect dosage given.
Report Facts
Residents Served: 24
Staff: 28
Waking Staff: 21
Residents receiving Supplemental Security Income: 4
Residents 60 Years or Older: 24
Residents with Mobility Need: 4
Hospice Residents: 0
Inspection Report — Jan 9, 2025
Renewal
Date: Jan 9, 2025
Visit Reason
The inspection was a full, unannounced renewal inspection conducted to review compliance with licensing regulations.
Findings
The inspection found multiple deficiencies including incomplete quality management plan content, lack of first aid kits on floors, missing emergency procedure submissions and postings, evacuation drill times exceeding limits, incomplete medical evaluations for residents, and improper medication storage in resident rooms. Plans of correction were accepted and implemented by March 12, 2025.
Citations (7)
Quality management plan did not address required topics including incident reporting, complaint procedures, staff training, licensing violations, and resident/family councils.
First aid kits were not available on either floor.
No record of written emergency procedures being sent to the local Emergency Management Agency.
Emergency procedures were not posted in a conspicuous and public place in the home.
Evacuation drill times exceeded the maximum evacuation time designated by a fire safety expert.
Resident medical evaluations were incomplete or missing required information such as body positioning, movement stimulation, evaluation dates, and health status.
Medications stored in resident's room were unlocked and unattended, not kept in a safe and secure location.
Report Facts
Residents Served: 24
Staffing Hours: 25
Waking Staff: 19
Evacuation Drill Time: 294
Evacuation Drill Time: 321
Evacuation Drill Time: 225
Inspection Report — Feb 21, 2024
Renewal
Date: Feb 21, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including lack of staff certified in CPR and First Aid during shifts, incomplete fire safety orientation for new staff, incomplete fire drill records, evacuation times exceeding the maximum safe limit, failure to evacuate residents to designated meeting places during fire drills, incomplete medical evaluations for residents, unlocked medications in resident rooms, improper medication storage, missing medications, incomplete medication administration training for staff, and incomplete documentation in resident support plans.
Citations (11)
No staff persons present in the home were certified in both CPR and First Aid during multiple shifts with 21 to 24 residents present.
Staff person did not receive orientation on fire safety and emergency preparedness topics including evacuation procedures, staff duties during fire drills, designated meeting place, smoking safety, fire extinguisher use, smoke detectors, fire alarms, and telephone use.
Fire drill record did not include the number of residents in the home at the time of the drill.
Evacuation time during fire drill exceeded the maximum safe evacuation time of 5 minutes and 30 seconds.
Not all residents evacuated to a designated meeting place away from the building or within the fire-safe area during multiple fire drills.
Medical evaluation for Resident #1 was not completed within 60 days prior to admission or within 30 days after admission.
Resident #2's room was unlocked and two containers of prescribed medications were on top of the resident's nightstand; resident was not in the room at the time.
Resident #1 had medication requiring refrigeration stored improperly in the medication cart.
Medications prescribed for Resident #2 and Resident #3 were not available in the home on the date of inspection.
Staff persons administered medications without completing the Department-approved medication administration course within the required timeframe.
Resident #1 had an enabler on their bed but the current assessment and support plan did not indicate a need for the enabler.
Report Facts
Residents served: 23
Evacuation time: 381
Staff total daily: 23
Waking staff: 17
Inspection Report — Nov 1, 2022
Plan of Correction
Date: Nov 1, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.
Inspection Report — Oct 6, 2020
Complaint Investigation
Date: Oct 6, 2020
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident involving a resident exiting the building unattended.
Complaint Details
The visit was complaint-related due to an incident where Resident #1 exited the building unattended, resulting in serious injury. The plan of correction was accepted.
Findings
The inspection found a violation related to inadequate supervision of a resident who exited the building unattended and suffered serious injuries from a fall. A plan of correction was accepted to update support plans and improve supervision.
Citations (1)
23a - Activities of Daily Living Assistance: Resident #1's support plan indicated the need for supervision when outside and use of a walker. On 10/3/20, the resident left unattended without a walker and staff awareness, resulting in a fall with serious facial injuries requiring hospitalization.
Report Facts
Residents Served: 34
Total Daily Staff: 34
Waking Staff: 26
Inspection Report — Mar 12, 2020
Annual Inspection
Date: Mar 12, 2020
Visit Reason
The Pennsylvania Department of Human Services conducted an annual licensing inspection of Westminster Woods, Homestead Building on March 12, 2020.
Findings
The facility was found to be in compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Notice — Feb 24, 2020
Date: Feb 24, 2020
Visit Reason
This document serves as a renewal notification and license issuance for Westminster Woods Personal Care Home following receipt of a renewal application.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Mar 28, 2019
Renewal
Date: Mar 28, 2019
Visit Reason
The inspection was a renewal licensing inspection conducted on March 28, 2019, for Westminster Woods Personal Care Home.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including staff training deficiencies, missing first aid kit supplies, incomplete preadmission screening forms, and unsigned support plans. Plans of correction were submitted and partially implemented as of April 9, 2019.
Citations (5)
55 Pa.Code §2600.65(f): Staff Member A did not receive training on meeting residents' needs as described in the preadmission screening form, assessment tool, medical evaluation, and support plan during 2018.
55 Pa.Code §2600.65(g): Staff Member B did not receive training on falls and accident prevention during 2018.
55 Pa.Code §2600.171(b)(5): The first aid kit in the home's Dodge Grand Caravan lacked tweezers, scissors, tape, and eye coverings.
55 Pa.Code §2600.224(c): The preadmission screening form for Resident #1 was missing the date the form was completed.
55 Pa.Code §2600.227(g): Support plans for Residents #1 and #3 were signed by the resident but not dated; Resident #2's support plan was not signed or dated by the resident or staff who developed it.
Report Facts
Number of Residents Served: 26
Total Daily Staff: 26
Waking Staff: 20
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Brumbaugh | Administrator | Named as facility administrator on violation report |
| Margaret Brumbaugh | Personal Care Home Administrator | Signed plans of correction |
Inspection Report — Mar 14, 2019
Renewal
Date: Mar 14, 2019
Visit Reason
This document is a renewal application and license issuance for Westminster Woods Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Apr 12, 2018
Renewal
Date: Apr 12, 2018
Visit Reason
The inspection was a renewal licensing inspection conducted by the Department of Human Services on April 12, 2018, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations were found related to staff training in first aid and fire safety, fire drill evacuation times, medication administration documentation, and timely resident assessments. Plans of correction were submitted with partial implementation status noted.
Citations (5)
55 Pa.Code §2600.63(a) - At least one staff person for every 50 residents must be trained in first aid and CPR. Direct Care Staff Member A was not certified in first aid during night shifts on specified dates.
55 Pa.Code §2600.85(g) - Direct care staff must receive annual fire safety training by a qualified expert. Staff member B did not receive fire safety training during 2017.
55 Pa.Code §2600.132(d) - Residents must be able to evacuate within a safe time as specified by a fire safety expert. Fire drills exceeded the safe evacuation time of 4 minutes and 30 seconds.
55 Pa.Code §2600.187(a) - Medication records must include required details for each resident. Resident #1's medication administration record lacked documentation of insulin units given.
55 Pa.Code §2600.225(a) - Residents must have a written initial assessment within 15 days of admission. Resident #1's initial assessment was not completed within the required timeframe.
Report Facts
Number of Residents Served: 29
Total Daily Staff: 28
Walking Staff: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Brumbaugh | Administrator | Named as facility administrator on page 3 and in plans of correction. |
| Margaret Brumbaugh | LPN PC Admin | Signed plans of correction as legal entity representative on multiple pages. |
Inspection Report — Feb 21, 2018
Renewal
Date: Feb 21, 2018
Visit Reason
The document is a renewal application and license issuance for Westminster Woods Personal Care Home. The Department of Human Services will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Inspection Report — Apr 12, 2017
Annual Inspection
Date: Apr 12, 2017
Visit Reason
The visit was an annual licensing inspection conducted by the Department of Human Services for Westminster Woods, Inc.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the inspection.
Notice — Feb 15, 2017
Date: Feb 15, 2017
Visit Reason
This document serves as a renewal notice and license certificate for Westminster Woods Personal Care Home. It informs the facility of the renewal of their license and the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is a licensing renewal notice with no compliance or deficiency information.
Report Facts
Inspection Report — Apr 21, 2016
Annual Inspection
Date: Apr 21, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspection for Westminster Woods, Inc.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Inspection Report — Feb 23, 2016
Renewal
Date: Feb 23, 2016
Visit Reason
The document is a renewal notification and license issuance for Westminster Woods Personal Care Home following receipt of a renewal application dated February 17, 2016. It informs the facility that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of upcoming annual inspection requirements.
Report Facts
Document — May 21, 2021
Date: May 21, 2021
Visit Reason
The document includes a Certificate of Compliance granting Westminster Woods permission to operate a Personal Care Home with a maximum capacity of 34 residents, and a letter acknowledging receipt of a renewal application with notice of an upcoming annual inspection within the next twelve months.
Findings
No inspection findings are reported; the documents confirm licensing compliance and outline the requirement for an annual inspection to be conducted within the next year.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal letter |
Viewing
Loading inspection reports...
