Inspection Reports for William Penn Senior Suites and Personal Care
1021 WALTON ROAD,, JEANNETTE, PA, 15644
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
96% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
42% occupied
Based on a August 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 45
Capacity: 108
Deficiencies: 0
Date: Aug 19, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 08/19/2025.
Complaint Details
The inspection was triggered by a complaint, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 61
Waking Staff: 46
Resident Support Staff: 0
Current Hospice Residents: 6
Residents Served: 45
License Capacity: 108
Residents Who Receive Supplemental Security Income: 5
Residents Who Are 60 Years of Age or Older: 42
Residents Diagnosed with Mental Illness: 4
Residents Diagnosed with Intellectual Disability: 4
Residents Who Have Mobility Need: 16
Residents Who Have Physical Disability: 0
Inspection Report
Complaint Investigation
Census: 46
Capacity: 108
Deficiencies: 0
Date: May 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 05/30/2025.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 108
Residents Served: 46
Current Hospice Residents: 7
Resident Support Staff Hours: 0
Total Daily Staff Hours: 73
Waking Staff Hours: 55
Residents Receiving Supplemental Security Income: 7
Residents Age 60 or Older: 43
Residents Diagnosed with Mental Illness: 11
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 27
Residents with Physical Disability: 0
Inspection Report
Follow-Up
Census: 41
Capacity: 108
Deficiencies: 2
Date: May 9, 2025
Visit Reason
The inspection was an unannounced partial review conducted due to an incident at the facility on 05/09/2025, with a follow-up type of Plan of Correction (POC) submission.
Findings
The facility was found to have deficiencies related to resident personal equipment and resident assessments. Specifically, wheelchair armrests were worn and insecure, and a resident's initial assessment did not document the need for a bed enabler. The submitted plan of correction was fully implemented by 07/23/2025.
Deficiencies (2)
The armrests on resident's wheelchair have areas where the material is wearing off and the right armrest is not securely attached to the wheelchair.
Resident assessment did not include the resident's need for a bed enabler.
Report Facts
License Capacity: 108
Residents Served: 41
Current Residents in Hospice: 8
Total Daily Staff: 63
Waking Staff: 47
Residents Receiving Supplemental Security Income: 4
Residents Age 60 or Older: 40
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 22
Residents with Physical Disability: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Educated by DHS Inspector on wheelchair and assessment regulations; involved in audit and education plans | |
| Personal Care Home Administrator | Created audit tools for wheelchair condition and resident assessments; responsible for staff education and monitoring |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 108
Deficiencies: 0
Date: Apr 21, 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, but no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 37
License Capacity: 108
Current Hospice Residents: 5
Resident Support Staff Hours: 0
Total Daily Staff Hours: 54
Waking Staff Hours: 41
Residents Receiving Supplemental Security Income: 4
Residents Age 60 or Older: 36
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 17
Residents with Physical Disability: 0
Inspection Report
Complaint Investigation
Census: 62
Capacity: 108
Deficiencies: 0
Date: Jan 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation at the William Penn Senior Suites and Personal Care facility on January 7, 2025.
Complaint Details
The inspection was triggered by a complaint, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Report Facts
Resident Support Staff: 74
Waking Staff: 56
Residents Served: 62
License Capacity: 108
Residents with Supplemental Security Income: 4
Residents Age 60 or Older: 61
Residents with Mobility Need: 12
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Current Hospice Residents: 0
Inspection Report
Complaint Investigation
Census: 41
Capacity: 108
Deficiencies: 2
Date: Jul 3, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection.
Complaint Details
The inspection was complaint-related and involved substantiation of abuse and failure to document additional assessments. The plan of correction was accepted and fully implemented.
Findings
The facility was found to have violations related to resident abuse and failure to document required assessments. The submitted plan of correction was fully implemented and compliance was maintained.
Deficiencies (2)
A resident was bruised on the arm after staff person A tried to reposition her by grabbing her arm and pulling up by the waistband, causing harm.
A resident requiring a 2-person assist to reposition in a Broda chair was not documented in the resident’s assessment dated 5/9/24.
Report Facts
License Capacity: 108
Residents Served: 41
Current Residents in Hospice: 6
Total Daily Staff: 53
Waking Staff: 40
Inspection Report
Plan of Correction
Census: 40
Capacity: 108
Deficiencies: 1
Date: Aug 2, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 08/02/2023.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. The plan of correction was reviewed and found fully implemented.
Findings
The submitted plan of correction was reviewed and determined to be fully implemented. A repeat violation was noted regarding an incomplete annual medical evaluation for Resident #1, with corrective actions directed and completed by 09/12/2023.
Deficiencies (1)
Resident #1's most recent medical evaluation lacked the attached medical diagnoses and medication addendum sections as required.
Report Facts
License Capacity: 108
Residents Served: 40
Current Hospice Residents: 8
Residents Age 60 or Older: 39
Residents Diagnosed with Mental Illness: 15
Residents with Mobility Need: 16
Residents with Physical Disability: 1
Residents Receiving Supplemental Security Income: 4
Inspection Report
Follow-Up
Census: 38
Capacity: 108
Deficiencies: 2
Date: Jul 24, 2023
Visit Reason
The inspection was a follow-up review conducted on 07/24/2023 to verify the implementation of a previously submitted plan of correction related to an incident.
Findings
The submitted plan of correction was determined to be fully implemented. The report details an abuse incident involving staff and a resident, with corrective actions including staff termination, education on abuse prevention, and ongoing interviews with residents and staff.
Deficiencies (2)
Failure to immediately suspend or supervise a staff person involved in an alleged abuse incident, allowing the staff to continue working unsupervised until the end of the shift.
Physical abuse of resident #1 by staff person A, resulting in bruising and pain to the resident's left wrist.
Report Facts
License Capacity: 108
Residents Served: 38
Current Hospice Residents: 4
Residents Receiving Supplemental Security Income: 4
Residents Age 60 or Older: 37
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 8
Residents with Physical Disability: 4
Total Daily Staff: 46
Waking Staff: 35
Inspection Report
Renewal
Deficiencies: 0
Date: Aug 29, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing for the facility William Penn Senior Suites and Personal Care.
Findings
No regulatory citations were identified as a result of the inspection conducted on 08/29/2022.
Inspection Report
Renewal
Census: 45
Capacity: 108
Deficiencies: 5
Date: Aug 2, 2022
Visit Reason
The inspection was conducted for renewal of the facility license, complaint investigation, and provisional review, including follow-up on plan of correction submissions.
Complaint Details
The inspection included complaint-related review as part of the renewal and provisional inspection process.
Findings
The facility was found to have multiple deficiencies related to sanitary conditions, soap dispensers, fire drill records, annual medical evaluations, and support plan signatures. Corrective actions were implemented and verified, resulting in compliance with applicable regulations and issuance of a regular license.
Deficiencies (5)
No paper towels, mechanical air blower, or other sanitary method of hand-drying in bathrooms on the fourth floor and in shared bathroom in bedroom 201.
No soap dispenser at the sink in the shared resident bathroom in bedroom 201.
Fire drill records for drills conducted on 4/29/22, 6/28/22, and 7/29/22 did not include the number of residents evacuated.
Medical evaluation for resident #1 did not include a list of the resident's medications; resident #2's most recent medical evaluation was outdated.
Support plan for resident #3 was not signed by the resident and did not indicate if the resident was unable to participate, declined to participate, refused to sign, or was unable to sign.
Report Facts
License Capacity: 108
Residents Served: 45
Current Hospice Residents: 7
Staffing Hours - Total Daily Staff: 58
Staffing Hours - Waking Staff: 44
Residents Age 60 or Older: 44
Residents with Mobility Need: 13
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the licensing letter confirming compliance and license issuance. |
Inspection Report
Census: 51
Capacity: 108
Deficiencies: 0
Date: May 16, 2022
Visit Reason
The inspection was a licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 05/16/2022 for provisional and fine reasons.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 64
Waking Staff: 48
Hospice Residents: 10
Residents Receiving Supplemental Security Income: 1
Residents Age 60 or Older: 50
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 13
Inspection Report
Complaint Investigation
Census: 51
Capacity: 108
Deficiencies: 10
Date: Dec 13, 2021
Visit Reason
The inspection was conducted as a complaint, incident, and monitoring visit with an unannounced partial inspection on December 13-14, 2021.
Complaint Details
The inspection was complaint-related, triggered by complaints and incidents involving resident care and facility compliance. Specific substantiation status is not stated.
Findings
The inspection found multiple violations including inadequate advance notice of rate increases, incomplete resident contracts regarding complaint procedures, verbal abuse by facility president, insufficient staffing levels to meet resident mobility needs and fire safety evacuation requirements, improper medication storage and documentation, failure to follow prescriber's orders, inadequate personal care service hours, and lack of operable bedside lamps.
Deficiencies (10)
Failure to provide proper 30-day advance notice of rate increases to residents.
Resident contract did not include signed statement acknowledging receipt of resident rights and complaint procedures.
Verbal abuse and intimidation of resident's designated person by facility president.
Staffing levels during night hours were inadequate to safely evacuate all residents in case of emergency.
Resident bedside lamp was not operable at bedside.
Glucometers for residents were not calibrated to current date/time and blood sugar readings were inconsistently documented.
Failure to follow prescriber's orders regarding insulin administration due to missing blood sugar readings.
Direct care staffing hours were below minimum required to meet mobility needs of residents on multiple days.
Less than 75% of personal care service hours were provided during waking hours on multiple days.
Medication label for resident did not match prescribed dosage and instructions.
Report Facts
Residents served: 51
License capacity: 108
Hospice residents: 9
Residents with mobility needs: 25
Direct care staffing hours provided: 64.85
Direct care staffing hours provided: 66.83
Direct care staffing hours provided: 74
Direct care staffing hours during waking hours: 48.85
Direct care staffing hours during waking hours: 43.51
Direct care staffing hours during waking hours: 51.5
Direct care staffing hours during waking hours: 44
Fine per day: 5
Calculated fine: 255
Census at violation inspection: 51
Inspection Report
Renewal
Census: 60
Capacity: 108
Deficiencies: 24
Date: Oct 18, 2021
Visit Reason
The inspection was conducted for renewal and complaint reasons, including a full unannounced licensing inspection and complaint investigation.
Complaint Details
The inspection included a complaint investigation as part of the renewal process. Specific complaint details are not separately provided but deficiencies related to complaint issues were noted.
Findings
Multiple deficiencies were found related to resident contracts, staffing qualifications and hours, facility maintenance, medication management, emergency preparedness, and resident rights. Several repeat violations were noted. Plans of correction were submitted with various completion dates, some not yet implemented.
Deficiencies (24)
Resident #1's resident-home contract did not explain the annual assessment, medical evaluation or support plan requirements and procedures.
Resident #1's resident-home contract did not include the method or payment of charges for long distance telephone calls.
Resident #1's resident-home contract did not include the conditions under which refunds will be made, including refunds upon a resident's death.
Resident #1's resident-home contract did not include the home's rules related to home services, including smoking policy.
Resident #1's resident-home contract did not include the conditions under which the agreement may be terminated.
Resident #1's resident-home contract did not include a statement that the resident is entitled to at least 30 days' advance notice in writing of contract changes.
Resident #1's resident-home contract did not include a list of personal care services provided, rates charged, and payment details.
Resident #1's resident-home contract did not include charges for holding a bed during hospitalization or extended absences.
Resident #1's resident-home contract did not include written information on resident rights and complaint procedures.
Direct care staff persons A, B, and C did not have required qualifications such as high school diploma, GED, or active registry status and worked unsupervised.
Direct care staff persons were not available to provide at least 2 hours per day of personal care services to each resident with mobility needs on multiple days.
At least 75% of personal care service hours were not available during waking hours on multiple days.
Staff person B did not receive orientation on general fire safety and emergency preparedness topics prior to or during the first work day.
Floors, walls, ceilings, windows, doors and other surfaces were not clean or free of hazards; specifically, a furnace filter in resident #2's bedroom was covered with thick dust.
Emergency telephone numbers were not posted on or by the telephone across from the 3rd floor elevator.
Sinks in resident #4 and #5's private bathrooms were clogged and not draining properly.
First aid kits at the front desk and 2nd floor nurses' station did not include adhesive tape.
Residents #4, #6, and #7 did not have operable bedside lamps or other sources of lighting that could be turned on/off at bedside.
Multiple medications were unlocked, unattended and accessible on resident #5's counter.
Resident #7 was administered expired insulin pen and resident #8 had discontinued medications present in the medication cart.
Resident #4's prescribed Ventolin medication was not available in the home.
Resident #1 was not educated on the right to question or refuse medication if a medication error is suspected.
Resident #1 did not have a written support plan developed and implemented within 30 days of admission.
Resident #1's resident-home contract was not signed by the resident, only by the administrator and resident's representative.
Report Facts
License Capacity: 108
Residents Served: 60
Residents with Mobility Needs: 26
Direct Care Staffing Hours Provided: 58.77
Direct Care Staffing Hours Provided: 69.4
Direct Care Staffing Hours Provided: 76.59
Minimum Required Direct Care Hours: 85
Direct Care Staffing Hours During Waking Hours: 38.77
Direct Care Staffing Hours During Waking Hours: 55.9
Direct Care Staffing Hours During Waking Hours: 60.47
Notice
Capacity: 108
Deficiencies: 0
Date: Sep 13, 2021
Visit Reason
This document serves as a certificate of compliance and notification of license renewal for William Penn Senior Suites and Personal Care, a Personal Care Home. It informs the facility that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
The Department has issued a regular license in response to the renewal application and advises that an annual inspection will be conducted within the next twelve months. Enforcement action may be taken if noncompliance is found during the inspection.
Report Facts
Maximum capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Renewal
Deficiencies: 0
Date: Jun 17, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections on 06/17/2021 and 06/22/2021 for William Penn Senior Suites and Personal Care.
Findings
No regulatory citations were identified as a result of this inspection.
Notice
Capacity: 108
Deficiencies: 0
Date: Feb 10, 2021
Visit Reason
The document serves as a certificate of compliance and a notice of license issuance following the facility's name change from William Penn Care Center to William Penn Senior Suites and Personal Care.
Findings
The certificate confirms the facility's compliance with applicable regulations and authorizes operation as a Personal Care Home with a maximum capacity of 108 residents. The license expiration date remains unchanged.
Report Facts
Maximum capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the certificate and the license issuance letter. |
Notice
Capacity: 108
Deficiencies: 0
Date: Jan 11, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for William Penn Care Center to operate as a Personal Care Home. It also informs the facility 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 confirms receipt of the renewal application and issuance of a regular license, with a reminder of the upcoming annual inspection requirement.
Report Facts
Maximum capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
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