Deficiencies (last 5 years)
Deficiencies (over 5 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
91% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
19% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 24
Capacity: 124
Deficiencies: 2
Jan 14, 2025
Visit Reason
The inspection was an unannounced partial review conducted due to an incident at the facility.
Findings
The facility was found to have deficiencies related to medication administration documentation, specifically failures to document narcotic medication administration correctly. The submitted plan of correction was accepted and fully implemented.
Deficiencies (2)
| Description |
|---|
| Failure to document the administration of narcotic medication on the Narcotic Medication Log Sheet as required. |
| Incorrect documentation of the date/time of medication administration on the Medication Administration Record. |
Report Facts
License Capacity: 124
Residents Served: 24
Current Hospice Residents: 2
Residents Age 60 or Older: 24
Residents with Physical Disability: 1
Residents with Mobility Need: 1
Total Daily Staff: 25
Waking Staff: 19
Inspection Report
Renewal
Census: 22
Capacity: 124
Deficiencies: 18
Oct 10, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of THE WILLIAMSPORT HOME & APARTMENTS, 3RD FLOOR facility on 10/10/2024.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, uncovered bed enabler bars posing entrapment hazards, unlabeled leftover food, dented food cans, incomplete fire drill records, missing or outdated medical evaluations, unsecured medications, medication record inaccuracies, medication errors, incomplete preadmission screening, delayed assessments, incomplete support plans, and incomplete resident record content. All deficiencies had plans of correction accepted and were implemented by 01/22/2025.
Deficiencies (18)
| Description |
|---|
| Resident-home contract was not signed by the resident. |
| Resident bed enabler was uncovered presenting a possible entrapment hazard. |
| Leftover food (bacon) in kitchen refrigerator was not dated. |
| Two dented #10 cans in dry storage area. |
| Fire drill log did not indicate number of residents in home or evacuated at time of alarm. |
| Medical evaluation not completed within required timeframe for a resident. |
| Annual medical evaluation for a resident was not current at time of inspection. |
| A bottle of over-the-counter Advil was found unlocked in resident's room. |
| Medications belonging to a deceased resident were still stored in the home. |
| Resident glucometer was not calibrated to the correct date and medications were not available on the cart. |
| Medications for a resident were not listed on the Medication Administration Record (MAR). |
| Medication administration record incorrectly stated dosage; prescriber order and pharmacy label indicated different dosage. |
| Resident received another resident's medication in error. |
| Resident's preadmission screening form was not completed as required. |
| Initial assessment and support plan for a resident were not completed within 15 days of admission. |
| Resident's most recent additional assessment was not completed timely. |
| Resident's support plan did not indicate specific need, intended use, risks, or safety information for bed enabler device. |
| Resident record did not indicate if the resident has any identifying marks. |
Report Facts
License Capacity: 124
Residents Served: 22
Staffing Hours - Total Daily Staff: 22
Staffing Hours - Waking Staff: 17
Inspection Report
Follow-Up
Census: 21
Capacity: 124
Deficiencies: 3
Feb 13, 2024
Visit Reason
The inspection was conducted as a follow-up to a complaint and incident reported at the facility, including a partial unannounced review on 02/13/2024 and an on-site visit on 03/05/2024.
Findings
The facility was found to have deficiencies related to failure to report incidents timely, absence of direct care staff presence for a period, and incomplete updates to resident support plans following falls. The submitted plan of correction was accepted and fully implemented by 04/11/2024.
Complaint Details
The visit was complaint-related, triggered by incidents including failure to report a resident fall and staffing concerns. The plan of correction was accepted and implemented, resolving the issues.
Deficiencies (3)
| Description |
|---|
| Failure to report an incident of a resident fall to the Department within 24 hours. |
| Direct care staff was not present in the home for approximately 20 minutes while residents were present. |
| Resident support plans were not updated to reflect recent fall history. |
Report Facts
License Capacity: 124
Residents Served: 21
Current Hospice Residents: 1
Resident Support Staff: 19
Total Daily Staff: 40
Waking Staff: 30
Incident Reporting Timeframe: 24
Staff Absence Duration: 20
Inspection Report
Renewal
Census: 21
Capacity: 124
Deficiencies: 4
Sep 21, 2023
Visit Reason
The inspection was conducted as a full, unannounced renewal inspection with an incident review on 09/21/2023.
Findings
The facility was found to have deficiencies related to incomplete annual training records for a staff member, outdated food labeling, and expired or unlisted medications. A plan of correction was submitted and fully implemented by 11/08/2023.
Deficiencies (4)
| Description |
|---|
| The administrator could not provide the annual training for staff person A; only 9 hours of annual training were found for 2022 instead of the required 12 hours. |
| The administrator could not provide the 2022 annual training records for staff member A; records were misplaced when the prior training coordinator left. |
| An unlabeled, undated package of tator tots was found in the kitchen freezer. |
| Resident #1's medication Tusin DM expired on 5/23 and Preparation H was not listed on the resident's medication administration record. |
Report Facts
License Capacity: 124
Residents Served: 21
Total Daily Staff: 22
Waking Staff: 17
Annual Training Hours Found: 9
Annual Training Hours Required: 12
Inspection Report
Renewal
Census: 21
Capacity: 124
Deficiencies: 14
Aug 25, 2022
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing regulations.
Findings
The facility was found to have multiple deficiencies related to resident contracts, personal equipment, sanitary conditions, hot water temperature, egress routes, medication administration, and resident assessments. All deficiencies were corrected or had plans of correction implemented and accepted by the licensing authority.
Deficiencies (14)
| Description |
|---|
| Resident-home contract for Resident #1 was not signed by the resident or offered for signature. |
| Resident #2's enabler bar was not covered, posing a possible limb entrapment risk. |
| Blood sugar monitor for Resident #3 had a dried red substance resembling blood on the monitor. |
| Hot water temperature in Resident #4's bathroom measured 120.8°F, exceeding the 120°F limit. |
| Emergency exit door on first floor East End was difficult to open and required excess force. |
| Resident #4 was not assessed by a qualified professional regarding ability to self-administer medications. |
| Resident #5's medications were stored unlocked in the resident's bedroom, and the resident did not lock the door when leaving. |
| Resident #6's prescription medication label did not include correct directions; medication was administered twice daily but order stated once daily. |
| Resident #6's over-the-counter paste was not labeled with the resident's name. |
| Resident #3's glucometer was not calibrated for the correct date and time. |
| Resident #6's medication administration record lacked strength information and blood sugar readings were not consistently recorded; Resident #7 also missed blood sugar readings. |
| Resident #1's assessment and support plan incorrectly indicated mobility status; resident is immobile but plan stated mobile. |
| Resident #6's assessment and support plan did not include need for enabler bar. |
| Resident #6's support plan incorrectly documented inability to self-administer medications despite evidence of self-administration. |
Report Facts
License Capacity: 124
Residents Served: 21
Staffing: 2
Staffing: 25
Staffing: 19
Hot Water Temperature: 120.8
Notice
Capacity: 124
Deficiencies: 0
Aug 27, 2021
Visit Reason
The document serves as a renewal notification and license issuance for The Williamsport Home & Apartments, a Personal Care Home, following receipt of a renewal application dated June 8, 2021. 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 states that enforcement action will be taken if noncompliance is found during future inspections.
Report Facts
Total licensed capacity: 124
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 15
Capacity: 124
Deficiencies: 4
Aug 24, 2021
Visit Reason
The inspection was an unannounced full renewal inspection with an incident review conducted on 08/24/2021.
Findings
The inspection identified deficiencies related to food storage temperature monitoring, medication storage and labeling, failure to follow prescriber's orders, and medication error reporting. Plans of correction were accepted and implemented with follow-up training and audits scheduled.
Deficiencies (4)
| Description |
|---|
| The main kitchen's chest freezer for ice cream did not contain a thermometer. |
| Resident #1's inhaler medication was past the manufacturer's recommended use period after opening, and Resident #2's inhaler was not dated when opened. |
| Resident #1 did not receive their 2:00 PM medication on 8/17/21, failing to follow the prescriber's orders. |
| The medication error involving Resident #1's missed 2:00 PM dose was not reported to the resident, designated person, or prescriber as required. |
Report Facts
License Capacity: 124
Residents Served: 15
Current Hospice Residents: 2
Total Daily Staff: 15
Waking Staff: 11
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