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Source: PA State Licensing Agency
Key Findings
Between 2021 and 2025, Evans' Personal Care Home underwent 25 inspections, resulting in 7 clean reports and 59 documented violations. Reported findings include issues regarding staff training and background clearances, resident privacy, and compliance with labor laws and discharge notification procedures.
A resident's most recent medical evaluation was not completed at least annually.
A resident assessment did not address the resident's need for extensive supervision.
The carbon monoxide alarm for the fuel oil furnace in the basement was not working due to missing batteries.
A direct care staff person did not receive any of the required training topics during the 2023 training year.
The administrator completed only 23.75 hours of required annual training for the 2023 training year.
The home did not conduct a quality management meeting for the year 2023.
The home did not have a documented staff training plan for the year 2024.
A staff person did not receive the required annual training content during the 2023 training year.
No 'No Smoking' signs were posted at the entrance, and influenza awareness information was not posted in a public place.
A direct care staff person did not receive annual training in required areas including medication self-administration, resident needs, dementia care, and personal care services.
The administrator completed only 7.4 hours of the required 24 hours of annual training for the 2022 training year.
The resident-home contract for resident #1 does not include charges for holding a bed during an absence.
The home failed to perform quarterly coliform water testing, with only one test performed between 7/15/22 and 4/12/23.
Resident #2 has not been educated regarding their right to question or refuse medication if a medication error is suspected.
The resident-home contract for resident #2 was missing the date of the resident's signature.
The home failed to obtain written resident signatures for cash disbursements made to resident #1 in June and July 2022.
Medication administration records (MAR) for multiple residents were left unlocked, unattended, and accessible on a table in the main living room.
The financial transaction record for resident #1 showed an incorrect balance compared to the actual balance.
An emergency exit stairway step was rotted and bowing, with protruding nails posing a fall and laceration hazard.
A box of potatoes was stored directly on the basement floor.
CPR training for staff was conducted online without a hands-on component and through an uncertified organization.
Two windows in the upstairs bathroom were missing screens.
An ashtray containing cigarette butts was found next to canned foods and cereal on a pantry shelf.
The kitchen refrigerator temperature was measured at 46 degrees Fahrenheit, exceeding the required 40 degrees.
No deficiencies are reported in this inspection record.
Direct care staff members were not certified in first aid, CPR, or obstructed airway techniques.
The home failed to conduct a fire drill during sleeping hours within the required 6-month interval.
The most recent fire safety inspection and fire drill conducted by an expert was outdated, having last occurred in 10/16.
No thermometers were present in the kitchen refrigerator, the vertical freezer in the laundry room, or the basement freezer.
Jack and Cheryl Evans Sensanbaugher
for profit
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