St. Martha Villa for Independent & Retirement Living.

“Staff observed resident #1 assault resident #2 by slapping them in the face. The incident was reported to staff but was not reported to the local area agency for aging as required by the Older Adult Protective Services Act.”

“Resident #3 had an unwitnessed fall requiring hospitalization. The home did not report this incident to the Department within the required 24-hour timeframe, reporting it 45 minutes late on 05/11/26 at 10:00 am.”

“The home's staff contact list did not include agency staff persons C and D, including their names, addresses, and telephone numbers as required.”

“On 05/01/26 and 05/02/26 from 11:00 pm to 7:00 am, 47 residents were present in the home with no staff certified in first aid, obstructed airway techniques, and CPR. This is a repeated violation from 05/07/2025.”

“Staff person E completed their 40th scheduled work hour but did not complete required training in resident rights and emergency medical plan before reaching that threshold.”

“On 05/12/26, trash bags were lined up in the first floor hallway in front of a resident's apartment, and resident #3's chair and floor had a brown stain (chocolate) that had been present for a couple of days, creating unsanitary conditions.”

“A resident-home contract Addendum to Personal Care Admission Agreement for Memory Support Service was not signed by the administrator, administrator designee, and/or payer as required.”

“The facility's copy of 55 Pa. Code Chapter 2600 was not posted in a conspicuous and public place in the home.”

“The facility did not post required influenza information in a public place year-round as required by the Influenza Awareness Act (HB 1785). No influenza poster was found anywhere in the home.”

“Resident 1's assessment and support plan indicated the resident required assistance with personal hygiene, but the resident did not receive this assistance as required on 5/8/2025.”

“The resident-home contract for resident 2 dated 2024 was not signed by the resident. The resident-home contract for resident 3 dated 2024 was not signed by the resident.”

“Resident 2's record did not contain a statement signed by the resident acknowledging receipt of a copy of resident rights and complaint procedures. Resident 3's record did not contain a statement signed by the resident acknowledging receipt of a copy of resident rights and complaint procedures.”

“Resident record does not include a copy of the resident-home contract, an inventory of the resident's personal property as voluntarily declared by the resident upon admission and voluntarily updated, or a copy of the official death certificate.”

“Medication cart was unlocked, unattended, and accessible on the 3rd floor outside of the medication office, violating resident record confidentiality requirements.”

“Three staff members did not receive required fire safety and emergency preparedness orientation on their first day of work, including evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety procedures, fire extinguisher use, smoke detectors and fire alarms, and emergency notification procedures.”

“Two residents did not have access to an operable light source that could be turned on or off at their bedside.”

“A resident's most recent medical evaluation was not completed within the required annual timeframe, with a gap of more than one year since the previous evaluation.”

“Expired medications were stored on the medication cart: one medication prescribed to a resident was 28 days past opening (beyond manufacturer discard date) and another medication prescribed to a resident was 4 weeks past opening (beyond manufacturer discard date).”

“Violation cited with Class III severity. Civil money penalty of $111 per day ($3 per resident per day x 37 residents at time of inspection) assessed unless corrected by mandated date.”

“A SECOND PROVISIONAL license was issued based on violations cited in the April 29 and 30, 2024 and July 31 and August 1, 2024 inspections. License valid from December 27, 2024 to June 27, 2025.”

“Administrator failed to provide immediate access to resident records upon request. The resident list was provided at 1:15 p.m. and medical records at 1:40 p.m. after a 9:13 a.m. request on April 29, 2024.”

“Two books with resident narcotic medication information were found on top of medical carts on the 2nd floor, unlocked, unattended, and accessible to all staff and residents, violating record confidentiality requirements.”

“Video cameras at the facility entrance had no signs posted indicating that images or video recording were in progress, violating resident privacy requirements.”

“Violation cited with Class III severity. Civil money penalty of $111 per day ($3 per resident per day x 37 residents at time of inspection) assessed unless corrected by mandated date.”

“Violation cited with Class III severity. Civil money penalty of $111 per day ($3 per resident per day x 37 residents at time of inspection) assessed unless corrected by mandated date.”

“Administrator failed to provide immediate access to resident records upon request. The resident list was provided at 1:15 p.m. and medical records at 1:40 p.m. after a 9:13 a.m. request on April 29, 2024.”

“Two books with resident narcotic medication information were found on top of medical carts on the 2nd floor, unlocked, unattended, and accessible to all staff and residents, violating record confidentiality requirements.”

“Video cameras at the facility entrance had no signs posted indicating that images or video recording were in progress, violating resident privacy requirements.”

“Violation cited with Class III severity. Civil money penalty of $111 per day ($3 per resident per day x 37 residents at time of inspection) assessed unless corrected by mandated date.”

“Violation cited with Class III severity. Civil money penalty of $111 per day ($3 per resident per day x 37 residents at time of inspection) assessed unless corrected by mandated date.”

“Violation cited with Class III severity. Civil money penalty of $111 per day ($3 per resident per day x 37 residents at time of inspection) assessed unless corrected by mandated date.”

“A SECOND PROVISIONAL license was issued based on violations cited in the April 29 and 30, 2024 and July 31 and August 1, 2024 inspections. License valid from December 27, 2024 to June 27, 2025.”

“The home failed to report a COVID-19 outbreak (at least residents tested positive on January 15, 2024) to the Department within 24 hours; the report was not submitted until January 17, 2024.”

“During the calendar month of February 2024, the facility did not have an administrator present in the home for an average of 20 hours or more per week. The last administrator left on January 18, 2024, and the current administrator is present in the home less than 20 hours per week.”

“The facility administrator has not successfully completed an orientation program approved and administered by the Department and a department-approved competency-based training test with a passing score.”

“Resident in bedroom 311 was found in bed with a pillowcase containing four roughly one-inch-diameter brownish stain circles and yellow spots on bed linens that resembled liquid or urine, indicating unclean bedding in poor condition.”

“A resident medical evaluation dated 12/19/2023 did not include a general physical examination, medical information pertinent to diagnosis and treatment in case of emergency, special health or dietary needs, body positioning and movement stimulation, or health status. Another evaluation signed 1/10/2024 lacked the date of evaluation and completion, emergency medical information, special health or dietary needs, and health status. This is a repeat violation from 8/3/2023.”

“The assessment and support plan for one resident (dated 3/15/2023) did not indicate if the resident needs total assistance obtaining clean and seasonal clothing or how this need will be met. Another resident's support plan (dated 12/21/2023) did not indicate needs for orientation, behavioral management (irritability, agitation, aggression, hallucinations), communication, memory, or safety awareness and how these needs would be met.”