Harmony at State College.

“Resident receiving hospice care was not evacuated during fire drills without written informed consent from the resident, power of attorney for health care, legal guardian, or health care representative documenting non-evacuation during fire drills.”

“Staff Person A who began working in the home did not have a Pennsylvania State Police Background Check completed prior to employment.”

“Four ice cream containers in the ice cream freezer did not have lids on them, violating food storage requirements.”

“Fire drill records did not include the correct number of residents evacuated, failing to account for residents not evacuated due to hospice provisions or resident refusal. This is a repeat violation.”

“During fire drills, residents did not evacuate to a designated meeting place away from the building or within the fire-safe area. This is a repeat violation.”

“A resident's medical evaluation did not include height, weight, temperature, or whether the resident's needs can be met at a personal care home. This is a repeat violation.”

“A resident's most recent medical evaluation was not completed within the required annual timeframe.”

“A resident's support plan was not revised after the resident experienced falls that resulted in a head injury, in violation of the requirement to revise support plans at least annually and as the resident's condition changes.”

“Resident #15 passed away on 3/25/25 with personal belongings removed on 3/3/25, but the estate did not receive a refund until 4/4/25, exceeding the 30-day requirement for refunding previously paid charges.”

“Resident #1 was not evacuated during a fire drill conducted on 6/13/25 but lacked written physician certification that the resident is actively dying and may suffer bodily injury or hastened death as a result of fire drill participation.”

“Civil money penalty violation assessed at $3 per resident per day with a calculated fine of $279 per day.”

“Civil money penalty violation assessed at $3 per resident per day with a calculated fine of $279 per day.”

“A SECOND PROVISIONAL license was issued based on violations found during inspections on July 8, 2025, July 9, 2025, October 1, 2025, and October 7, 2025.”

“A copy of the influenza information poster was not posted in a public and conspicuous location as required by the Influenza Awareness Act.”

“An exit door leading to the outside was very difficult to open and close, requiring a great deal of force, creating an obstruction to unobstructed egress.”

“A resident's assessment was not updated to reflect self-harming behavior that occurred, despite the requirement that assessments be updated when a resident's condition significantly changes.”

“Resident assessed as capable to self-administer medications was unable to distinguish medications or recognize when medications were to be taken.”

“A resident's discontinued medication patch was still located on the medication cart.”

“Two residents had orders for as-needed pain medications that were not available in the medication cart and could not be given if requested on 3/26/2025.”

“The book of posted license inspection reports in the common area did not include reports dated for certain inspection periods.”

“Multiple medication administration errors occurred and were not reported to the Department within 24 hours as required. Residents did not receive prescribed medications on specified dates due to medication unavailability, and an incident report was not timely submitted.”

“Insufficient direct care staff were scheduled during night and evening hours to safely evacuate all residents in an emergency. With 98-100 residents including 35 immobile residents (26 in Memory Care, 4 hospice in Memory Care totally immobile, 1 personal care hospice resident requiring 2-person assist, and 5 requiring 2-person assist for evacuation), only 2 staff per unit were scheduled from 11:00pm to 7:00am.”

“A staff person's first day of work did not include required fire safety and emergency preparedness orientation covering evacuation procedures, staff duties, designated meeting places, smoking safety, fire extinguisher use, smoke detectors, and emergency notification.”

“Fire drill records for dates indicated that 85 residents were evacuated, but two residents refused to evacuate and remained in their bedrooms, making the record inaccurate as it did not document the residents who did not evacuate or the problems encountered.”

“Two residents did not evacuate to the designated meeting place during fire drills on specified dates; they refused to evacuate and remained in their bedrooms.”

“Multiple residents did not receive prescribed medications as directed by their prescribers on specified dates due to medication unavailability or delayed administration.”

“Violation related to facility compliance with regulations.”

“Violation cited with 5-day correction deadline.”

“Violation requiring correction within 15 calendar days.”

“Violation requiring correction within 15 calendar days.”

“Resident #1 was kicked by Resident #2 when attempting to enter their room, resulting in the resident screaming, crying, and holding their back and hip. The resident required emergency room evaluation.”

“Incident involving Resident #1 being kicked by Resident #2 was not reported to the Department within 24 hours as required. This is a repeat violation from 11/15/23 and 4/10/24.”

“Multiple violations with 55 Pa Code Chapter 2600 resulted in the revocation of the facility's original certificate of compliance and issuance of a FIRST PROVISIONAL license.”

“Staff witnessed Resident #1 being kicked by Resident #2, leaving the resident screaming, in tears, and holding their back and hip. The incident was not reported to the Area Agency on Aging as required by the Older Adult Protective Services Act.”

“Multiple violations with 55 Pa Code Chapter 2600 resulted in the revocation of the facility's original certificate of compliance and issuance of a FIRST PROVISIONAL license.”

“Violation requiring correction within 15 calendar days.”

“Staff witnessed Resident #1 being kicked by Resident #2, leaving the resident screaming, in tears, and holding their back and hip. The incident was not reported to the Area Agency on Aging as required by the Older Adult Protective Services Act.”

“Incident involving Resident #1 being kicked by Resident #2 was not reported to the Department within 24 hours as required. This is a repeat violation from 11/15/23 and 4/10/24.”

“Resident #1 was kicked by Resident #2 when attempting to enter their room, resulting in the resident screaming, crying, and holding their back and hip. The resident required emergency room evaluation.”

“Violation related to facility compliance with regulations.”

“Violation cited with 5-day correction deadline.”

“Violation requiring correction within 15 calendar days.”

“Staff witnessed Resident #1 being kicked by Resident #2, leaving the resident screaming, in tears, and holding their back and hip. The incident was not reported to the Area Agency on Aging as required by the Older Adult Protective Services Act.”

“Incident involving Resident #1 being kicked by Resident #2 was not reported to the Department within 24 hours as required. This is a repeat violation from 11/15/23 and 4/10/24.”

“Resident #1 was kicked by Resident #2 when attempting to enter their room, resulting in the resident screaming, crying, and holding their back and hip. The resident required emergency room evaluation.”

“Violation related to facility compliance with regulations.”

“Violation cited with 5-day correction deadline.”

“Violation requiring correction within 15 calendar days.”

“Violation requiring correction within 15 calendar days.”

“Multiple violations with 55 Pa Code Chapter 2600 resulted in the revocation of the facility's original certificate of compliance and issuance of a FIRST PROVISIONAL license.”

“Violation cited with 5-day correction deadline.”

“Multiple violations with 55 Pa Code Chapter 2600 resulted in the revocation of the facility's original certificate of compliance and issuance of a FIRST PROVISIONAL license.”

“Staff witnessed Resident #1 being kicked by Resident #2, leaving the resident screaming, in tears, and holding their back and hip. The incident was not reported to the Area Agency on Aging as required by the Older Adult Protective Services Act.”

“Incident involving Resident #1 being kicked by Resident #2 was not reported to the Department within 24 hours as required. This is a repeat violation from 11/15/23 and 4/10/24.”

“Resident #1 was kicked by Resident #2 when attempting to enter their room, resulting in the resident screaming, crying, and holding their back and hip. The resident required emergency room evaluation.”

“Violation related to facility compliance with regulations.”

“Violation requiring correction within 15 calendar days.”

“Violation requiring correction within 15 calendar days.”

“Facility failed to provide adequate supervision for two residents who required protection due to poor judgment and unsafe decisions. A resident was witnessed engaging in inappropriate sexual contact with another resident in a public area with no staff present at the initiation of the encounter, despite both residents' assessment plans indicating need for supervision for safety and protection.”

“A resident reported missing money from their room, but the home did not report this incident to the Department of Human Services within the required 24-hour timeframe as mandated by reporting requirements.”

“Resident records were requested but not provided by the home immediately upon request, violating requirements for immediate access to records by Department agents.”

“During medication pass observation, staff was observed walking away from a computer with resident medication information visible on the screen, leaving residents' confidential information accessible to unauthorized persons.”

“Residents requiring 1-2 hours of ADL assistance daily experienced waits exceeding one hour for call bell responses during mealtimes. Call bell reports from 2/15/24-2/28/24 showed over 45 occurrences per 24 hours where call bells went unanswered for over 90 minutes, failing to meet resident needs.”

“The home has 87 residents with 30 having mobility needs, including 6 requiring 2-person assist for emergency evacuation. Only 4 staff persons were scheduled from 10:00 pm to 6:00 am, leaving insufficient staffing to meet resident emergency evacuation needs.”

“In the main kitchen, two trash cans not in current use were uncovered, failing to prevent insect and rodent penetration. This was a repeat violation from 11/15/23.”

“In the walk-in refrigerator, 2 bowls of salad, an opened bag of chicken tenders, and 2 trays with fruit bowls were found unlabeled and undated, violating requirements for proper labeling and dating of leftover food.”

“Kitchen trash receptacle did not have a lid; the lid was placed on the ground next to the receptacle. This is a repeat violation from 9/27/23.”

“Resident #1's DME is missing height, weight, pulse rate, blood pressure, temperature, immunization history, and body positioning. Resident #4's DME is missing height, weight, pulse, temperature, and blood pressure.”

“Medication errors for Resident #1 (missed doses of Hydrocodone-acetaminophen on 9/15/23 and Valtrex on 9/1-9/3/23 and 9/19/23) were not immediately reported to the Department within 24 hours.”

“Blood glucose test results were not accurately recorded on MARs for multiple residents. Examples include: Resident #2 (106 in meter recorded as 105; 201 reading not recorded), Resident #3 (multiple discrepancies between meter and MAR), Resident #5 (reading documented on MAR without glucometer support), and Resident #6 (159 recorded as 151). This is a repeat violation from 9/27/23.”

“Resident #1's prescribed medications were not administered as directed: Hydrocodone-acetaminophen not administered on 9/15/23 due to unavailability; Valtrex not administered 9/1-9/3/23 due to unavailability; and Valtrex 8:00am dose not administered on 9/19/23.”

“Medication errors for Resident #1 (missed doses of Hydrocodone-acetaminophen and Valtrex) were not immediately reported to the resident's family or physician.”

“Resident #1's records do not contain documentation of medication errors (missed doses of Hydrocodone-acetaminophen on 9/15/23 and Valtrex on 9/1-9/3/23 and 9/19/23) or the prescriber's response.”