Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00276121 Renewal 10/17/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.76(a)The dresser in Individual 3's bedroom has two (2) broken drawers. Furniture and equipment shall be nonhazardous, clean and sturdy. A new dresser was ordered for individual's bedroom due to be delivered between 11/16/2025 & 11/23/2025. 10/16/2025 Implemented
6400.143(a)Individual 3 refuses prostate exams and there was no documentation of training regarding the need for prostate exams.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. Individual 3 has been trained/educated on the importance of routine prostate exams. 11/14/2025 Implemented
6400.144Individual 3 did not keep their follow-up dental appointment on 01/20/25.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. Individual 3 has put in a request with his dentist's office to receive a copy of his 01/20/2025 visit paperwork. Individual 3 recalls making the dental appointment, so Rehoboth is working with him to secure the documentation for that visit, to have on file. 11/14/2025 Implemented
6400.181(a)The most recent assessment for individual 3 was completed on 05/02/25 and the assessment completed before that was dated 03/03/24. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. A reminder has been set on the company's calendar to completed individual 3's assessment on or before 05/02/2026. 11/14/2025 Implemented
6400.216(a)Medical Appointment Paperwork for Individual 3 is being kept in an unlocked cabinet next to the kitchen refrigerator. An individual's records shall be kept locked when unattended. Medical Appointment Paperwork has been taken out of the unlocked cabinet and is now kept in Rehoboth's office behind lock & key. 10/17/2025 Implemented
6400.18(i)Incident ID 9676727 with a discovery date of 08/16/25 had no request for an extension until 10/17/25.The home shall finalize the incident report through the Department's information management system or on a form specified by the Department within 30 days of discovery of the incident by a staff person unless the home notifies the Department in writing that an extension is necessary and the reason for the extension.Incident 9676727 has been submitted within the timeframe of the extended deadline. 10/21/2025 Implemented
6400.165(c)For Individual 3, Albuterol HFA Proair Inhaler (Inhale 2 puffs every 4 hours as needed for wheezing or shortness of breath; prescribed by physician) was found in his medication box; however, it does not appear on the MAR.A prescription medication shall be administered as prescribed.Albuterol HFA Proair inhaler with instructions to inhale 2 puffs every 4 hours as needed has been discounted as the current instruction is to inhale 2 puffs every 6 hours. All medications with the outdated instructions have been taken out of the med box and properly disposed of. 10/17/2025 Implemented
6400.166(a)(9)Individual 3 is prescribed Oxycodone Acetaminophen 5-325. The medication label includes instructions to administer 1 tablet by mouth every 4 to 6 hours as needed; however, the MAR did not include any written instructions pertaining to frequency (4-6 hours).A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Frequency of administration.Individual 3's MAR now includes the diagnosis, purpose & usage directions of Oxycodone Acetaminophen 5-325, making sure the medication label & MAR match. 10/20/2025 Implemented
6400.166(a)(11)Individual 3 is prescribed Oxycodone Acetaminophen 5-325. The medication label and MAR did not include the diagnosis or purpose of the medication.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.Individual 3's MAR now includes the diagnosis, purpose & usage directions of Oxycodone Acetaminophen 5-325. 11/14/2025 Implemented
6400.181(f)The annual assessment for individual 3 was not forwarded to the ISP team at least 30 days prior to the 05/01/25 ISP team meeting.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.A reminder has been set on the company's calendar to forward individual 3's annual assessment to the ISP team at least 30 days prior to the next ISP meeting. 10/24/2025 Implemented
SIN-00253736 Renewal 10/17/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.105There was a blanket and paper towels stored right next to and touching the hot water heater. The items were moved to a different location during the inspection.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. The items were moved to a different location (Storage room) during the inspection. Heat area now clear and free. 10/17/2024 Implemented
6400.112(e)There was a sleep drill done on 11/14/23 and the next on was not done until 07/11/24.A fire drill shall be held during sleeping hours at least every 6 months. Staff was retrained on 10/23/2024 on regulations of overnight drill of at least every 6 months. Overnight drill at the affected location was done on 10/20/2024. 10/23/2024 Implemented
6400.46(d)Staff Member #1 has not been trained in CPR and first aid.Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation.Staff Member #1 was schedule and trained in CPR and first aid on 10/25/2024 10/25/2024 Implemented
6400.51(b)(2)Staff Member 1's orientation is incomplete. They were hired on 12/1/23 and did not complete training on the prevention, detection and reporting of abuse, suspected abuse and alleged abuse within 30 days.The orientation must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§10225.101-10225.5102). The child protective services law (23 PA. C.S. §§6301-6386) the Adult Protective Services Act (35 P.S.§§ 10210.101-10210.704) and applicable protective services regulations.Staff member 1 missing training was found and now kept in staff file on 10/23/2024. 10/23/2024 Implemented
SIN-00234973 Renewal 10/11/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)There were no tweezers in the first aid kit. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Tweezer has been placed in the our first aid kit now with extra one has back up. 10/16/2023 Implemented
6400.82(c)There was no bathmat located in the bathroom.(c) For homes serving one or more individuals who have physical disabilities, at least one sink, one toilet and one tub or shower shall be adapted so that individuals who have physical disabilities have easy access and use. Bathroom mat has been placed in the location bathroom and staff has been trained to partially removed when an obstruction to the wheelchair and placed back after use. 10/16/2023 Implemented
6400.163(a)There was an unidentifiable loose pill located inside of the medication bin for individual 2. The pill was a half of pill which appeared to be split in half.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.Rehoboth Inc agency nurse has discarded loose half pill in the bill per our agency medication discard policy. 10/16/2023 Implemented
6400.166(a)(4)Medications bisacodyl 10 mg suppository and Ocean Nasal Spray are not located on the medication administration log but stored inside of individual 2's medication bin.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of medication.Rehoboth Inc Agency Nurse collaborated with community care pharmacy to include PRN printed on the monthly MAR. on 10/11/2023. 10/11/2023 Implemented