Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00279029 Renewal 12/03/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(h)On 12/4/2025, at 12:34PM, Individual #1's bedroom, on the first floor of the home, did not have a direct view to the outside. The window on the right side provides a view of the interior hallway. The window, behind the headboard of Individual #1's bed, provides a view of an office space.Each bedroom shall have at least one exterior window that permits a view of the outside. On 12-27-2025 Residential Director met with individual #1 and his family. They were all in agreement to have his bedroom moved up in an empty room that has two windows with direct view of the outside. On 12-27-2025 Individual #1 was moved to an upstairs room. 12/27/2025 Implemented
6400.166(a)(4)Individual #1 is prescribed Melatonin 10 MG tablet with instructions to take one tablet by mouth at bedtime as needed for sleep and Methocarbamol 750MG tablet with instructions to take one tablet by mouth four times daily as needed for muscle spasm. The December 2025 medication record did not include the medication name for these medications.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of medication.On 12-04-2025 Residential Supervisor added the medication to the MAR. On 12-30-2025 a mandatory Training was conducted by Residential Director and Residential Supervisor to train staff on PRN meds that are prescribed and have a label and how to enter them on the MAR including all the information from the label. 12/04/2025 Implemented
6400.166(a)(5)Individual #1 is prescribed Melatonin 10 MG tablet with instructions to take one tablet by mouth at bedtime as needed for sleep and Methocarbamol 750MG tablet with instructions to take one tablet by mouth four times daily as needed for muscle spasm. The December 2025 medication record did not include the strength of these medications.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication.On 12-04-2025 Residential Supervisor added the medication to the MAR. On 12-30-2025 a mandatory Training was conducted by the residential Director and Residential Supervisor to train staff on PRN meds that are prescribed and have a label and how to enter them on the MAR including all the information from the label. 12/04/2025 Implemented
6400.166(a)(6)Individual #1 is prescribed Melatonin 10 MG tablet with instructions to take one tablet by mouth at bedtime as needed for sleep and Methocarbamol 750MG tablet with instructions to take one tablet by mouth four times daily as needed for muscle spasm. The December 2025 medication record did not include the dosage form for these medications.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dosage form.On 12-04-2025 Residential Supervisor added the medication to the MAR. On 12-30-2025 a mandatory Training was conducted by Residential Director and Residential Supervisor to train staff on PRN meds that are prescribed and have a label and how to enter them on the MAR including all the information from the label. 12/04/2025 Implemented
6400.166(a)(7)Individual #1 is prescribed Melatonin 10 MG tablet with instructions to take one tablet by mouth at bedtime as needed for sleep and Methocarbamol 750MG tablet with instructions to take one tablet by mouth four times daily as needed for muscle spasm. The December 2025 medication record did not include the dose of these medications.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication.On 12-04-2025 Residential Supervisor added the medication to the MAR. On 12-30-2025 a mandatory Training was conducted by Residential Director and Residential Supervisor to train staff on PRN meds that are prescribed and have a label and how to enter them on the MAR including all the information from the label. 12/04/2025 Implemented
6400.166(a)(8)Individual #1 is prescribed Melatonin 10 MG tablet with instructions to take one tablet by mouth at bedtime as needed for sleep and Methocarbamol 750MG tablet with instructions to take one tablet by mouth four times daily as needed for muscle spasm. The December 2025 medication record did not include the route of administration for these medications.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Route of administration.On 12-04-2025 Residential Supervisor added the medication to the MAR. On 12-30-2025 a mandatory Training was conducted by Residential Director and Residential Supervisor to train staff on PRN meds that are prescribed and have a label and how to enter them on the MAR including all the information from the label. 12/04/2025 Implemented
6400.166(a)(9)Individual #1 is prescribed Melatonin 10 MG tablet with instructions to take one tablet by mouth at bedtime as needed for sleep and Methocarbamol 750MG tablet with instructions to take one tablet by mouth four times daily as needed for muscle spasm. The December 2025 medication record did not include the frequency of administration of these medications.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Frequency of administration.On 12-04-2025 Residential Supervisor added the medication to the MAR. On 12-30-2025 a mandatory Training was conducted by Residential Director and Residential Supervisor to train staff on PRN meds that are prescribed and have a label and how to enter them on the MAR including all the information from the label. 12/04/2025 Implemented
6400.166(a)(10)Individual #1 is prescribed Melatonin 10 MG tablet with instructions to take one tablet by mouth at bedtime as needed for sleep and Methocarbamol 750MG tablet with instructions to take one tablet by mouth four times daily as needed for muscle spasm. The December 2025 medication record did not include the administration times for these medications.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Administration times.On 12-04-2025 Residential Supervisor added the medication to the MAR. On 12-30-2025 a mandatory Training was conducted by Residential Director and Residential Supervisor to train staff on PRN meds that are prescribed and have a label and how to enter them on the MAR including all the information from the label. 12/04/2025 Implemented
6400.166(a)(11)Individual #1 is prescribed Melatonin 10 MG tablet with instructions to take one tablet by mouth at bedtime as needed for sleep and Methocarbamol 750MG tablet with instructions to take one tablet by mouth four times daily as needed for muscle spasm. The December 2025 medication record did not include the diagnosis or purpose for these medications.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.On 12-04-2025 Residential Supervisor added the medication to the MAR. On 12-30-2025 a mandatory Training was conducted by Residential Director and Residential Supervisor to train staff on PRN meds that are prescribed and have a label and how to enter them on the MAR including all the information from the label. 12/04/2025 Implemented
SIN-00202031 Renewal 03/17/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(c)(2)Direct Service Worker #1's Tuberculin skin testing was read by a Medical Assistant on 10/21/21. Direct Service Worker #2 had Tuberculin skin testing was read by a Medical Assistant on 2/8/21. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. On 3/18/2022 H.R. Director contacted the appropriate medical provider's office for both Direct Service Worker #1 and Direct Service Worker #2, explained what was required on the documents and requested that the document be corrected. The nurse with whom the H.R. Director spoke with stated that if the documents were faxed over, the documents would be corrected with the required information. The documents were faxed by the H.R. Director to the medical provider. Once the documents were corrected, they were sent back to the H.R. Director. On 3/21/2022 H.R. Director again contacted the appropriate medical provider¿s office, explained that there was no date for the physician¿s signature. H.R. Director further explained that since an MA or CMA administered and read the TB test, a physician, certified Nurse Practitioner or Registered Nurse needed to co-sign attesting to and date the signature to verify that the CMA or MA had the ability to administer and read the test. The nurse verbally acknowledged understanding and stated that the documents would be corrected with the required signatures and dates. The documents were again faxed by the H.R. Director to the medical provider. The corrected documents were received by the H.R. Director on the same date. Supporting documentation: Corrected Physical/TB test forms sent to [the Department, HSLS] via email as requested. 03/21/2022 Implemented
SIN-00099396 Renewal 08/16/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The telephone number for the nearest hospital was not on or by the telephone in the kitchen of the home.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. Greene Arc has developed a label that will be attached to every cordless phone and on or by each other phone in the home with an outside line that includes the phone numbers of the nearest hospital, police department, fire department, ambulance and poison control center. This will be checked for accuracy of information at least one a month by the Residential Program Supervisor. The information that has been completed and instituted effective August 18, 2016 for the specific site where the violation occurred and is now corrected is listed below: Greene Arc, Inc. 241 W. Franklin Street Waynesburg, PA. 15370 724-627-5503 Ambulance 911 Police 724-627-6151 or 911 Greene Co. 911 center 724-627-4911 Washington Health System Greene Hospital 724-627-3101 Fire department 911 Poison control center 1-800-222-1222 [Documentation of monthly onsite checks shall be kept and reviewed by the Director at least quarterly to ensure completion by the Supervisor(s) and that all telephones in all community homes with an outside line have all required telephone numbers. (AS 9/7/16)] 08/18/2016 Implemented
SIN-00048303 Renewal 03/21/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.74There are 5 steps on the lower section of the fire escape without a non-skid surface, also 2 steps leading to the front porch lack a non-skid surface. Fully Implemented PE 4-26-13Interior stairs and outside steps shall have a nonskid surface. All outside steps now have non-skid strips attached. Weekly checklists have been performed at all sites to ensure any safety issue is brought to light and then a work order request is generated to correct the situation. Direct care staff will complete the checklist then turn it into House Supervisor for monitoring. House Supervisor will put in work orders to the maintenance department for follow up. House Supervisor will track work order to ensure work is completed. 04/26/2013 Implemented
SIN-00261041 Renewal 02/19/2025 Compliant - Finalized
SIN-00239605 Renewal 02/21/2024 Compliant - Finalized
SIN-00221059 Renewal 03/16/2023 Compliant - Finalized
SIN-00183762 Renewal 02/23/2021 Compliant - Finalized
SIN-00159225 Renewal 07/16/2019 Compliant - Finalized
SIN-00139333 Renewal 08/01/2018 Compliant - Finalized
SIN-00119716 Renewal 08/15/2017 Compliant - Finalized
SIN-00077795 Renewal 08/11/2015 Compliant - Finalized
SIN-00061697 Renewal 07/18/2014 Compliant - Finalized