Inspection Reports for
Arden Courts A ProMedica Memory Care Community in Yardley
PA, 19067
Back to Facility Profile35 Reports
Notice — Jul 13, 2026
Date: Jul 13, 2026
Visit Reason
The document serves to notify the facility of a granted waiver allowing a direct care staff member to meet qualification requirements through education obtained outside the United States.
Findings
The waiver is granted with specific conditions including documentation of educational qualifications and annual review during the facility's annual inspection to ensure compliance.
Inspection Report — Jun 4, 2026
Complaint Investigation
Date: Jun 4, 2026
Visit Reason
The inspection was a partial, unannounced complaint and incident investigation conducted on 06/04/2026 and 06/05/2026 to review compliance with regulatory requirements and verify submitted plans of correction.
Complaint Details
The inspection was complaint-driven and incident-related, investigating allegations of resident abuse and neglect. The complaint was substantiated with multiple violations found.
Findings
Multiple deficiencies were identified including resident abuse incidents, inadequate staff training hours and topics, medication storage and administration issues, incomplete support plans, and illegible record entries. Plans of correction were accepted and implemented with ongoing audits and retraining scheduled.
Citations (14)
2600.15a Resident abuse was alleged involving inappropriate exposure and touching, and the home failed to report the incident timely to the Area Agency on Aging.
2600.16c The home failed to report an incident to the Department within 24 hours as required by abuse reporting regulations.
2600.42b Residents experienced physical abuse and neglect incidents, including altercations and injuries, with inadequate behavior assessments and support plans.
2600.65e Several direct care staff received fewer than the required 12 hours of annual training in 2025.
2600.65f Multiple direct care staff did not receive required annual training on medication administration, resident needs, dementia care, infection control, and safe management techniques in 2025.
2600.65g Staff failed to receive annual training on fire safety, emergency preparedness, resident rights, falls, and accident prevention during 2025.
2600.95 Resident room lacked a toilet paper holder, violating furniture and equipment requirements.
2600.141b1 Resident medical evaluations were not completed annually as required.
2600.183e Prescription medications were stored in blister packs with visible tears, compromising medication safety.
2600.187d Multiple residents received medications late on several occasions, not following prescriber's orders.
2600.234b The home's support plans did not use the Department’s form and failed to include all behavioral needs or document how needs will be met.
2600.234d Support plans were not revised annually or as resident conditions changed, with inconsistent documentation of vision and hearing needs.
2600.236 Direct care staff in the secured dementia care unit did not complete the required 6 hours of annual dementia care training in 2025.
2600.251b Resident record entries were illegible with overwritten times on controlled substance logs.
Report Facts
Residents Served: 34
Staff Training Hours Deficient: 8
Medication Administration Late Occasions: 14
Inspection Report — Nov 17, 2025
Renewal
Date: Nov 17, 2025
Visit Reason
The inspection was a full, unannounced renewal inspection with an incident review, conducted to assess compliance with licensing regulations and incident reporting requirements.
Findings
The facility was found to have multiple deficiencies including failure to report a fire department response incident, lack of resident council meeting minutes, privacy violations related to electronic monitoring consent, incomplete staff training, unsafe storage of poisonous materials, sanitary condition issues, missing emergency telephone numbers, food safety violations, emergency preparedness plan absence, evacuation time exceeding standards, missing posted menus, medication administration errors, medication storage issues, incomplete medication administration records, and missing directions for key-locking devices.
Citations (18)
2600.16c - The home failed to report a fire department response to a fire alarm incident to the Department within 24 hours as required.
2600.26b - The home did not have resident council meeting minutes from August 2025 through October 2025.
2600.42s - The home used an electronic monitoring system without obtaining signed consent from the resident or responsible party.
2600.65f - Direct care staff persons A and B did not receive required medication self-administration training during 2024.
2600.65g - Staff person B did not receive required training in resident rights during 2024.
2600.82c - Poisonous materials including toothpaste and dental cleansers were unlocked and accessible to residents not assessed as capable of safe use.
2600.85a - Blood stains were found on resident bedding indicating unsanitary conditions.
2600.85e - Three bags of trash were found outside the dumpster area not stored in covered receptacles.
2600.91 - Emergency telephone numbers for the nearest hospital and fire department were not posted by telephones in Cloverdale and Dockside neighborhoods.
2600.103c - Uncovered plates of food were stored in kitchenettes, risking contamination.
2600.103f - No thermometer was present in the refrigerator in the Cloverdale kitchenette.
2600.107a - The administrator did not have a copy of the local municipality emergency preparedness plan.
2600.132d - The home exceeded the safe evacuation time during a fire drill, evacuating in 13 minutes instead of 12.
2600.162c - The current week's menu was not posted in the Cloverdale unit as required.
2600.182b - Staff person B administered medications without completing required medication administration training.
2600.183e - A resident's blister pack medication had a tear and medication remained in the package.
2600.187b - Medication administration records for multiple residents did not include initials of staff administering medications at the time of administration.
2600.233c - Directions for operating key-locking devices were not conspicuously posted near the exit door to the courtyard from the dockside neighborhood.
Report Facts
Residents Served: 44
Staff Count: 88
Waking Staff: 66
Fire Drill Evacuation Time: 13
Trash Bags: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person B | Named in findings for medication administration without training and medication errors | |
| Administrator | Named in multiple findings related to incident reporting, training, and corrective actions | |
| Resident Services Coordinator | Named in corrective actions for training, audits, and medication administration oversight | |
| Maintenance Director | Named in findings related to environmental safety, posting emergency numbers, and key-locking device directions | |
| Food Service Director | Named in findings related to food safety and refrigerator thermometer placement |
Inspection Report — Oct 30, 2025
Monitoring
Date: Oct 30, 2025
Visit Reason
The visit was an unannounced partial inspection conducted as a monitoring review of the facility.
Findings
The inspection identified multiple deficiencies including privacy violations, delayed criminal background checks, unsecured poisonous materials, incomplete medical evaluations, medication administration errors, and missing assessments related to bedside mobility devices. Plans of correction were accepted and implemented by January 9, 2026.
Citations (6)
42s Privacy: A resident was observed without privacy while a staff member changed a soiled brief in their room.
51 Criminal Background Check: A criminal background check for a staff member was not performed until after hire.
82c Locking Poisonous Materials: Sparkle toothpaste with a warning label was stored unlocked and accessible in a resident bathroom.
141a Medical Evaluation: A resident's medical evaluation did not include medication regimen, contraindicated medications, or medication side effects.
182c Medication Administration: Staff person was observed removing unlabeled medication cups and failed to identify residents or complete documentation properly during medication administration.
225c Additional Assessment: A resident's assessment and support plan did not include required information regarding the use and safety of a bedside mobility device.
Report Facts
Residents Served: 45
Current Residents Hospice: 7
Residents Age 60 or Older: 45
Residents with Mobility Need: 45
Notice — Jun 27, 2025
Date: Jun 27, 2025
Visit Reason
This document serves to notify Arden Courts (Yardley) that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted due to education obtained outside the United States.
Findings
The waiver is granted with conditions requiring documentation of educational qualifications to be maintained and available for review. The Department will review this waiver annually during inspections to ensure compliance.
Notice — May 12, 2025
Date: May 12, 2025
Visit Reason
The document serves to notify Arden Courts (Yardley) that their request to waive the educational qualification requirement for direct care staff under 55 Pa.Code § 2600.54(a)(2) has been granted.
Findings
The waiver is granted with conditions requiring documentation of equivalency of education and maintenance of such documentation in personnel files. The Department will review this waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Apr 22, 2025
Date: Apr 22, 2025
Visit Reason
This letter responds to a request from Arden Courts of Yardley PA LLC to use the Safely You Falls Management Program to support fall detection and management for individuals with cognitive impairment.
Findings
The Department reviewed the submitted information and determined that the informed consent process includes voluntary participation, the right to discontinue use of cameras, and notification of residents' rights, satisfying regulatory requirements for privacy.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Director, Bureau of Human Services Licensing | Signed the letter responding to the facility's request regarding the Safely You Falls Management Program. |
Inspection Report — Mar 6, 2025
Follow-Up
Date: Mar 6, 2025
Visit Reason
The inspection was an unannounced partial review conducted due to a complaint and incident, with a focus on verifying the submitted plan of correction.
Complaint Details
The visit was complaint-related as indicated by the reason 'Complaint, Incident'. Substantiation status is not explicitly stated.
Findings
The submitted plan of correction was determined to be fully implemented, specifically regarding the completion of annual medical evaluations for residents. Continued compliance is required.
Citations (1)
Resident most recent medical evaluation was not initially documented as completed on time.
Report Facts
Residents Served: 38
Current Residents in Hospice: 8
Residents Age 60 or Older: 38
Residents with Mobility Need: 38
Total Daily Staff: 76
Waking Staff: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Executive Director | Educated Resident Services Coordinator on annual medical evaluation requirements and responsible for auditing medical evaluations weekly |
Inspection Report — Feb 19, 2025
Monitoring
Date: Feb 19, 2025
Visit Reason
The Pennsylvania Department of Human Services, Bureau of Human Service Licensing conducted a monitoring review of the facility on 02/19/2025 to verify continued compliance and implementation of the submitted plan of correction.
Findings
The inspection identified multiple deficiencies related to resident record confidentiality, locking poisonous materials, sanitary conditions, trash receptacles, toilet paper availability, food storage, unobstructed egress, medication storage and administration, prohibitions on certain procedures, and posting of key-locking device instructions. All deficiencies had corrective plans accepted and were implemented by 04/04/2025 with ongoing audits and education planned.
Citations (12)
Resident information including nursing communication binder, antipsychotic monitoring, and resident lab book were unlocked, unattended, and accessible in an open health center office.
Head and shoulders shampoo with a warning label was unlocked, unattended, and accessible to residents who were not assessed capable of safely using poisonous materials.
No method to dry hands in the bathroom of a resident room.
Half full, unattended trash can in the Harvest Glen kitchen had an inoperable lid that did not allow closure.
No toilet paper was provided for the toilet in a resident bathroom.
Sugar container in the Harvest Glen kitchen was opened, unsealed, and jammed under a shelf next to a glue trap.
Back gate exit behind Dockside neighborhood was unable to be opened due to gate not properly on hinges and settling into dirt and grass.
Prescription and OTC medications stored in refrigerator were unlocked and accessible in the unlocked health center refrigerator.
Medication stored uncapped in medication cart contrary to manufacturer’s instructions.
Medication administration record did not include initials of staff who administered medications at the time of administration.
Medication was administered early and PRN medication was given without proper documentation, violating prohibitions on chemical restraint and medication administration.
Directions for operating key-locking devices were not conspicuously posted near many doors in the Secure Dementia Care Unit.
Report Facts
Residents Served: 37
Current Residents in Hospice: 8
Residents 60 Years or Older: 37
Residents with Mobility Need: 37
Total Daily Staff: 74
Waking Staff: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in medication administration violations and termination for failing to follow prescriber's orders and proper documentation | |
| Resident Services Coordinator | Completed education and audits related to medication administration, confidentiality, and other regulatory requirements | |
| Assistant Executive Director | Conducted audits, education, and environmental rounds to ensure compliance with regulations | |
| Building Services Coordinator | Replaced trash can lids, locked medication refrigerators, corrected egress routes, and conducted audits |
Inspection Report — Dec 10, 2024
Renewal
Date: Dec 10, 2024
Visit Reason
The inspection was a renewal visit conducted on December 10, 2024, to assess compliance with licensing requirements for Arden Courts (Yardley).
Findings
The inspection identified multiple deficiencies related to staff qualifications, training, medication storage and administration, emergency procedures, fire drills, poisonous materials handling, and resident documentation. Plans of correction were submitted but not fully implemented as of March 2025.
Citations (16)
Failure to post waiver requests and Department’s written decisions in a conspicuous and public place within the home.
Direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Direct care staff persons C and D received 0 hours of annual training in training year 2023.
Direct care staff persons C and D did not receive required training topics including medication self-administration, dementia care, infection control, and safe management techniques during training year 2023.
Staff persons C, D, and E did not receive required annual training in fire safety, emergency preparedness, resident rights, and other mandated topics during training year 2023.
Unlabeled spray bottle with yellow liquid found under sink in activity room.
Poisonous materials including disinfectant cleaner and toothpaste were unlocked and accessible to residents assessed as incapable of safely using poisons.
First aid kits in two neighborhoods lacked eye protection, mouth shield, and thermometer.
Lack of documentation for emergency procedure submission for year 2023 to local emergency management agency.
Fire drills routinely held during last two weeks of each month and not on weekends.
Medication storage issues including taped or punctured bubble packs with pills still in place.
Medication administration records did not document administration times for controlled substance on specified dates.
Resident admitted to secured dementia care unit without timely completed cognitive preadmission screening.
Resident admitted to secured dementia care unit without documentation of no objection from resident or designated person.
Resident not assessed annually for continuing need for secured dementia care unit in 2024.
Direct care staff persons C and D had 0 hours of required dementia care training during 2023 training year.
Report Facts
Residents Served: 38
Total Daily Staff: 76
Waking Staff: 57
Current Residents in Hospice: 6
Deficiency Repeat Violation Date: Sep 10, 2024
Notice — Oct 7, 2024
Date: Oct 7, 2024
Visit Reason
The document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff educational qualifications has been granted.
Findings
The waiver allows a specified employee to serve as direct care staff based on education received outside the United States, equivalent to a U.S. high school diploma. The Department will review this waiver annually during inspections to ensure compliance with conditions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Sep 10, 2024
Complaint Investigation
Date: Sep 10, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to a complaint and incident at the facility.
Complaint Details
The inspection was triggered by a complaint and incident, as stated under the inspection information section.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, missing signed statements acknowledging receipt of resident rights, unqualified direct care staff, lack of resident education on medication refusal rights, and untimely preadmission screening and support plans for residents in the secured dementia care unit. Plans of correction were submitted and implemented.
Citations (6)
Resident-home contract was not signed by the resident.
Resident record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.
Direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Resident was not educated on the right to refuse medication if a medication error is suspected.
Resident's written cognitive preadmission screening was not completed within 72 hours prior to admission to the secured dementia care unit.
Resident's initial support plan was not completed within 72 hours of admission to the secured dementia care unit.
Report Facts
Total Daily Staff: 82
Waking Staff: 62
Residents Served: 41
Current Hospice Residents: 6
Residents 60 Years or Older: 41
Residents with Mobility Need: 41
Inspection Report — Jun 29, 2023
Date: Jun 29, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 89
Waking Staff: 67
Residents Served: 45
Residents Age 60 or Older: 43
Residents with Mobility Need: 44
Residents with Physical Disability: 7
Inspection Report — Oct 31, 2022
Routine
Date: Oct 31, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — Aug 11, 2022
Renewal
Date: Aug 11, 2022
Visit Reason
The inspection was an unannounced full renewal inspection conducted to review compliance with licensing regulations.
Findings
The facility was found to have multiple deficiencies related to staff hiring procedures, resident access to bedrooms, medication record keeping, medication administration, following prescriber's orders, and preadmission screening. Plans of correction were submitted and accepted, with implementation dates ranging from 2022-09-30 to 2023-02-28.
Citations (6)
Staff A had not held permanent residency in Pennsylvania for two consecutive years prior to employment and the facility did not run an FBI check.
Resident #1 had a banner across the bedroom door restricting access, violating the requirement that residents have access to their bedrooms at all times.
Resident #1's medication administration record did not indicate diagnosis or purpose for the medication, including PRN.
Resident #1's medication administration record did not include initials of staff who administered medication on multiple dates.
Resident #2 was administered medication not ordered by the prescriber for UTI treatment from 07/03/22 through 07/10/22.
Resident #3's written cognitive preadmission screening was not completed within 72 hours prior to admission to the secured dementia care unit.
Report Facts
Residents Served: 40
Current Residents in Hospice: 2
Residents Age 60 or Older: 38
Residents with Mobility Need: 40
Residents with Physical Disability: 11
Total Daily Staff: 80
Waking Staff: 60
Inspection Report — Jun 7, 2022
Complaint Investigation
Date: Jun 7, 2022
Visit Reason
The inspection was conducted as a complaint investigation following an allegation of mistreatment of resident #1 reported by the resident's spouse.
Complaint Details
The complaint involved an allegation of mistreatment of resident #1 by staff, reported by the resident's spouse, including video evidence. The complaint was substantiated with findings of neglect and failure to follow required procedures.
Findings
The investigation found multiple violations including failure to develop and implement a plan of supervision or suspend the staff involved in the alleged abuse, failure to submit required reports to the Department, failure to provide assistance with activities of daily living as per the resident's support plan, leaving the resident unattended for a concerning amount of time, and unsanitary conditions with strong urine odors in the units.
Citations (6)
Failure to develop and implement a plan of supervision or suspend staff involved in alleged abuse.
Failure to submit a plan of supervision or notice of suspension to the Department's regional office.
Failure to report the incident of mistreatment to the Department within required timeframe.
Failure to provide assistance with activities of daily living as indicated in the resident's assessment and support plan.
Resident left unattended in bedroom with door closed for a concerning amount of time.
Sanitary conditions not maintained; strong urine smell throughout units.
Report Facts
Residents Served: 40
Staffing Hours - Total Daily Staff: 80
Staffing Hours - Waking Staff: 60
Residents Age 60 or Older: 39
Residents with Mobility Need: 40
Residents with Physical Disability: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Named in relation to re-education, plan of correction implementation, and investigation of the abuse incident. |
| Resident Services Coordinator | Resident Services Coordinator | Involved in investigation of the abuse incident and implementation of corrective actions. |
Inspection Report — Nov 19, 2021
Follow-Up
Date: Nov 19, 2021
Visit Reason
The inspection was a follow-up review of the facility's submitted plan of correction related to medication administration and staffing issues.
Findings
The facility had deficiencies related to missed medication administration due to staffing shortages, incomplete medication administration records, failure to follow prescriber's orders, lack of documentation of medication errors and prescriber responses, and missing incident reports in resident records. The submitted plan of correction was determined to be fully implemented.
Citations (5)
Residents #1, #2, #3, #4 did not receive Levothyroxin Tabs as prescribed on 11/14/21 due to no Med Techs staffed from 12:00am to 7:00am.
Medication administration records for residents #5 through #15 did not include initials of staff who administered 8PM medications on 11/17/2021.
Resident #1 through #4 were not administered prescribed Levothyroxin medication on 11/14/21; Resident #5 had missed and partial doses of prescribed medications.
No documentation of medication errors and prescriber's response in resident records for residents #1 through #4 regarding missed Levothyroxin doses on 11/14/21.
Resident records for residents #1 through #4 did not include incident reports dated 11/14/21.
Report Facts
Residents Served: 36
Total Daily Staff: 72
Waking Staff: 54
Residents with Mobility Need: 36
Residents 60 Years or Older: 30
Residents with Hospice Care: 4
Residents with Supplemental Security Income: 0
Inspection Report — Jul 7, 2021
Renewal
Date: Jul 7, 2021
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 07/07/2021 to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including failure to timely report incidents, missing required posters, unlocked poisonous materials accessible to residents, exterior hazards, improper refrigerator/freezer temperatures, and missing medications on the medication cart. Plans of correction were accepted and implemented with follow-up actions scheduled.
Citations (8)
Failure to report incidents involving residents within 24 hours to the Department.
Influenza Awareness poster not posted in a conspicuous or public location in the home.
Resident Rights poster not posted in a conspicuous and public place in the home.
Required telephone numbers not posted in a conspicuous and public place in the home.
Poisonous materials (creams and antiperspirant) unlocked and accessible to residents in resident #3's room.
Electrical junction box for courtyard magnetic lock gate open with exposed wires and wasp nest present.
Refrigerator temperature in Berry Ridge Unit was 46°F and freezer was 12°F, exceeding required limits.
Medications for residents #5 and #6 were not present on the medication cart as ordered.
Report Facts
Residents Served: 38
Current Hospice Residents: 3
Wasp Count: 8
Refrigerator Temperature: 46
Freezer Temperature: 12
Notice — Apr 16, 2021
Date: Apr 16, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Arden Courts of Yardley Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative license renewal notice confirming the issuance of a regular license.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report — Apr 27, 2020
Routine
Date: Apr 27, 2020
Visit Reason
The Department's Bureau of Human Services Licensing Representatives conducted an inspection of Arden Courts of Yardley on April 27, 28, and 29, 2020 to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Feb 24, 2020
Renewal
Date: Feb 24, 2020
Visit Reason
The inspection was conducted as a renewal and complaint investigation of Arden Courts of Yardley to assess compliance with licensing regulations and to verify correction of previous deficiencies.
Complaint Details
The inspection included a complaint investigation component as indicated by the inspection reason. Specific substantiation status is not stated.
Findings
The facility had multiple violations including missing resident signatures on contracts and statements, lack of staff training on medication self-administration, unlocked poisonous materials accessible to residents, sanitary deficiencies, hot water temperature exceeding limits, improper food storage, medication management issues, and missing documentation for resident rights and pre-admission screening. Plans of correction were submitted and fully implemented by the Executive Director.
Citations (14)
25b Contract Signatures: The resident-home contract for resident #1 was not signed by the resident.
41e Signed Statement: Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.
65f Training Topics: Direct care staff persons A and B did not receive medication self-administration training during 2019.
82c Locking Poisonous Materials: An unlocked kitchen cabinet contained a poisonous air freshener accessible to residents.
85a Sanitary Conditions: No paper towel or other means of hand-drying was available in the Cloverdale Hall bath.
89b Hot Water Temperature: Hot water temperature exceeded 120°F in resident room #40 and a common area sink.
103e Left Overs: Open pitchers of apple and orange juice in the refrigerator were not labeled or dated.
103g Storing Food: A package of Pop Tarts was torn open and unsealed in a cupboard.
183d Prescription Current: Vitamin D3 1000 units prescribed for resident #2 was discontinued but remained in the medication cart.
185a Implement Storage Procedures: Medication Naproxen 500 mg for resident #2 was not available in the home as prescribed.
191 Resident Right to Refuse: Resident #1 was not educated on the right to refuse medication despite potential medication error concerns.
231c Preadmission Screening: Resident #3's cognitive pre-admission screening was missing date and signature of the person completing it.
231e No Objection Statement: Resident #1 and #3 lacked documentation of no objection to admission or transfer to the secured dementia care unit.
233c Key Locking Devices: Directions for operating the home's locking mechanism were not conspicuously posted near the Secure Dementia Care Unit exits.
Report Facts
Residents Served: 62
Current Residents in Hospice: 13
Residents with Mobility Need: 62
Residents Age 60 or Older: 60
Residents with Physical Disability: 20
Total Daily Staff: 124
Waking Staff: 93
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherri Hoffman | Executive Director | Named in multiple plans of correction and signature on documents |
Notice — Jan 27, 2020
Date: Jan 27, 2020
Visit Reason
The document serves as a renewal notification for the Personal Care Home license of Arden Courts of Yardley, confirming the renewal application and issuance of a regular license.
Findings
No inspection findings are reported in this document. It states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Notice — Feb 21, 2019
Date: Feb 21, 2019
Visit Reason
The document is a letter informing the facility that a waiver request related to qualifications for direct care staff persons is not needed after review of submitted documentation.
Findings
The Department reviewed the waiver request and determined the individual meets the educational requirements to serve as a direct care staff person. The Department recommends maintaining documentation in personnel files.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Licensing Manager | Signed the letter regarding the waiver request. |
Notice — Jan 30, 2019
Date: Jan 30, 2019
Visit Reason
The document serves as a renewal approval for the Personal Care Home license for Arden Courts of Yardley PA LLC, confirming the facility's capacity and the requirement for annual onsite inspections.
Findings
No inspection findings are reported. The letter states that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Report Facts
Inspection Report — Dec 28, 2018
Annual Inspection
Date: Dec 28, 2018
Visit Reason
The inspection was conducted as part of the Bureau of Human Services Licensing annual inspection for Arden Courts of Yardley.
Findings
Violations related to fire drill recordkeeping and scheduling were found, including missing time notation and failure to conduct fire drills during sleeping hours every six months. A plan of correction was submitted and partially implemented.
Citations (2)
Regulation 55 Pa.Code §2600.132(c): The fire drill record for the drill conducted on 12/23/17 did not include the time notation of a.m. or p.m. This was corrected and the Building Services Coordinator was inserviced on the regulation.
Regulation 55 Pa.Code §2600.132(e): A fire drill was not conducted during sleeping hours every six months as required. The last sleeping hours drill was on 12/20/16, eight months prior to the inspection.
Report Facts
Number of Residents Served: 49
Number of Current Hospice Residents: 4
Number of Residents 60 Years or Older: 49
Number of Residents with Physical Disability: 6
Notice — Mar 8, 2018
Date: Mar 8, 2018
Visit Reason
The document is a response to a waiver request regarding qualifications for direct care staff persons at a personal care home.
Findings
The waiver request was returned for additional information because the submitted documentation did not include a transcript showing three years of education information as required.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Licensing Manager | Signed the letter returning the waiver request. |
Inspection Report — Jan 16, 2018
Renewal
Date: Jan 16, 2018
Visit Reason
The document is a renewal license issued in response to the January 16, 2018 renewal application for Arden Courts of Yardley Personal Care Home. The Department advises that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It primarily communicates the issuance of a regular license and the requirement for future annual inspections.
Report Facts
Inspection Report — Dec 27, 2017
Complaint Investigation
Date: Dec 27, 2017
Visit Reason
The inspection was conducted as a complaint investigation related to Personal Care Homes under 55 Pa.Code Chapter 2600.
Complaint Details
The inspection was complaint-driven and the violations found were related to sanitary conditions. No substantiation status is explicitly stated.
Findings
The inspection found violations related to sanitary conditions, specifically a room not cleaned after a resident moved out and failure to remove a hospice bed and oxygen concentrator. A plan of correction was submitted to address these issues.
Citations (1)
55 Pa.Code §2600.85(a) requires sanitary conditions to be maintained. A room was not cleaned after a resident moved out and the hospice failed to remove the bed and oxygen concentrator, resulting in dust and trash littering the room.
Report Facts
Number of Residents Served: 48
Total Daily Staff: 96
Walking Staff: 72
Number of Current Hospice Residents: 7
Number of Hospice Residents in Past Year: 24
Number of Residents Age 60 or Older: 47
Number of Residents with Mobility Need: 48
Number of Residents with Physical Disability: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherri Hoffman | Administrator | Named in facility header on violation report page 2. |
| Sherri L. Hoffmann | Executive Director | Signed the plan of correction on page 3. |
| Tahesia Thomas | Department representative conducting the inspection on 12/27/2017. |
Inspection Report — Nov 2, 2017
Complaint Investigation
Date: Nov 2, 2017
Visit Reason
The inspection was conducted due to a complaint and incident at the facility.
Findings
No regulatory violations were identified as a result of this inspection.
Report Facts
Number of Residents Served: 51
Number of Current Hospice Residents: 7
Number of Residents Age 60 or Older: 50
Number of Residents with a Mobility Need: 51
Inspection Report — May 15, 2017
Renewal
Date: May 15, 2017
Visit Reason
The document reports the annual licensing inspection conducted on May 15, 2017, for Arden of Courts of Yardley, a personal care home, to determine compliance with state regulations.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the annual licensing inspection.
Notice — Jan 23, 2017
Date: Jan 23, 2017
Visit Reason
This document serves as a renewal notification and license issuance for Arden Courts of Yardley Personal Care Home following receipt of the renewal application dated January 23, 2017.
Findings
No inspection findings are reported in this document. It states that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Report Facts
Inspection Report — May 17, 2016
Renewal
Date: May 17, 2016
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of Arden Courts of Yardley, a personal care home, to assess compliance with 55 Pa.Code Chapter 2600.
Findings
Multiple violations of the Pennsylvania Code were found, including issues with resident contracts, sanitary conditions, emergency telephone postings, physical examinations, medication administration, and cognitive preadmission screening. Plans of correction were proposed with target dates for compliance.
Citations (10)
55 Pa.Code 2600.25(b): The contract for resident #1 was not signed by the resident upon admission on May 17, 2015.
55 Pa.Code 2600.25(c)(4): The contract for resident #1 did not specify the party responsible for payment.
55 Pa.Code 2600.41(e): Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.
55 Pa.Code 2600.85(a): Sanitary conditions were not maintained; a urinal was found in a communal sink and glucometer readings were not properly documented for residents #2, #3, and #4.
55 Pa.Code 2600.91: Emergency telephone numbers were not posted in bedroom #10, including numbers for hospital, police, fire, ambulance, poison control, and complaint hotline.
55 Pa.Code 2600.121(a): The facility's exterior egress was blocked by a locked gate that did not open properly on May 17, 2016.
55 Pa.Code 2600.141(a)(2): Medical evaluations for residents #1 and #5 lacked documentation of general physical exams, body positioning, and mobility needs assessments.
55 Pa.Code 2600.182(c): Medication administration records for residents #2 and #3 were incomplete or incorrectly documented, including blood glucose logs.
55 Pa.Code 2600.187(d): Glucometer records and medication administration times for residents #2, #3, and #4 were incomplete or missing.
55 Pa.Code 2600.231(c): Resident #1's cognitive preadmission screening was incomplete and the physician incorrectly marked 'No to SDU'.
Report Facts
Number of Residents Served: 51
Number of Residents 60 Years or Older: 50
Number of Residents with a Mobility Need: 51
Number of Current Hospice Residents: 7
Number of Residents Served in Secured Dementia Care Unit: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherri L. Hoffman | Executive Director | Named as legal entity representative and involved in plan of correction approvals |
| Lauren Kazimer | Department Representative | On-site inspector on May 17, 2016 |
| Sabrina Freeman | Department Representative | On-site inspector on May 17, 2016 |
Notice — Feb 25, 2016
Date: Feb 25, 2016
Visit Reason
The document serves as a waiver approval for Arden Courts of Yardley regarding admission requirements under 55 Pa.Code § 2600.231(b)-(c).
Findings
The waiver is granted under specified conditions including the use of a cognitive preadmission screening form called 'Initial Documentation of Medical Evaluation Attachment' instead of the Department's form. The waiver remains in effect as long as conditions are met and will be reviewed annually during the facility's inspection.
Report Facts
Waiver reference: 55
License number: 129970
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Jones | Director | Signed the waiver approval letter |
Notice — Jan 20, 2016
Date: Jan 20, 2016
Visit Reason
The document serves as a renewal notification and license issuance for Arden Courts of Yardley Personal Care Home following receipt of a renewal application.
Findings
The Department confirms issuance of a regular license and advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Notice — Jan 5, 2016
Date: Jan 5, 2016
Visit Reason
The document is a response to a request for a waiver of Pennsylvania Code Chapter 2600 requirements relating to qualifications for direct care staff persons at Arden Courts of Yardley.
Findings
The Department of Human Services determined that the non-U.S. educational program of the staff is similar to U.S. educational requirements and granted the waiver accordingly.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Jones | Director | Signed the waiver approval letter. |
Viewing
Loading inspection reports...
