29 Reports
Inspection Report — Apr 9, 2026
Complaint Investigation
Date: Apr 9, 2026
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial licensing inspection.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 70
Secured Dementia Care Unit Residents Served: 21
Inspection Report — Mar 16, 2026
Renewal
Date: Mar 16, 2026
Visit Reason
The inspection was a full, unannounced renewal inspection conducted to review compliance and verify the submitted plan of correction.
Findings
The facility was found to have deficiencies related to staff training, medication sample labeling, and medication storage procedures. The submitted plan of correction was accepted and fully implemented.
Citations (3)
65f - Training topics: Direct care staff person A did not receive required annual training in medication self-administration, resident needs, personal care, and care for residents with mental illness or intellectual disability during 2025.
184c - Sample prescription medications: Sample Creon for resident 1 lacked required prescriber information including date issued, dosage instructions, and prescriber name and title.
185a - Medication storage procedures: Resident 1's glucometer was calibrated with an incorrect date and Resident 2's prescribed medications were not available in the home on inspection date.
Report Facts
Residents Served: 66
Current Hospice Residents: 9
Secured Dementia Care Unit Residents Served: 22
Residents Age 60 or Older: 64
Residents with Intellectual Disability: 1
Residents with Mobility Need: 33
Inspection Report — Jan 23, 2025
Re-Inspection
Date: Jan 23, 2025
Visit Reason
The inspection was conducted due to a change in legal entity and as a re-inspection of the newly licensed facility within 3 months of the license effective date.
Findings
The facility was found to be in substantial compliance with 55 Pa. Code Ch. 2600 regulations, with citations noted on combustible storage and key-locking devices. Immediate corrective actions were taken and plans of correction were implemented and accepted.
Citations (2)
125a - Combustible Storage: Four oxygen cylinders were stored directly next to a heating source (PTAC unit) in a resident room, which is prohibited.
233c - Key-Locking Devices: Directions for operating the home's locking mechanism were not conspicuously posted near the gate to the outside of the Secured Dementia Care Unit courtyard.
Report Facts
Residents Served: 71
Residents Served in Secure Dementia Care Unit: 21
Total Daily Staff: 113
Waking Staff: 85
Residents 60 Years or Older: 70
Residents with Mobility Need: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the licensing letter and certificate. |
Inspection Report — Jan 23, 2025
Plan of Correction
Date: Jan 23, 2025
Visit Reason
The inspection was conducted due to a change in legal entity and included a review of the submitted plan of correction to verify full implementation.
Findings
The submitted plan of correction was determined to be fully implemented, with two specific deficiencies related to combustible storage and key-locking devices corrected and ongoing compliance measures established.
Citations (2)
Four oxygen cylinders were stored directly next to the PTAC unit, a heat source, in a resident room.
Directions for operating the home's locking mechanism were not conspicuously posted near the gate to the outside of the Secured Dementia Care Unit courtyard.
Report Facts
Residents Served: 71
Residents Served: 21
Total Daily Staff: 113
Waking Staff: 85
Residents Age 60 or Older: 70
Residents with Mobility Need: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Personal Care Director | Named in relation to corrective actions for combustible storage deficiency. | |
| Maintenance Director | Named in relation to corrective actions for combustible storage and key-locking devices deficiencies. |
Inspection Report — Sep 16, 2024
Renewal
Date: Sep 16, 2024
Visit Reason
The inspection was conducted as a licensing inspection for renewal of the facility's license to operate as a Personal Care Home.
Findings
The facility was found to be in compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes. The submitted plan of correction was fully implemented and continued compliance must be maintained.
Citations (2)
65a - FS Orientation 1st Day: Staff person A, whose first day of work was 2024-08-24, did not receive orientation on evacuation procedures, staff duties during fire drills, designated meeting place, smoking safety, fire extinguisher use, smoke detectors, and emergency telephone use.
132c - Fire Drill Records: Fire drill records for drills on 7/25/24 and 8/6/24 did not include the time the drills were held.
Report Facts
Residents Served: 67
Residents Served in Secure Dementia Care Unit: 21
Hospice Current Residents: 5
Residents Age 60 or Older: 65
Residents with Mobility Need: 34
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in deficiency for missing first day fire safety orientation. | |
| Business Office Director | Responsible for auditing associate training checklists and corrective actions related to fire safety orientation. | |
| Maintenance Director | Responsible for retraining Staff person A and reviewing fire drill records. | |
| Executive Director | Reviews fire drill records monthly with Maintenance Director during safety meetings. |
Inspection Report — Jul 18, 2024
Monitoring
Date: Jul 18, 2024
Visit Reason
The visit was an unannounced partial inspection conducted for monitoring purposes at the facility.
Findings
The submitted plan of correction related to a medication record deficiency was found to be fully implemented. The facility added a dosage column to the Medication Administration Record (MAR) and conducted staff training to ensure proper documentation of medication dosages.
Citations (1)
Medication record did not have space to document dosage units given to Resident #1 as ordered, resulting in undocumented medication administration.
Report Facts
Residents Served: 65
Secured Dementia Care Unit Residents Served: 19
Residents 60 Years or Older: 65
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Health Services Director | Took immediate action to add dosage column to MAR and conducted medication record dosage documentation in-service |
Inspection Report — Nov 15, 2023
Complaint Investigation
Date: Nov 15, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 11/15/2023.
Complaint Details
The inspection was complaint-related and incident-driven. The plan of correction was accepted and fully implemented by 12/04/2023.
Findings
The submitted plan of correction was determined to be fully implemented. One deficiency was found related to a resident's support plan not being updated to reflect wound care and repositioning needs as required.
Citations (1)
Resident #1's support plan was not updated to reflect wound care for a sacral wound and repositioning every 2 hours as per hospice requirements.
Report Facts
Residents Served: 29
Current Residents in Hospice: 16
Total Daily Staff: 58
Waking Staff: 44
Inspection Report — Oct 2, 2023
Renewal
Date: Oct 2, 2023
Visit Reason
The inspection was conducted as a renewal, complaint, and incident investigation of the facility.
Findings
Multiple violations were found related to resident abuse reporting, staff training, medication management, emergency preparedness, and support plan documentation. The facility was issued a first provisional license due to these violations and required to submit plans of correction.
Citations (25)
Failure to immediately report suspected abuse of a resident.
Failure to develop and implement a plan of supervision or suspend staff involved in alleged abuse.
Failure to report incident to the Department within 24 hours.
Resident contract not signed timely.
Resident was physically abused resulting in bruising.
Direct care staff did not receive required medication self-administration training.
Direct care staff did not receive required fire safety training.
Poisonous materials were not kept locked and accessible to residents.
Furniture and equipment not in good repair (clogged bathroom sink).
Food stored on the floor.
Food requiring refrigeration not stored at or below required temperatures.
Outdated or spoiled emergency food in resident storage.
Written emergency procedures not submitted annually to local emergency management agency.
Fire drill records incomplete (missing time).
Alternate exit routes not used during fire drills.
Fire drills routinely held in last week of the month.
Resident medical evaluation missing required elements (body positioning and movement stimulation).
First aid kit in transport vehicle missing eye covering.
Medication in home without current order.
Medication storage and availability issues (missing PRN meds, uncalibrated glucometer).
Resident assessments not completed timely or updated as required.
Resident support plans missing documentation of medical, dental, vision, hearing, mental health or behavioral care services.
Resident support plan not signed by assessor.
Resident medical evaluation missing documentation of need for secured dementia care unit.
Support plan for secured dementia care unit admission not developed or documented timely.
Report Facts
Residents Served: 68
Residents Served in Secured Dementia Care Unit: 18
Total Daily Staff: 104
Waking Staff: 78
Deficiency Counts: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed letter regarding provisional license issuance. |
| Health Services Director | Named in multiple findings related to abuse reporting, medication management, medical evaluations, and support plan corrections. | |
| Wellspring Village Director | Named in findings related to supervision plans, abuse reporting, poisonous materials, and support plan corrections. | |
| Personal Care Director | Named in findings related to abuse training, support plan corrections, and medication management. | |
| Business Office Director | Named in findings related to contract signatures and staff training audits. | |
| Maintenance Director | Named in findings related to fire drills, furniture repair, emergency procedures, and storage compliance. | |
| Medication Technician | Named in findings related to medication audits and removal of discontinued medications. | |
| Wellness Nurse | Named in findings related to medication audits and medical evaluations. | |
| Vibrant Living Director | Named in finding related to first aid kit compliance in transport vehicle. |
Inspection Report — Jun 14, 2023
Plan of Correction
Date: Jun 14, 2023
Visit Reason
The visit was a complaint and incident investigation conducted on June 14, 2023, to review the facility's compliance and the implementation status of a previously submitted plan of correction.
Complaint Details
The inspection was complaint-related and involved an incident where Staff Member A allegedly placed a pillow over the face of Resident #1 on 6/1/23 at approximately 5:30 A.M. The incident was reported to the home on 6/2/23 at 11:30 P.M., but the home did not report it to the department until 6/3/23, which was outside the required 24-hour reporting window. The plan of correction was accepted but not fully implemented as of the follow-up on October 2, 2023.
Findings
The facility failed to fully implement the plan of correction related to a written incident report violation where an incident involving a staff member allegedly placing a pillow over a resident's face was not reported to the department within the required 24-hour timeframe.
Citations (1)
The home did not report an incident involving a staff member allegedly placing a pillow over the face of a resident within 24 hours as required.
Report Facts
Residents Served: 63
Residents Served in Dementia Unit: 16
Current Hospice Residents: 1
Residents 60 Years or Older: 61
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 34
Total Daily Staff: 97
Waking Staff: 73
Inspection Report — May 1, 2023
Follow-Up
Date: May 1, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to multiple deficiencies including resident abuse reporting, direct care staff training, medication administration, additional resident assessments, and support plan documentation. Continued compliance is required.
Citations (6)
Failure to immediately report suspected abuse of a resident in accordance with the Older Adult Protective Services Act.
Direct care staff person provided unsupervised ADL services without completing and passing the Department-approved direct care training and competency test.
Staff person did not place medication in resident’s hand, mouth, or other route as ordered, leaving medication unattended for a resident not assessed as capable of self-administration.
Resident assessment did not include evaluation for agitation and confusion despite resident exhibiting these symptoms.
Resident support plan did not document medical diagnosis from medical evaluation and how the need would be met.
Resident refused to sign support plan and the facility failed to document the refusal or inability to sign.
Report Facts
Residents Served: 65
Secured Dementia Care Unit Residents Served: 18
Hospice Current Residents: 3
Residents Age 60 or Older: 63
Residents with Intellectual Disability: 2
Residents with Mobility Need: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person C | Named in medication administration deficiency for not administering medication as ordered | |
| Personal Care Director | Involved in plan of correction implementation and staff education | |
| Health Service Director | Involved in plan of correction implementation, staff education, and monitoring service plans |
Inspection Report — Jan 18, 2023
Complaint Investigation
Date: Jan 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with resident care requirements and assess the submitted plan of correction.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The plan of correction was accepted and determined to be fully implemented.
Findings
The facility was found to have deficiencies related to resident assistance with activities of daily living, specifically failure to provide two-person assistance during transfers as required by the resident's assessment. The submitted plan of correction was accepted and fully implemented.
Citations (2)
Resident #1 did not receive required two-person assistance when transferring, only one staff assisted.
Resident #1’s assessment did not include the requirement for two-person assistance with transferring.
Report Facts
Residents Served: 69
Secured Dementia Care Unit Residents Served: 21
Current Hospice Residents: 2
Residents Age 60 or Older: 68
Residents with Intellectual Disability: 2
Residents with Mobility Need: 56
Inspection Report — Aug 3, 2022
Follow-Up
Date: Aug 3, 2022
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident, with a follow-up review of the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies involved incomplete resident assessments and support plans, which were addressed through updated documentation and ongoing audits.
Citations (3)
Resident #1's assessment did not include the Resident's need of agitation and aggression.
Resident #2's most recent assessment was not completed following an altercation with another resident.
Resident #2's support plan did not indicate how the home plans to address hallucinations and delusions.
Report Facts
Residents Served: 48
Secured Dementia Care Unit Residents Served: 19
Hospice Current Residents: 2
Residents with Mobility Need: 40
Residents Age 60 or Older: 47
Residents Diagnosed with Intellectual Disability: 1
Inspection Report — May 25, 2022
Renewal
Date: May 25, 2022
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for the facility.
Findings
The inspection identified three deficiencies: uncovered dumpsters outside the home, lack of documentation for an annual fire safety inspection and fire drill, and meal service times exceeding allowed hours between meals. Plans of correction were accepted and implemented for all deficiencies.
Citations (3)
Two dumpsters located outside were not covered with their lids.
The home could not provide documentation showing a fire safety inspection conducted by a fire safety expert.
The home serves dinner at 4:30 pm daily; however, breakfast is served at 9:00 am daily, exceeding the allowed hours between meals.
Report Facts
Residents Served: 67
Secured Dementia Care Unit Residents Served: 19
Hospice Residents: 5
Residents 60 Years or Older: 65
Residents with Intellectual Disability: 1
Residents with Mobility Need: 40
Total Daily Staff: 107
Waking Staff: 80
Inspection Report — Apr 13, 2022
Follow-Up
Date: Apr 13, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 04/13/2022 to review the implementation of a previously submitted plan of correction related to an incident.
Findings
The inspection found that the submitted plan of correction was fully implemented, including removal of unsecured poisonous materials and completion of required training. Deficiencies related to locking poisonous materials and support plan signatures were addressed with documented corrective actions.
Citations (3)
Unsecured poisonous materials were accessible to residents in the Wellspring Secure Dementia Care Unit, including unlocked medication closets and hazardous sprays.
Resident #1 participated in the development of the support plan but did not sign it initially.
Resident #2's initial support plan was not completed within 72 hours of admission to the Secure Dementia Care Unit.
Report Facts
Residents Served: 62
Residents Served in SDCU: 19
Current Hospice Residents: 6
Total Daily Staff: 102
Waking Staff: 77
Notice — Jul 7, 2021
Date: Jul 7, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home Brightview East Norriton, confirming receipt of the renewal application and advising of an upcoming annual inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative notice confirming license renewal and outlining the requirement for an annual inspection.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — May 25, 2021
Renewal
Date: May 25, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license, including a full unannounced review on May 25 and 26, 2021.
Findings
The facility was found to have deficiencies related to privacy signage, resident personal equipment maintenance, emergency procedures for inoperable smoke detectors, and posting of weekly menus. The submitted plan of correction was determined to be fully implemented upon follow-up.
Citations (4)
No signs indicating that images were being recorded at the main entrance of the home.
Resident's personal equipment was in disrepair with batteries not working properly and numbers distorted and incomplete.
The home's emergency procedures did not indicate what procedures will be implemented when a smoke detector or fire alarm is inoperable.
Menus for the current week and following week were not posted as required.
Report Facts
Residents Served: 59
Secured Dementia Care Unit Residents Served: 17
Hospice Current Residents: 3
Total Daily Staff: 116
Waking Staff: 87
Inspection Report — Jan 5, 2021
Complaint Investigation
Date: Jan 5, 2021
Visit Reason
The inspection was conducted as a complaint investigation, involving multiple off-site review dates to assess compliance and plan of correction implementation.
Complaint Details
The inspection was triggered by a complaint and was conducted as a partial, unannounced review over multiple dates. The complaint was related to staff training and orientation deficiencies.
Findings
The facility was found to have deficiencies related to staff orientation and training, specifically that a staff person did not receive required fire safety orientation until after their first day and did not complete training on emergency medical plan and reporting of incidents within 40 scheduled work hours. The submitted plan of correction was determined to be fully implemented.
Citations (2)
Staff person did not receive orientation on fire safety and emergency preparedness until after the first day of work.
Staff person did not complete training on emergency medical plan and reporting of reportable incidents and conditions within 40 scheduled work hours.
Report Facts
Residents Served: 52
Residents Served in Dementia Unit: 22
Total Daily Staff: 83
Waking Staff: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mia Johnson | Signed the letter regarding plan of correction implementation |
Inspection Report — Oct 21, 2020
Renewal
Date: Oct 21, 2020
Visit Reason
The inspection was a renewal visit conducted on 10/21/2020 and 10/22/2020 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies related to resident record confidentiality, contract signatures, staff training, food safety, emergency telephone postings, equipment calibration, resident rights education, and documentation of resident support plan signatures. All deficiencies had accepted plans of correction and were implemented or scheduled for completion.
Citations (14)
Resident #1's record contained an initial assessment signed by resident #2, violating confidentiality requirements.
Resident-home contracts for residents #1 and #2 were not signed by the residents as required.
Resident #1 and #2's records lacked signed statements acknowledging receipt of resident rights and complaint procedures.
Direct care staff persons A and B did not complete required training topics during 2019.
The 2020 staff training plan did not include dates, times, and locations of scheduled training initially.
Two uncovered, unattended trash cans were found in the kitchen during inspection.
Emergency telephone numbers were missing on or by the telephones in resident room #354.
Leftover food items in the kitchen freezer and refrigerator were not labeled or dated.
Three dented cans of V8 were on the shelf for use and not separated onto the dented cans shelf.
Lint was fully accumulated in the lint trap of the dryer in memory care and had not been cleaned after use.
Resident #3's glucometer was not calibrated to the correct time during inspection.
Residents #1 and #2 were not educated on their right to refuse medication if they believed there was an error.
Resident #4's support plan was not signed and lacked notation of refusal or inability to sign.
Resident #4's medical evaluation was not completed within 60 days prior to admission to the secured dementia care unit.
Report Facts
Residents Served: 56
Secured Dementia Care Unit Residents Served: 21
Hospice Current Residents: 5
Staff Total Daily: 91
Staff Waking: 68
Uncovered Trash Cans: 2
Dented Cans: 3
Inspection Report — Aug 22, 2019
Complaint Investigation
Date: Aug 22, 2019
Visit Reason
The inspection was conducted as a complaint and incident investigation at Brightview East Norriton Personal Care Home.
Complaint Details
The inspection was triggered by a complaint and incident, as stated on page 2 under Inspection section.
Findings
Violations of 55 Pa. Code Chapter 2600 related to resident treatment, direct care training, bathroom safety, and medication refusal were found. Plans of correction were submitted addressing dignity and respect, staff training, slip-resistant surfaces, and medication refusal notification.
Citations (4)
42c. A resident shall be treated with dignity and respect. Resident #1 was left waiting almost an hour for assistance and staff showed inappropriate behavior during the incident.
65d. Direct care staff hired after April 24, 2006, may not provide unsupervised ADL services until completing department-approved training and competency test. Staff person A provided unsupervised ADL services without documented training or competency test.
102d. Toilet and bath areas must have grab bars, hand rails, or assist bars with slip-resistant surfaces. The shower stall in room #375 A lacked a slip-resistant surface.
187c. Refusal of medication must be documented and reported to the prescriber within 24 hours. Resident #1 and #2 refused medications but the home did not notify the prescriber of these refusals.
Report Facts
Residents Served: 65
Residents Served in Dementia Unit: 21
Residents Age 60 or Older: 67
Residents with Mobility Need: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daren Smith | Executive Director | Named as Administrator and signed plans of correction. |
Inspection Report — Apr 17, 2019
Renewal
Date: Apr 17, 2019
Visit Reason
The inspection was conducted as a renewal inspection of the Brightview East Norriton facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
Violations of the Pennsylvania Code related to criminal background checks and initial direct care training were found. Plans of correction were submitted and partially implemented as of May 14, 2019.
Citations (2)
2600.51 Criminal History Checks: The home did not have a copy of the requested criminal background history on file for direct care staff person A hired on 09/19/17.
2600.65d.2 Initial Direct Care Training: The home did not have documentation that direct care staff person A hired on 09/19/17 had passed the Department-approved direct care training course and competency test.
Report Facts
Residents Served: 66
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daren Smith | Administrator | Named as Administrator of the facility |
Notice — Apr 15, 2019
Date: Apr 15, 2019
Visit Reason
This document serves as a license renewal certificate and notification letter for Brightview East Norriton Personal Care Home, confirming 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 only confirms the license renewal and outlines the Department's inspection requirements.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the renewal notification letter. |
Inspection Report — Apr 2, 2019
Complaint Investigation
Date: Apr 2, 2019
Visit Reason
The inspection was conducted as a complaint investigation due to an incident reported involving a resident alleging sexual assault and delayed reporting by management.
Complaint Details
The complaint involved a sexual assault reported by Resident #1 on 3/22/19. Management did not inform the Department until 3/24/19, violating reporting requirements. The plan of correction included staff re-education and ongoing training on reporting obligations.
Findings
Violations of 55 Pa. Code Ch. 2600 related to incident reporting were found. The facility failed to report a sexual assault incident within the required 24-hour timeframe.
Citations (1)
2600.16c requires the home to report incidents to the Department within 24 hours. The facility failed to report a sexual assault incident involving Resident #1 until two days after it occurred.
Report Facts
Residents Served: 67
Secured Dementia Care Unit Residents Served: 21
Current Hospice Residents: 4
Total Daily Staff: 110
Waking Staff: 83
Residents 60 Years or Older: 67
Residents with Mobility Need: 43
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daren Smith | Administrator | Named as facility administrator in violation report |
| Sandy H. | Staff member who failed to report the sexual assault allegation |
Notice — Apr 17, 2018
Date: Apr 17, 2018
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home facility Brightview East Norriton, confirming the renewal application received on April 11, 2018, and outlining the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is a license renewal notice with an enclosed certificate of compliance.
Report Facts
Inspection Report — Dec 28, 2017
Routine
Date: Dec 28, 2017
Visit Reason
The Department's Bureau of Human Services Licensing representatives conducted an inspection of the facility Brightview East Norriton on December 28, 2017.
Findings
No regulatory violations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Notice — May 1, 2017
Date: May 1, 2017
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home Brightview East Norriton. It informs the facility that an annual onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It is a licensing and renewal communication without compliance or deficiency details.
Report Facts
Inspection Report — Feb 23, 2017
Complaint Investigation
Date: Feb 23, 2017
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving a resident's stolen check.
Complaint Details
The complaint investigation was substantiated as the resident's check was stolen and cashed by staff members, constituting neglect and financial exploitation.
Findings
The investigation found that a resident's check was stolen and cashed by staff members, leading to suspension and termination of involved staff. The facility was cited for neglect and failure to prevent financial loss to a resident.
Citations (1)
Regulation 65 Pa.Code §2600.42(b) - A resident was neglected and financially exploited when staff members stole and cashed a check belonging to the resident. The facility suspended and terminated involved staff and acknowledged the resident suffered loss of funds.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Allen | Executive Director | Signed the plan of correction and is named as the Executive Director responsible for corrective actions. |
| Shawn Parker | Department representative who conducted the on-site inspection on 02/23/2017. |
Inspection Report — Jul 21, 2016
Annual Inspection
Date: Jul 21, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections on July 21 and July 22, 2016, for Brightview East Norriton.
Findings
Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found and documented in the enclosed License Inspection Summary. The facility must correct all violations by specified dates and maintain compliance.
Citations (2)
55 Pa.Code 2600.52 - Staff hiring procedures were not followed; a criminal background check was not requested until 3/31/16 for one staff member and documentation was incomplete for another.
55 Pa.Code 2600.107(d) - The home's written emergency procedures were submitted late to the municipal emergency management agency and were not submitted again until 4/28/16.
Report Facts
Number of Residents Served: 69
Total Daily Staff: 105
Waking Staff: 79
Number of Residents Served in Secured Dementia Care Unit: 24
Number of Current Hospice Residents: 5
Number of Hospice Residents in Past Year: 8
Residents Age 60 or Older: 69
Residents with Mobility Need: 36
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Allen | Executive Director | Named as Administrator and Legal Entity Representative in relation to violations and plan of correction. |
Notice — May 17, 2016
Date: May 17, 2016
Visit Reason
The document serves as a renewal notification for the license to operate the Personal Care Home 'Brightview East Norriton' and informs that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document as it is a license renewal notice.
Notice — May 27, 2020
Date: May 27, 2020
Visit Reason
This document serves as a renewal notification and license issuance for Brightview East Norriton Personal Care Home, confirming the facility's authorized capacity and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Viewing
Loading inspection reports...
