Inspection Reports for
Chestnut Knoll

The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.

No regulatory citations or deficiencies were identified during this inspection.

The facility was found to have several deficiencies related to annual fire safety training, medication storage, medication record accuracy, and additional resident assessments. All deficiencies had plans of correction accepted and were implemented by the dates indicated.

No regulatory citations or deficiencies were identified as a result of this inspection.

No regulatory citations or deficiencies were identified during this inspection.

The Department reviewed the submitted information and determined that the informed consent process meets regulatory requirements regarding voluntary participation and resident privacy rights. The letter does not endorse the program but confirms compliance with privacy regulations if procedures are maintained.

The visit was complaint-related, triggered by a complaint to the Department. The report states the submitted plan of correction was fully implemented.

Two deficiencies were cited: failure to report a resident's hospital transfer for wounds within 24 hours, and failure to remove snow obstructing a memory care exit door. Both issues were corrected promptly with plans for ongoing monitoring and quality assurance.

The waiver is granted under specific conditions including documentation of education and training to be maintained by the facility. The Department will review this waiver annually during inspections to ensure compliance.

The facility was found to have fully implemented the plan of correction related to timely incident reporting. The report detailed a prior failure to report an unwitnessed resident fall within 24 hours, with corrective actions including staff education and ongoing quality assurance audits.

The waiver is granted with conditions including documentation of education and training to be maintained by the facility and subject to annual review during inspections. Noncompliance with conditions may result in waiver termination or other licensing actions.

The inspection was complaint-related and unannounced. No deficiencies were found, and no follow-up was required.

No regulatory citations or deficiencies were identified as a result of this inspection.

The facility was found to have fully implemented the submitted plan of correction. Deficiencies related to record confidentiality, abuse, combustible storage, medication storage procedures, and following prescriber's orders were addressed with corrective actions and ongoing quality assurance plans.

The inspection identified multiple deficiencies including record confidentiality breaches, compliance with laws, criminal background check lapses, training deficiencies, unsafe storage of poisonous materials, uncovered trash receptacles, improper food storage, obstructed egress, incorrect fire department notification, combustible storage issues, overdue fire extinguisher inspections, smoking policy violations, medication storage and administration errors, incomplete preadmission screening forms, missing mobility assessments, and inadequate posting of key-locking device instructions. Plans of correction were accepted and many corrective actions were implemented by the time of report.

The facility was found to have medication administration errors including administering discontinued medications and not following prescriber's orders for medication strength and frequency. Additionally, residents did not sign their support plans as required. Corrective actions including re-education of staff, audits, and physician consultations were implemented and the plan of correction was accepted.

The submitted plan of correction was determined to be fully implemented as of the review date. The report details corrective actions taken to update resident support plans following falls and ongoing quality assurance measures to ensure compliance.

The visit was incident-related, triggered by an abuse complaint involving two residents. The abuse was substantiated with police and medical involvement, and ongoing monitoring and corrective actions were documented.

The submitted plan of correction was determined to be fully implemented. The report details an incident involving abuse between residents, the immediate corrective actions taken, ongoing monitoring, and additional supportive measures including counseling and staff training.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

No regulatory citations or deficiencies were identified as a result of this inspection.

No regulatory citations or deficiencies were identified during the inspection.

The facility was found to have multiple deficiencies related to resident safety and medication management, including lack of operable bedside lighting, discontinued and expired medications present in the medication carts, incorrect medication labeling, and missing PRN medications. The submitted plan of correction was accepted and fully implemented.

The submitted plan of correction was determined to be fully implemented as of the inspection date. The report details an incident involving resident abuse by a staff member, who was suspended and subsequently terminated. Ongoing monitoring and education measures were put in place.

The waiver is granted with conditions including documentation of education and training to be kept on file and made available upon request. The Department will review this waiver annually during inspections to ensure compliance.

The facility was found to have multiple deficiencies including abuse, hot water temperature exceeding limits, medication labeling and administration errors, glucometer calibration issues, and incomplete support plans. The submitted plan of correction was determined to be fully implemented as of the follow-up date.

No regulatory citations or deficiencies were identified as a result of the inspection conducted on 05/25/2023, 05/31/2023, and 06/02/2023.

The waiver allows the designated administrator to serve without meeting the associate degree or 60 credit hours requirement, provided supervision by a qualified individual is maintained and documentation is kept. The Department will review compliance with these conditions during the annual inspection.

The complaint involved incidents of suspected resident abuse including inappropriate touching and sexual contact between residents in the secure dementia care unit. The facility initially did not report the incidents as abuse but was found to be non-compliant with reporting requirements. The facility disagreed with the abuse determination but implemented corrective actions including staff education, increased supervision, and updated support plans.

The inspection found violations related to failure to immediately report suspected resident abuse incidents involving residents in the secure dementia care unit. The facility submitted a plan of correction which was accepted and deemed fully implemented by the follow-up review.

The visit was complaint-related and involved an incident where Resident 1 and Resident 2 had a physical altercation resulting in Resident 2's hip fracture and hospitalization. The incident was reported to families, physicians, Office of Aging, Eastern Berks Regional Police, and BHSL. Psychiatric evaluations and behavior agreements were implemented. No further incidents have occurred since Resident 2's return.

The investigation found that Resident 1 grabbed Resident 2 after an argument over the TV, leading to both residents falling and Resident 2 fracturing their hip, requiring hospitalization. The facility implemented corrective actions including monitoring, psychiatric evaluations, and behavior agreements signed by both residents.

No regulatory citations or deficiencies were identified as a result of this inspection.

The facility was found to have previously not posted the current license inspection summary conspicuously, which was corrected during the inspection. Medication administration errors related to not following prescriber's orders with parameters were identified and addressed with staff re-education and ongoing monitoring.

No regulatory citations or deficiencies were identified as a result of this inspection.

No regulatory citations were identified as a result of these inspections.

No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application and advises that enforcement action will be taken if noncompliance is found during future inspections.

The submitted plan of correction was determined to be fully implemented, with no long-term ill effects reported from the medication administration error. The facility has instituted a new process involving weekly pharmacy reports to prevent similar errors.

The facility was found to have multiple deficiencies related to record confidentiality, sanitary conditions, lint removal, medication prescription currency, medication labeling, and medication storage procedures. All deficiencies had plans of correction accepted and were implemented by the facility.

No regulatory citations were identified as a result of this inspection.

The visit was complaint-related due to an incident where Resident 2 hit Resident 1, causing injury. The facility conducted an immediate investigation and implemented corrective actions including first aid, physician notifications, and behavioral interventions.

The investigation found that Resident 2 struck Resident 1, causing a laceration near the eyelid and damage to eyeglasses. Immediate first aid was provided, and follow-up care and behavioral interventions were implemented to prevent recurrence.

No regulatory citations were identified as a result of the inspections conducted on the stated dates.

No regulatory citations were identified as a result of this inspection.

No inspection findings are reported in this document. It confirms the renewal of the facility's license and outlines the requirement for an annual onsite inspection within the next twelve months.

The facility was found to be in compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes, and a regular license is being issued.

No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.

The inspection was triggered by an incident. The plan of correction indicates the facility addressed issues related to a resident injury and improved staff training and incident reporting procedures.

Violations of 55 Pa. Code Ch. 2600 related to Personal Care Homes were found during the inspection. A plan of correction was submitted addressing issues including incident reporting and staff education.

Multiple violations of 55 Pa.Code Chapter 2600 were found related to safety, infection control, medication management, and resident assessments. The facility submitted plans of correction with partial implementation progress noted.

No inspection findings are reported in this document. It only confirms the issuance of a regular license and outlines the requirement for an annual onsite inspection within the next twelve months.

The complaint investigation concluded that the resident's daughter refused evening doses of medications until meeting with the physician. The facility notified the physician of refusals in a timely manner and followed orders except during the refusal period. The issue was resolved when the physician discontinued the medications by verbal order per the daughter's wishes.

The home failed to administer prescribed medications to resident #1 as ordered by the physician, due to the resident's daughter refusing evening doses. The facility followed physician orders except during the period when the daughter refused medication, and the issue was resolved when the physician discontinued the medications via verbal order.

Violations were found related to expired boiler certification, restricted resident access to bedrooms in the secured dementia care unit, incomplete medical evaluations, and unsecured medication treatment carts. Plans of correction were submitted and partially implemented with adequate progress noted.

No inspection findings are reported in this document; it is a licensing renewal notice confirming the issuance of a regular license.

The inspection was triggered by a complaint. The violations involved medication administration errors for resident #1, including failure to discontinue an order properly and failure to administer medication as prescribed.

Violations related to medication administration procedures were found, including discontinuation and missed doses of a topical medication patch for resident #1. The facility developed a plan of correction to address these issues and prevent recurrence.

The waiver is granted under specified conditions including the use of alternative documentation forms for medical evaluation and preadmission screening. The waiver remains in effect as long as conditions are met and will be reviewed annually during the facility's annual inspection.

No inspection findings are reported in this document. It confirms issuance of a regular license and outlines the requirement for a future annual inspection.

The inspection found violations related to maintaining a 3-day supply of nonperishable food, proper medication administration documentation, and following prescriber directions. Plans of correction were submitted and partially implemented as of the approval date.