Inspection Reports for
Daylesford Crossing

The waiver allows a specific employee educated outside the United States to serve as a direct care staff person under specified conditions, including documentation of education and training. The waiver will be reviewed annually during inspections to ensure compliance.

The inspection identified multiple deficiencies including unsecured resident records, incomplete fire safety training, improper scheduling of fire drills, medication record inaccuracies, improper medication administration by unqualified staff, and failure to follow prescriber's orders. Plans of correction were accepted and implemented with ongoing compliance measures.

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 visit was complaint-related and included an incident. The submitted plan of correction was accepted and fully implemented.

The facility was found to have a deficiency related to the failure to complete a written cognitive preadmission screening within 72 hours prior to admission to the secured dementia care unit. The submitted plan of correction was accepted and fully implemented.

The complaint involved allegations that a resident was hit in the head and that the facility delayed reporting this abuse to the appropriate agencies. The allegations were substantiated by the findings of delayed reporting.

The facility failed to immediately report suspected resident abuse to the local area agency on aging and the Department within required timeframes. Staff involved in the delayed reporting are no longer employed, and re-education and monitoring plans have been implemented.

The inspection identified multiple deficiencies including failure to post current license and emergency procedures conspicuously, privacy concerns related to video monitoring, unlocked poisonous materials and medications, inadequate lighting in a resident's bedroom, lack of soap dispensers in secured dementia care unit bathrooms, incomplete fire drill records, non-fire resistant cushions in the smoking area, and medication storage and record-keeping issues. Plans of correction were accepted with proposed completion dates and ongoing compliance monitoring.

The waiver allows a specific employee to serve as direct care staff based on an equivalent education credential from outside the United States, subject to documentation and annual review during inspections.

The waiver allows a specified individual to serve as direct care staff despite not meeting the standard Pennsylvania nurse aide registry requirements, based on submitted education credentials from outside the United States. The waiver is subject to annual review during inspections and compliance with specified conditions.

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

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

The waiver allows a specific employee to serve as direct care staff despite education obtained outside the United States, subject to documentation and annual review during inspections.

The submitted plan of correction was determined to be fully implemented. A deficiency was noted regarding incomplete written cognitive preadmission screenings for two residents admitted to the Secure Dementia Care Unit, which was corrected and followed up with reeducation and auditing plans.

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 be in compliance overall, but multiple deficiencies were identified related to medication administration errors, staff qualifications and training, safety and emergency preparedness, documentation, and facility maintenance. Plans of correction were submitted and accepted with ongoing monitoring and re-education required.

The visit was complaint-related and included a fine. The plan of correction was accepted on 02/15/2023 and fully implemented by 04/06/2023.

The inspection found a medication administration record violation where a resident's medication was not documented as administered at the correct time. The submitted plan of correction was accepted and later determined to be fully implemented.

The inspection was complaint-related with no deficiencies found; substantiation status is not explicitly stated.

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

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

The facility was found to have violations related to abuse, specifically a staff member stealing a resident's credit card and attempting unauthorized purchases. The Department revoked the facility's certificate of compliance and issued a first provisional license pending correction of violations.

The visit was complaint-related and included substantiated findings of abuse and medication errors. Staff person A was terminated due to abuse and medication administration violations.

Multiple violations were found including failure to report medication errors, abuse/mistreatment of a resident, improper medication administration, unsanitary medication storage, failure to follow medication procedures, and incomplete training records for medication technicians.

The submitted plan of correction related to a direct care staff qualification violation was fully implemented and accepted. The facility demonstrated compliance with staffing qualifications and corrective actions.

No regulatory citations or deficiencies were identified during the inspection.

The inspection found a physical abuse incident involving a staff member and a resident, resulting in the staff member's termination. Additionally, the staff member lacked required dementia care training for working in the secured dementia care unit (SDCU). The facility implemented corrective actions including staff re-education and ongoing audits to ensure compliance.

The facility was found to have multiple violations related to abuse, incident reporting, treatment of residents, storage of poisonous materials, furniture and equipment repair, and operable bedside lighting. Staff person A was terminated due to abuse incidents. The facility implemented corrective actions including staff re-education, audits, and repairs. Follow-up inspections confirmed the plan of correction was fully implemented.

The complaint involved allegations of physical and verbal abuse by staff member 'Staff A' towards residents #1 and #2. The abuse included yelling, physical force, and neglect. Staff A was terminated following the incident. The facility was required to re-educate staff and implement audits to ensure compliance and prevent recurrence.

The inspection found multiple violations related to abuse, treatment of residents, and safety issues including physical and verbal abuse by staff, improper storage of poisonous materials, and maintenance deficiencies. Staff involved were terminated and corrective actions including re-education and audits were implemented.

The inspection identified multiple deficiencies including delays in refunding charges after resident deaths, lack of operable bedside lamps for some residents, insufficient emergency water supply, unclear pet policy, medication storage and counting discrepancies, incomplete medication administration course documentation, and incomplete preadmission screening forms. Plans of correction were accepted and implemented for all deficiencies.

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

The submitted plan of correction was found to be fully implemented. The inspection identified multiple deficiencies related to incident reporting, resident contracts, fire drills, staff qualifications, medication administration, signage, and resident rights, all of which were addressed with corrective actions.

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

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

Violations of 55 Pa. Code Chapter 2600 were found during the inspection. The facility was required to correct all cited violations by specified dates and maintain continued compliance.

No inspection findings are reported in this document. It is a licensing renewal notice with an enclosed certificate of compliance.

Multiple violations of 55 Pa.Code Chapter 2600 were found related to criminal background checks, medication management, medication administration records, staff training, and resident support plans. Plans of correction were submitted with partial implementation status noted.

No inspection findings are reported in this document. It confirms the license issuance and states that an onsite inspection will be conducted within the next twelve months as required by regulation.

The waiver request is not needed as documentation confirms the staff person has a diploma exceeding high school diploma criteria. The facility is encouraged to keep copies of educational documentation.

Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with reporting suspected abuse, resident confidentiality, staff background checks, medication administration, safety hazards, and documentation. Plans of correction were submitted and partially or fully implemented for all violations.

No inspection findings are reported in this document. It is a licensing certificate and renewal letter confirming compliance and outlining future inspection requirements.

Violations of 55 Pa. Code Chapter 2600 related to Personal Care Homes were found during inspections, leading to revocation of the previous license and issuance of a provisional license. A fine of $5 per resident per day is proposed if violations are not corrected by the mandated correction date.