Inspection Reports for
Newhaven Court at Clearview

The visit was complaint-related, investigating allegations of resident abuse and medication errors. The abuse allegation was not reported timely to the local Area Agency on Aging.

Multiple deficiencies were found including resident abuse incidents, medication administration errors, failure to follow prescriber's orders, and incomplete support plan documentation and revisions. The submitted plan of correction was determined to be fully implemented as of the follow-up review.

The facility was found to have fully implemented the submitted plan of correction related to deficiencies in assistance with activities of daily living and medication administration. The report details corrective actions including enhanced resident supervision, staff training, and ongoing audits to prevent future errors.

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

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

The facility was found to be in compliance with applicable regulations after inspections on July 27, 2024, and October 16, 2024, with several deficiencies noted related to staff training, fire safety, medication labeling, and storage procedures, all of which had plans of correction submitted and accepted.

The visit was complaint-related, triggered by allegations of neglect and abuse involving multiple residents experiencing frequent falls and injuries, including a resident death due to fall-related injury. The investigation included multiple inspection dates and follow-up reviews.

The inspection found multiple violations including resident neglect and abuse related to frequent falls with injuries, failure to provide adequate supervision and assistance to residents at risk of falls, confidentiality breaches, incomplete financial transaction reporting, inadequate staff training records, improper trash management, missing emergency telephone postings, unsecured windows, improper food storage, smoking policy violations, incomplete menus, medication labeling errors, and failure to update resident assessments after significant condition changes.

The inspection identified multiple deficiencies including insufficient CPR/First Aid trained staff, unsecured bed enabler bars posing entrapment hazards, lack of operable bedside lamps for some residents, inconsistent smoking policy, medication labeling errors, uncalibrated glucometers, and delayed admission support plan completion. Plans of correction were accepted and implemented with target completion dates mostly by 03/25/2022.

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

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

The facility was found to have deficiencies related to medication storage and administration, including missing prescribed medications and incorrect insulin dosing. The submitted plan of correction was determined to be fully implemented.

The complaint investigation substantiated multiple instances of verbal abuse by a direct care staff member between 11/5/20 and 11/17/20. The facility delayed reporting the abuse to the Area Agency on Aging, the Department, and failed to notify residents' designated persons timely. The staff member was terminated on 11/19/20.

The facility failed to immediately report suspected verbal abuse incidents involving a staff member to the appropriate authorities and designated persons. Multiple violations related to abuse reporting, supervision, notification, and resident abuse were identified, including repeated verbal abuse by a staff member toward residents.

No regulatory citations were identified as a result of the licensing inspection conducted on 07/08/2020.

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

The plan of correction was found to be fully implemented as of the follow-up review. The facility addressed the issues related to resident abuse reporting and incident notification as required by regulations.

Violations were found related to medical evaluations, medication administration, medication labeling, and medication storage and use. Plans of correction were submitted addressing training, monitoring, and verification processes to ensure compliance.

No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future annual inspection requirements.

Multiple violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found, including issues with medical evaluations, dietary needs, medication storage and administration, and medication labeling. Plans of correction were partially implemented with adequate progress noted.

The complaint was substantiated. The incident involved direct care staff person A verbally abusing resident #1. The staff member was terminated after a thorough investigation.

The investigation found that a direct care staff person spoke disrespectfully to a resident during assistance with dressing, using inappropriate language and tone. The staff member's employment was terminated following the investigation.

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

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

Multiple violations of the Personal Care Homes regulations were identified, including issues with resident record confidentiality, bedroom lighting, medical evaluations, medication storage and administration, resident assessments, support plans, and staff training. Plans of correction were submitted and approved with most corrective actions fully implemented or in progress.

No inspection findings are reported in this document. It serves as a certificate of compliance and notification of license renewal.

The complaint was substantiated. Staff person A forced a resident to change clothes against their will and failed to report the incident timely. Staff person A was terminated and retrained. Family and physician were notified.

The investigation found that staff person A forced a resident out of their clothes and into night clothes against their will, causing the resident to feel uncomfortable, violated, and afraid. Staff person A was terminated and retrained staff were provided education on resident rights and mandatory reporting.

Multiple violations related to resident abuse, assistance with activities of daily living, medication management, dignity and respect, and support plan signatures were found. Plans of correction were partially implemented with ongoing monitoring and staff training.

The visit was complaint-related due to an incident. Repeat violations were noted from a previous inspection dated 04/21/2015.

The inspection found violations related to incomplete initial resident assessments and support plans. Specific deficiencies involved failure to complete a resident's initial assessment and support plan within required timeframes, and inadequate documentation of resident support plans.

The complaint was substantiated. Multiple incidents of verbal abuse by direct care staff toward residents were confirmed. Staff person C was suspended immediately and subsequently terminated. The home conducted staff education and training to prevent recurrence.

Several incidents were found where direct care staff used disrespectful and vulgar language toward residents with cognitive impairments. The incidents were not reported timely to the appropriate agencies. Staff person C was immediately suspended and then terminated following investigation.

No inspection findings are reported in this document. It serves as a license renewal notification and outlines the requirement for a future annual inspection.