Inspection Reports for
The Birches of Lehigh Valley

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

The facility failed to immediately report a resident elopement incident as required by the Older Adult Protective Services Act and had issues with resident safety and unobstructed emergency egress. Corrective actions were accepted and implemented to address reporting failures, resident supervision, and environmental safety.

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

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

No regulatory citations or deficiencies were identified during the inspection.

The inspection was complaint-related, interim, and settlement in nature. The submitted plan of correction was reviewed and determined to be fully implemented.

The inspection identified deficiencies related to medication storage procedures, documentation of medication administration times, and adherence to prescriber's orders for blood sugar checks. The facility submitted and implemented a plan of correction with training and audits to address these issues.

The facility was found to be in compliance with 55 Pa. Code Ch. 2600 after corrections were made. Several deficiencies were identified related to criminal background checks, fire department notification, first aid kit contents, medication records, medication storage, medication storage procedures, and following prescriber's orders, all of which were addressed with corrective actions and ongoing quality assurance plans.

The inspection was complaint-driven as indicated by the reason 'Complaint' and involved review of medication administration and storage practices.

The facility was found to have medication administration and storage deficiencies, including documentation errors and discrepancies in medication destruction and administration. Corrective actions included staff re-education, termination of involved staff, and ongoing quality assurance measures.

The submitted plan of correction regarding the resident-home contract signature deficiency was fully implemented. Continued compliance is required to maintain standards.

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

The facility failed to provide required supervision for a resident who wandered off and was missing for approximately one hour, posing potential harm. The submitted plan of correction was accepted and fully implemented, with ongoing quality assurance actions planned.

The Department of Human Services issued a first provisional license for six months with a total licensed capacity of 130 residents, including 57 for the Secure Dementia Care Unit. The Department confirmed that the Directed Plan of Correction for prior violations has been fully implemented and will conduct a full inspection prior to the expiration of the provisional license.

The inspection was complaint-related and included monitoring. No substantiation status was explicitly stated.

The inspection identified violations related to combustible storage near heat sources, routine scheduling of fire drills on similar dates, and inadequate smoking area maintenance with cigarette butts found near the designated smoking area. Plans of correction were directed for all violations.

The facility was found to have fully implemented the submitted plan of correction related to resident personal equipment, specifically addressing a wheelchair that was in disrepair prior to an incident. Continued compliance is required.

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

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 the inspection.

The inspection was complaint-related, triggered by incidents including staff impairment and resident elopement. The report details investigations and corrective actions taken in response to these complaints.

The facility was found to have serious violations including staff impairment due to drug use during shifts and failure to adequately supervise residents, resulting in resident elopement and neglect. These violations led to the revocation of the facility's license.

The visit was complaint-related due to an incident where staff person A was found unresponsive after consuming THC-laced gummies during their shift. The complaint was substantiated with immediate corrective actions taken including police involvement and staff terminations.

The investigation found that a staff member was unresponsive due to consuming THC-laced gummies during their shift, which impaired their ability to provide care. Immediate actions included calling 911, terminating involved staff, and re-educating all staff on the zero-tolerance drug and alcohol policy.

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 visit was complaint-related. The submitted plan of correction was accepted and determined to be fully implemented as of 03/12/2025.

The facility was found to have a deficiency related to the Resident Assessment and Support Plan not being updated to reflect current resident needs including mobility, incontinence, and hospice services. The submitted plan of correction was accepted and fully implemented.

The visit was complaint-related, triggered by an incident involving two residents engaging in inappropriate sexual acts that were not reported properly. The complaint was substantiated with findings of abuse and reporting violations.

The inspection found multiple violations related to resident abuse, failure to report incidents timely, failure to follow prescriber's orders, and failure to update support plans. Corrective actions were accepted and implemented, including staff education, updated resident care plans, and ongoing quality assurance measures.

The visit was complaint-related and involved substantiated incidents of resident abuse and failure to report incidents as required.

The inspection found multiple violations including failure to report an incident to the Department, resident abuse incidents, and incomplete documentation in resident support plans. Corrective actions and plans of correction were accepted and implemented.

The inspection found multiple deficiencies including unlocked electronic medication records, improperly stored poisonous materials, lint accumulation in dryers, combustible materials near heat sources, expired and undated medications, and missing posted codes for magnetic locks. All deficiencies had accepted plans of correction and were implemented by 09/19/2024.

The facility was found to be in substantial compliance but not fully compliant due to several cited deficiencies. A plan of correction was submitted and fully implemented, with a follow-up inspection scheduled within three months.

The submitted plan of correction was determined to be fully implemented. Deficiencies related to trash receptacles, emergency telephone numbers, unobstructed egress, and combustible storage were corrected with ongoing audits planned to maintain compliance.