Inspection Reports for
The Solana Doylestown
1621 Easton Rd, Warrington, PA 18976, United States, PA, 18976
Back to Facility Profile23 Reports
Inspection Report — May 12, 2026
Renewal
Date: May 12, 2026
Visit Reason
The inspection was an unannounced full renewal inspection with an incident reason, conducted on 05/12/2026 and 05/13/2026 to assess compliance with licensing regulations.
Findings
Multiple deficiencies were identified including unsafe resident equipment, unsecured poisonous materials, unsanitary conditions, medication record inaccuracies, and emergency procedure noncompliance. Corrective actions and ongoing quality assurance plans were implemented and accepted.
Citations (21)
81.b. Resident personal equipment was unsafe as an uncovered bedside mobility device with openings exceeding FDA guidelines was installed and not securely attached, creating a hazard.
82.c. Poisonous materials were not locked and accessible to residents not assessed as safe to use them, including toothpaste accessible to Resident 2.
85.a. Sanitary conditions were not maintained; dried feces and strong urine odor were found in room 110, and staff failed to sanitize hands between medication passes.
95. Furniture and equipment were not in good repair; the oven door in the memory care kitchenette was hanging off its hinges.
101.j. Resident 5's bed lacked a fitted sheet and pillowcase.
102.h. Toilet paper was not provided for toilets in rooms 314 and 110.
103.e. Food leftovers in the main kitchen walk-in freezer were unlabeled and undated.
104.b. Styrofoam take-out containers were used to deliver meals to residents' rooms instead of proper dishes and utensils.
107.d. Written emergency procedures were not reviewed, updated, or submitted annually to the local emergency management agency.
132.d. The home exceeded the maximum safe evacuation time of 12 minutes during fire drills on multiple dates.
141.b.1. Resident 2's most recent medical evaluation was not completed timely.
162.c. Weekly menus were not posted one week in advance for the following week.
181.f. Resident 1's medication record did not include a current list of all medications the resident was self-administering.
183.e. Medications were not stored properly; resident 6's Alprazolam tablet had a punctured foil and glucometers for residents 7 and 8 were miscalibrated.
185.a. Medications prescribed to Resident 8 were not available in the home.
187.b. Medication administration times were not recorded at the time of administration; Resident 8's topical medication was recorded as given when it was unavailable.
187.d. The home did not follow prescriber's orders; Resident 8's topical medication was not administered as prescribed due to unavailability.
224.a. Resident 2 and Resident 9's preadmission screening forms were completed after their admission dates.
225.a. Resident 1's assessment did not indicate a need for an enabler bar.
227.c. Resident 2's support plan was not completed within 30 days of the assessment.
252. Resident records for Residents 2, 10, and 11 were incomplete, missing initial intake assessments, annual assessments, or preadmission screenings.
Report Facts
Residents Served: 80
Memory Care Residents Served: 27
Current Hospice Residents: 7
Residents Age 60 or Older: 80
Residents with Mobility Need: 37
Fire Drill Evacuation Times: 14.53
Fire Drill Evacuation Times: 12.73
Fire Drill Evacuation Times: 14.08
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Director | Named in multiple findings related to medication errors, resident care, and oversight of ongoing compliance | |
| Memory Care Director | Named in findings related to resident care, medication oversight, and compliance | |
| Executive Director | Named in findings related to emergency procedures, staff education, and oversight | |
| Dining Director | Named in findings related to food service and compliance | |
| Wellness Nurse | Named in medication oversight and compliance | |
| Maintenance Director | Named in oversight of equipment repair and fire safety compliance |
Inspection Report — Apr 23, 2025
Monitoring
Date: Apr 23, 2025
Visit Reason
The inspection was a monitoring visit conducted on April 23, 2025, to review the facility's compliance with regulatory requirements and the implementation of a previously submitted plan of correction.
Findings
Multiple deficiencies were identified including unsafe bedside mobility devices, unsecured poisonous materials accessible to residents, trash improperly stored outside, lack of current rabies vaccination certificates for some cats, emergency procedures not posted conspicuously, and medication storage and documentation issues including loose pills, unlabeled medications, and glucometer reading discrepancies.
Citations (9)
Upside down large u-shaped bedside mobility devices not attached to beds creating entrapment hazards; one device covered with a loose pillowcase not meeting FDA guidelines.
Poisonous deodorant accessible and unlocked in memory care resident's bedroom; residents not assessed capable of safely using poisons.
Ground around dumpster covered in loose garbage including disposable cups and containers.
Two of four cats present lacked current rabies vaccination certificates; vaccinations expired on 6/13/2024 and 1/27/2025.
Emergency procedures not posted in a conspicuous and public place; binder found in drawer behind front desk.
Loose pills observed in medication carts on multiple floors including white oblong, round white, and orange pills.
Medication cards with punctured foil backing but pills still present for multiple residents.
Over-the-counter medications and CAM not labeled with resident names in medication carts.
Resident's glucometer not calibrated correctly; discrepancies between glucometer readings and Medication Administration Record (MAR) documentation.
Report Facts
Residents Served: 82
Memory Care Residents Served: 30
Current Hospice Residents: 4
Residents with Mobility Need: 37
Residents with Physical Disability: 1
Residents 60 Years or Older: 82
Cats Present: 4
Overdue Rabies Vaccinations: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Plant Operations Director | Removed bedside devices and responsible for monthly audits of devices and security straps. | |
| Director of Nursing | Sent safer device suggestions to families and involved in installation and evaluation of bedside devices. | |
| Memory Care Director | Spoke with resident's family about poisonous materials and responsible for daily spot checks of poisonous materials storage. | |
| Director of Health Care Services | Conducted training on sanitation, responsible for auditing medication storage and medication staff meetings. | |
| Business Office Manager | Received overdue vaccination records, manages vaccination reminders, and responsible for emergency procedures binder accessibility. | |
| Executive Director | Posted emergency procedures binder and responsible for ensuring its accessibility. | |
| Medication Technicians | Assigned to audit medications weekly including inspections for punctures, expired medications, loose pills, and labeling. | |
| Health Services Assistant | Conducts biweekly audits of medications. |
Inspection Report — Feb 11, 2025
Renewal
Date: Feb 11, 2025
Visit Reason
The inspection was conducted as a renewal and complaint investigation visit to assess compliance with licensing requirements and address complaints.
Complaint Details
The inspection included a complaint investigation component related to privacy violations, medication administration, emergency preparedness, and resident record access. Some complaints were substantiated as deficiencies.
Findings
The inspection identified multiple deficiencies including expired boiler and elevator certificates, privacy violations, unsafe storage of poisonous materials, uncovered trash receptacles, unlabeled and undated food items, medication storage and labeling issues, incomplete emergency preparedness documentation, and resident record access issues. Plans of correction were accepted with proposed completion dates mostly in March 2025, with some corrections implemented by May 2025.
Citations (21)
Boiler certificates for the home's three boilers have been expired since 8/31/2020.
Amazon Alexa in the Memory care unit common area with no signs posted about audio recording.
Resident 1's bedside mobility device had an uncovered opening measuring 11 inches x 7 inches.
Poisonous materials (Clorox wipes, acetone nail polish remover, Dermasil body wash) were unlocked and accessible in resident 2's room.
Full, uncovered, unattended trash can in the Memory Care kitchenette.
Two mattresses and a broken enabler bar were left outside the dumpster area.
Two elevators lacked valid certificates of operation; last expired on 9/30/2024.
Unlabeled, undated leftovers found in the memory care kitchenette refrigerator.
Undated ice cream in main kitchen freezer and unlabeled, undated white substance in memory care kitchenette refrigerator.
Approximate 1/2 inch accumulation of lint in the lint trap of the Memory care dryer.
Staff person 3 did not have the emergency preparedness plan for the local municipality.
Written emergency procedures had not been sent to the local emergency management office.
Two cats present without current certificates of rabies vaccination.
Weekly menu posted did not include breakfast.
Resident 4 self-administers medications without assessment by a qualified medical professional.
MiraLAX and Ibuprofen were unlocked and accessible on resident 4's counter; resident 4 does not lock their room door.
Resident 5's Gabapentin and resident 6's Trazodone pills had punctures; loose pills found in medication carts.
OTC Aspirin in memory care medication cart was not labeled with a resident's name.
Resident 7's glucometer readings were inaccurately documented on medication administration records.
Preadmission screening forms for residents 8, 9, and 10 were completed after admission.
Staff person 3 refused to provide resident 11's designated person with access to reportable incidents from the resident's record.
Report Facts
Residents Served: 79
Residents Served in Dementia Care Unit: 28
Hospice Residents: 3
Total Daily Staff: 115
Waking Staff: 86
Residents 60 Years or Older: 78
Residents with Mobility Need: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Registered with PA Department of Labor Industry to manage boiler and elevator certificates; involved in corrective actions. | |
| Memory Care Director | Removed Amazon Alexa, conducted in-services on food storage and trash receptacles, performed spot checks, and involved in multiple corrective actions. | |
| Director of Health Care Services | Conducted in-services and audits related to medication administration, storage, and self-administration assessments. | |
| Business Office Manager | Contacted families for updated pet vaccinations and will conduct quarterly audits. | |
| Director of Nursing | Responsible for monthly audits of medication carts. | |
| Lead Housekeeper | Assigned to check lint traps in dryers. | |
| Staff Person 3 | Did not have emergency preparedness plan and refused to provide resident records. |
Inspection Report — Jan 7, 2025
Follow-Up
Date: Jan 7, 2025
Visit Reason
The inspection visit was conducted as a follow-up to review the submitted plan of correction related to a complaint and incident at the facility.
Complaint Details
The visit was complaint-related and incident-driven. The complaint involved failure to report a resident's hospital admission and death, and issues with contract signatures. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented as of the inspection date. The report includes details of deficiencies related to failure to report a resident incident and incomplete contract signatures, with corrective actions completed and ongoing monitoring planned.
Citations (2)
Failure to report a resident incident to the department within 24 hours as required.
Resident-home contract was not signed by the resident's designated person, and the contract did not document that the resident was given the opportunity to sign.
Report Facts
Residents Served: 82
Memory Care Residents Served: 29
Residents Age 60 or Older: 81
Residents with Mobility Need: 66
Residents with Physical Disability: 1
Total Daily Staff: 148
Waking Staff: 111
Inspection Report — Jan 18, 2024
Complaint Investigation
Date: Jan 18, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 01/18/2024 and an off-site review on 01/23/2024.
Complaint Details
The inspection was complaint-related with a reason stated as Complaint, Incident. The plan of correction was accepted and fully implemented.
Findings
The facility was found to have deficiencies related to fire safety orientation for new staff, medication labeling, and following prescriber's orders. The submitted plan of correction was fully implemented by 04/04/2024.
Citations (3)
Staff person did not receive orientation on evacuation procedures, staff duties during fire drills and emergencies, designated meeting place, smoking safety, fire extinguisher use, smoke detectors, and emergency telephone use.
Resident's medication container lacked a pharmacy label including resident's name, medication name, prescription date, dosage instructions, and prescriber information.
The home did not follow prescriber's orders for medication administration times and proper documentation for residents on leave of absence (LOA).
Report Facts
Residents Served: 77
Residents Served in SDCU: 19
Current Hospice Residents: 2
Residents with Mobility Need: 32
Residents 60 Years or Older: 77
Residents Diagnosed with Mental Illness: 1
Residents with Physical Disability: 1
Inspection Report — Dec 18, 2023
Date: Dec 18, 2023
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 77
Memory Care Unit Residents Served: 19
Current Hospice Residents: 1
Residents Age 60 or Older: 77
Residents with Mobility Need: 44
Residents with Physical Disability: 2
Inspection Report — May 31, 2023
Monitoring
Date: May 31, 2023
Visit Reason
The inspection was an unannounced partial monitoring visit conducted to review the facility's compliance with licensing requirements and the implementation of a previously submitted plan of correction.
Findings
The facility was found to have multiple deficiencies including missing emergency telephone numbers in resident rooms, overdue annual medical evaluations, expired medications, discrepancies in medication administration records, incomplete preadmission screenings, and delayed admission support plans. All deficiencies had plans of correction accepted and were reported as implemented by the follow-up date.
Citations (7)
No emergency telephone numbers including nearest hospital and fire department posted on or by the telephone in resident rooms #222 and #302.
Resident #1 had not had an annual medical evaluation since initial evaluation in 2021.
Expired medication (Tramadol 50 mg) found in the home's 2nd floor medication cart.
Discrepancies between resident #3's glucometer readings and log entries.
Medication administration records for multiple residents lacked staff initials at time of administration.
Resident #6's cognitive preadmission screening was completed after admission to the secured dementia care unit.
Resident #6's initial admission support plan was not completed within 72 hours of admission to the secured dementia care unit.
Report Facts
Residents Served: 69
Residents Served in Memory Care: 17
Staffing Hours - Total Daily Staff: 90
Staffing Hours - Waking Staff: 68
Medication Count: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Plant Operations Director | Replaced phone and added emergency number tags in resident rooms #222 and #302. | |
| Director of Health Care Services | Managed correction of overdue medical evaluations, removal of expired medication, staff training, and completion of resident #6's support plan. | |
| Director of Nursing | Reviewed all other annual medical evaluations and responsible for monthly audits. | |
| Medication Technician | Received training on correct reporting and medication administration. | |
| LPN | Provided in-service training on 5 Rights of Medication Administration and placed agency staff on 'do not return' list. | |
| State Surveyor | Reviewed regulations with Director of Health Care Services regarding preadmission screening. |
Inspection Report — Mar 27, 2023
Renewal
Date: Mar 27, 2023
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 03/27/2023 and 03/28/2023 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies across various areas including posting of licenses and influenza information, resident funds refund delays, staff qualifications, safety issues such as unlocked poisonous materials and uncovered trash receptacles, water temperature problems, emergency telephone postings, furniture hazards, incomplete first aid kits, food storage violations, emergency procedure submissions, obstructed egress, incomplete medical evaluations and assessments, medication administration errors, and incomplete resident records. Plans of correction were accepted and many deficiencies were noted as repeated violations.
Citations (30)
A copy of the chapter was not posted in a conspicuous and public place in the home.
No Influenza poster posted in an area accessible to residents.
Resident owed $5504.20 refund not issued within 30 days of discharge.
Direct care staff person does not have required high school diploma, GED, or active registry status.
Kitchen in Secured Dementia Care Unit unlocked with poisonous materials accessible to residents not assessed capable of safe use.
Trash cans in kitchen had no lids.
Bathroom in resident room #107 did not have hot water.
Hot water temperature in bathrooms exceeded 120°F in resident rooms #327 and #129.
Emergency telephone numbers missing on or by telephones in resident rooms #302 and #216.
Resident room #222 had a bed equipped with an uncovered enabler.
First aid kit in nurse's station missing adhesive bandages, adhesive tape, scissors, and eye coverings.
Three of five ice cream containers in freezer were opened and unsealed.
Written emergency procedures not submitted to local emergency management agency since 2020.
Exit door from dining room was unhinged at the top, making doorway impassable.
Resident medical evaluations incomplete or missing required information including ability to self-administer medications and cognitive functioning.
Resident medical evaluations not completed annually as required.
Resident self-administers medications stored in unlocked drawer and does not lock door when leaving.
Medication administration errors including incorrect signing out of controlled substances and conflicting medication orders.
Expired or discontinued medications found in medication cart.
Prescription medications not stored with proper labeling or discard dates.
Medication record did not indicate units given for insulin aspart flexpen as ordered.
Medication administration records missing staff initials or showing discrepancies in medication given.
Medications not given as prescribed or medication labels not matching orders.
Resident preadmission screening form missing determination that resident needs can be met by services provided.
Resident assessments not completed annually as required.
Resident medical evaluation not completed for transfer to secured dementia care unit.
Resident not assessed annually for continuing need for secured dementia care unit.
Resident support plan not completed within 72 hours of admission to secured dementia care unit.
Resident support plan not revised annually as required.
Resident records missing preadmission screening forms.
Report Facts
Residents Served: 69
Residents Served in Secured Dementia Care Unit: 16
Current Hospice Residents: 3
Residents with Mobility Need: 18
Residents with Physical Disability: 1
Resident Refund Amount: 5504.2
Staff Total Daily: 87
Staff Waking: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Direct Care Staff Person | Named in deficiency for lacking required qualifications. |
| Plant Director | Named in deficiencies related to locking poisonous materials, emergency telephone postings, water temperature audits, and egress repairs. | |
| Business Office Manager | Named in deficiencies related to resident funds refund and staff file audits. | |
| Executive Director | Named in deficiencies related to posting requirements, influenza information, resident funds refund, and emergency procedure submissions. | |
| Culinary Director | Named in deficiencies related to trash receptacles, food storage, and menu postings. | |
| DOHS | Multiple references as responsible for audits, education, and corrective actions related to medication administration, resident evaluations, and compliance monitoring. |
Inspection Report — Sep 26, 2022
Complaint Investigation
Date: Sep 26, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on 09/26/2022, 09/27/2022, and 10/05/2022 to review compliance with regulations.
Complaint Details
The inspection was complaint-related, triggered by complaints and incidents as noted in the inspection information section. The plan of correction was accepted and fully implemented.
Findings
Multiple deficiencies were found related to resident contracts not being signed, missing signed statements acknowledging receipt of resident rights, incomplete medical evaluations, missing preadmission screening forms, unsigned support plans, and inadequate documentation for secured dementia care unit admissions. Plans of correction were accepted and implemented by 11/07/2022.
Citations (8)
Resident-home contracts for residents #1 and #2 were not signed by the residents.
Resident #1 and #2's records did not contain signed statements acknowledging receipt of resident rights and complaint procedures.
Resident #1's medical evaluation lacked a general physical examination and medication regimen; Resident #2's medical evaluation lacked special health or dietary needs, medication regimen, body positioning, movement stimulation, and cognitive functioning.
Resident #1's initial medical evaluation was not completed timely; a new medical evaluation was not completed when the resident entered a new care level.
Residents #1, #2, #3, and #4 participated in support plan development but did not sign their support plans.
Preadmission screening forms were not completed for residents #1 and #4 prior to admission.
Resident #3 and #4's medical evaluations did not indicate the need for secured dementia care unit placement.
Resident #4's written cognitive preadmission screening was not completed within 72 hours prior to admission to the secured dementia care unit.
Report Facts
Residents Served: 71
Secured Dementia Care Unit Residents Served: 19
Residents Diagnosed with Mental Illness: 27
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 32
Residents with Physical Disability: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named in relation to oversight of contract signatures, preadmission screening, and auditing compliance | |
| Business Office Manager | Named in relation to auditing resident contracts and preadmission screening compliance | |
| Sales & Marketing Director | Named in relation to ensuring resident contracts and rights forms are signed | |
| Director of Health Care Services | Named in relation to ensuring medical evaluations are complete and auditing compliance | |
| LPN staff | Licensed Practical Nurse | Named in relation to auditing medical evaluations and support plans |
Inspection Report — Mar 11, 2022
Complaint Investigation
Date: Mar 11, 2022
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulations at THE SOLANA DOYLESTOWN facility.
Complaint Details
The inspection was complaint-driven, with a follow-up plan of correction submission required by 03/31/2022.
Findings
The inspection identified multiple deficiencies including privacy violations during medication administration, incomplete or untimely annual medical evaluations, medication administration record inaccuracies, failure to follow prescriber's orders, and incomplete resident assessments and support plans.
Citations (7)
Residents in the memory care unit are administered medications in the dining room while other residents are present, violating privacy rights.
Resident #1 and #2 had incomplete or missing annual medical evaluations.
Medication Administration Records for residents #1, #3, and #4 lacked specific medication administration times.
Medication administration records were not updated at the time medications were given for residents #1, #3, and #4.
Resident #1, #3, and #4 were not administered prescribed medications on multiple dates as ordered by prescribers.
Resident #3's initial assessment and support plan were not completed within required timeframes.
Resident #2 and #4 had incomplete additional assessments and missing signatures on support plans.
Report Facts
Residents Served: 78
Memory Care Residents Served: 28
Hospice Residents: 2
Total Daily Staff: 110
Waking Staff: 83
Residents with Mobility Need: 32
Residents with Physical Disability: 1
Inspection Report — Sep 14, 2021
Renewal
Date: Sep 14, 2021
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for THE SOLANA DOYLESTOWN facility.
Findings
The inspection identified multiple deficiencies related to staff qualifications, orientation and training, safety measures including locking poisonous materials, lighting in resident rooms, and medication storage. Plans of correction were accepted and documented as implemented.
Citations (7)
Direct Care Staff Person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Staff Person B did not receive orientation on the first day of work.
Staff Person B did not complete required 40-hour rights/abuse training within scheduled hours.
Direct Care Staff Person A began providing unsupervised ADL services without completing and passing the Department-approved direct care training course and competency test.
Crest Toothpaste with a warning label was unlocked, unattended, and accessible to residents, including those in the secured dementia care unit who have not been assessed capable of recognizing and using poisons safely.
Resident Bedroom 115B does not have access to a source of light that can be turned on/off at bedside.
Several unlocked, unattended medications were found in Resident #1's bedroom despite self-administration requirements for locked storage.
Report Facts
Residents Served: 71
Residents Served in Secured Dementia Care Unit: 28
Current Hospice Residents: 4
Total Daily Staff: 104
Waking Staff: 78
Inspection Report — Aug 4, 2020
Original Licensing
Date: Aug 4, 2020
Visit Reason
The inspection was conducted due to a change in legal entity and as part of the initial licensing process for the newly licensed facility.
Findings
The facility was found to be in substantial compliance with applicable regulations, but the inspection was partial due to the new legal entity. Citations were issued and must be corrected to maintain the license.
Citations (1)
55 Pa.Code 2600.233.c requires that directions for key-locking devices preventing immediate egress be posted near the device. The two emergency exit doors in the Secure Dementia Care Unit had key pad devices without conspicuously posted directions or codes.
Report Facts
Residents Served: 84
Residents Served in Secure Dementia Care Unit: 21
Total Daily Staff: 112
Waking Staff: 84
Residents with Mobility Need: 28
Residents Age 60 or Older: 84
Inspection Report — Jan 22, 2020
Renewal
Date: Jan 22, 2020
Visit Reason
The inspection was an unannounced renewal inspection conducted by the Pennsylvania Department of Human Services Bureau of Human Services Licensing on January 22 and 23, 2020.
Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies related to staff training, job descriptions, pest control, housekeeping, and maintenance were identified and corrected with plans of correction implemented by June 25, 2020.
Citations (7)
The home did not have job descriptions on file for staff persons A, B, and C as of January 22, 2020.
Direct care staff persons A and B did not receive training on meeting residents' needs as described in preadmission screening, assessment, medical evaluation, and support plans during training year 2019.
Staff persons A and B did not receive training on resident rights and the Older Adult Protective Services Act during training year 2019.
The dry storage area required cleaning and pest control treatment; these were completed at the time of inspection with routine pest control scheduled.
Two black trash cans near the stove in the main kitchen were uncovered and unattended on January 23, 2020; they were covered at inspection and staff were instructed on proper precautions.
Room 123 did not have a working light source that could be turned on or off at the bedside; the light bulb was replaced during inspection and monitoring procedures were established.
The ice cream freezer required cleaning; it was cleaned at inspection and staff were instructed to monitor kitchen cleanliness.
Report Facts
Residents Served: 84
Secured Dementia Care Unit Residents Served: 20
Current Hospice Residents: 3
Inspection Report — Aug 5, 2019
Routine
Date: Aug 5, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of The Solana Doylestown facility on August 5, 2019.
Findings
No regulatory citations with 55 Pa. Code Ch. 2600 relating to Personal Care Homes were identified as a result of this inspection.
Inspection Report — Jul 16, 2019
Routine
Date: Jul 16, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of The Solana Doylestown facility on July 16, 2019.
Findings
No regulatory citations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Notice — Jun 4, 2019
Date: Jun 4, 2019
Visit Reason
The document serves as a renewal notification and license issuance for The Solana Doylestown Personal Care Home, confirming the renewal application received on June 4, 2019.
Findings
No inspection findings are reported in this document. It only confirms the license renewal and states the Department's requirement to conduct an annual onsite inspection within the next twelve months.
Report Facts
Secure Dementia Care Unit Licensed Beds: 55
Inspection Report — Jan 14, 2019
Renewal
Date: Jan 14, 2019
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of The Solana Doylestown Personal Care Home on January 14 and 15, 2019.
Findings
Violations of 55 Pa. Code Chapter 2600 related to staff training topics were found, including incomplete training on infection control, resident rights, and falls and accident prevention. Plans of correction were submitted and partially implemented as of April 15, 2019.
Citations (2)
Regulation 55 Pa.Code §2600.65(f): Staff Member A did not complete the training topic of infection control for the training year of January 1, 2018 to December 31, 2018.
Regulation 55 Pa.Code §2600.65(g): Staff Member A did not complete the training topics of Resident Rights, the Older Adult Protective Services Act, Fails and Accident Prevention for the training year of January 1, 2018 to December 31, 2018. Staff Member B also did not complete training on Resident Rights and the Older Adult Protective Services Act for the same period.
Report Facts
Number of Residents Served: 97
Number of Residents Served in Secured Dementia Care Unit: 27
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 6
Number of Residents Age 60 or Older: 96
Number of Residents with a Mobility Need: 57
Number of Residents with a Physical Disability: 2
Notice — May 29, 2018
Date: May 29, 2018
Visit Reason
The document is a renewal notification and license issuance for The Solana Doylestown Personal Care Home, confirming receipt of 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 as it is a license renewal notice and certificate of compliance.
Report Facts
Inspection Report — Apr 16, 2018
Routine
Date: Apr 16, 2018
Visit Reason
The Department's Bureau of Human Services Licensing representatives conducted an inspection of The Solana Doylestown facility on April 16, 2018.
Findings
No regulatory violations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth L. Wilson | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report — Aug 10, 2017
Renewal
Date: Aug 10, 2017
Visit Reason
The inspection was conducted as a licensing inspection by the Department of Human Services to determine compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes for license renewal.
Findings
The facility was found to be in compliance with applicable regulations and a regular license is being issued.
Inspection Report — Nov 9, 2016
Renewal
Date: Nov 9, 2016
Visit Reason
The inspection was a renewal licensing inspection conducted on November 9 and 10, 2016, and April 28, 2017, to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations of the Pennsylvania Personal Care Homes regulations were found, including unsecured resident assignment sheets, unsigned resident contracts, missing emergency phone numbers, equipment hazards, outdated food, incomplete medication assessments, fire drill deficiencies, medication labeling errors, and incomplete resident support plans. Plans of correction were submitted with varying levels of implementation progress.
Citations (21)
55 Pa.Code §2600.17 - Resident assignment sheets were unsecured and accessible on top of the radio in the Secure Dementia Care Unit.
55 Pa.Code §2600.25(b) - Contracts for residents #1 and #2 were not signed by the residents.
55 Pa.Code §2600.41(e) - Resident #2's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.
55 Pa.Code §2600.91 - Two cordless telephones on the third floor did not have emergency service numbers posted nearby.
55 Pa.Code §2600.95 - Microwave in third floor sport bar cabinet was not bolted and kitchen galley door hinge was broken, presenting hazards.
55 Pa.Code §2600.103(j) - Two dented cans of pineapple were found in the kitchen storage area.
55 Pa.Code §2600.132(d) - Resident in room #226 did not evacuate to a fire safe area during the fire drill on 5/19/16.
55 Pa.Code §2600.181(c) - Resident #4 self-administered medications but was not assessed by a qualified professional for ability or reminders.
55 Pa.Code §2600.183(d) - Medication Allegra-D for resident #2 was discontinued but still observed in the medication cart.
55 Pa.Code §2600.184(a) - Resident #1's Ammonium Lactate 12% medication lacked a pharmacy label.
55 Pa.Code §2600.184(b) - OTC medications and CAM for residents were not properly labeled with resident names.
55 Pa.Code §2600.185(a) - Residents #4 and #5 had medications unavailable for administration on 4/28/17.
55 Pa.Code §2600.187(a) - Medication administration record for resident #5 lacked a diagnosis for Paladay 0.2%.
55 Pa.Code §2600.187(b) - Medication administration record for resident #1 did not include required medication details and signatures.
55 Pa.Code §2600.187(d) - Resident #3 was prescribed Colace 100 MG but was administered Colace 50 MG.
55 Pa.Code §2600.190(a) - Staff persons A, B, C, D, and E had not completed required medication administration training.
55 Pa.Code §2600.191 - Resident #2 was not educated on the right to refuse medication or medication error documentation.
55 Pa.Code §2600.191 - Resident #2's record did not include a current list of medications.
55 Pa.Code §2600.191 - Resident #3's medication list did not include Senna 8.6 mg.
55 Pa.Code §2600.227(g) - Residents #1, #3, and #[redacted] did not sign their respective support plans.
55 Pa.Code §2600.233(c) - Code for keypad at Secure Dementia Care Unit courtyard gate was not posted.
Report Facts
Number of Residents Served: 60
Total Daily Staff: 67
Walking Staff: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Armagost | Administrator | Named as administrator and legal entity representative signing plans of correction and violation reports. |
| Patricia Adams | Department representative present on-site during inspections. |
Notice — Aug 10, 2016
Date: Aug 10, 2016
Visit Reason
This document serves as a renewal notification for the license to operate The Solana Doylestown Personal Care Home, confirming receipt of 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 is an administrative license renewal notice.
Report Facts
Inspection Report — Feb 8, 2016
Complaint Investigation
Date: Feb 8, 2016
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident at the facility.
Complaint Details
The complaint was substantiated based on the incident involving unauthorized video recording of a resident by a staff member. The facility submitted a plan of correction disputing the violation's basis but acknowledged the need for policy review and staff education.
Findings
Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found during the inspection. A specific violation involved a privacy breach where a staff member recorded a resident without consent.
Citations (1)
55 Pa.Code 2600.42(b) - A resident's right to privacy was violated when a staff member recorded a video of the resident without consent or knowledge. The video showed direct care staff hitting the resident after an unwitnessed fall.
Report Facts
Number of Residents Served: 67
Number of Residents Served in Secured Dementia Care Unit: 23
Number of Residents Age 60 or Older: 65
Number of Residents with Mobility Need: 31
Number of Residents with Physical Disability: 2
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