Inspection Reports for
KeystoneCare Home Health and Hospice
8765 Stenton Ave, Wyndmoor, PA 19038, PA, 19038
Back to Facility Profile15 Reports
Inspection Report — Jun 2, 2023
Renewal
Date: Jun 2, 2023
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and licensing status.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. A deficiency was noted regarding incomplete fire drill records, specifically missing exit routes used during drills on several dates, which was subsequently corrected.
Citations (1)
The fire drill record for the drills conducted on 1/16/23, 2/15/23, 3/16/23, and 4/13/23 did not include the exit routes used.
Report Facts
Residents Served: 3
Total Daily Staff: 6
Waking Staff: 5
Current Residents: 3
Inspection Report — Nov 1, 2022
Complaint Investigation
Date: Nov 1, 2022
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 11/01/2022 and an off-site review on 11/04/2022.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 4
Resident Support Staff: 0
Total Daily Staff: 8
Waking Staff: 6
Inspection Report — Apr 29, 2022
Renewal
Date: Apr 29, 2022
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Keystone Hospice.
Findings
The inspection found delays in Department access due to COVID testing requirements, surface issues including carpet damage and bleach stains, and an outdated emergency management agency submission. Plans of correction were submitted and accepted for all deficiencies.
Citations (3)
Delay in Department access due to refusal to take rapid COVID test immediately.
Carpet in the home had tape covering frayed areas and bleach marks on the carpet upstairs.
The home's written emergency procedures had not been updated since 2/14/20 and the required letter to the local emergency management agency was not sent for 2021.
Report Facts
Residents Served: 7
Total Daily Staff: 14
Waking Staff: 11
Notice — Jun 9, 2021
Date: Jun 9, 2021
Visit Reason
This document serves as a renewal notification and license issuance for Keystone Hospice to operate a Personal Care Home. It also informs the facility that an annual onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It is a license renewal notice and certificate of compliance confirming the facility's authorization to operate.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report — Apr 20, 2021
Renewal
Date: Apr 20, 2021
Visit Reason
The inspection was conducted as a renewal review of Keystone Hospice to assess compliance with licensing requirements.
Findings
The inspection identified several deficiencies including outdated food items in the kitchen, medication record inaccuracies, and failure to follow prescriber's orders for Resident #1. A waiver was requested for the lack of a current weekly activity calendar due to the pandemic.
Citations (5)
Outdated or undated food items found in the main kitchen refrigerator.
Medication cart contained prescriptions that were not current or properly documented.
Medication records for Resident #1 lacked required information including diagnoses.
Failure to follow prescriber's orders for medication administration for Resident #1.
No current weekly activity calendar posted in a conspicuous place in the home.
Report Facts
Residents Served: 4
Total Daily Staff: 8
Waking Staff: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shawn Parker | Signed the letter confirming plan of correction implementation | |
| Executive Chef | Responsible for refrigerator inspection and monitoring food compliance | |
| RN, Director of Quality Assurance | Responsible for auditing medication carts twice weekly and monitoring compliance | |
| RN, Clinical Educator | Conducted training on medication administration and protocol |
Notice — Mar 3, 2020
Date: Mar 3, 2020
Visit Reason
The document serves as a renewal approval notice for Keystone Hospice's Personal Care Home license and informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and outlines the Department's obligation to conduct an annual inspection.
Inspection Report — Jan 29, 2020
Renewal
Date: Jan 29, 2020
Visit Reason
The inspection was a full, unannounced renewal inspection of Keystone Hospice conducted by the Pennsylvania Department of Human Services on January 29, 2020.
Findings
The report found multiple deficiencies related to resident consent, fire drill evacuation procedures, signage for recording areas, first aid kit contents, emergency preparedness documentation, and medication administration. Plans of correction were submitted and fully implemented by July 6, 2020.
Citations (9)
There was no statement of informed consent from residents #1 or #2 regarding evacuation during fire drills, and residents were not evacuated during the 2019 fire drills.
Resident #1 was unable to sign the Personal Home contract due to illness, and the contract was signed by the Power of Attorney without proper documentation of the resident's inability to sign.
Resident #1's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.
Signs indicating that images are being recorded were not posted near cameras in accordance with regulation 2600.42s.
Trash cans in the kitchen were uncovered and did not have lids during the inspection.
The first aid kit at the nurses station on the 2nd floor did not include a breathing shield or thermometer.
The home's written emergency procedures had not been updated or submitted to the Office of Emergency Preparedness since February 2018.
Resident #1 had medication discontinued without a physician's discontinue order, and the medication was still on the med-cart but not documented in the medication administration record.
Resident #1 had not been educated on the right to refuse medication despite admission on 11/8/19.
Report Facts
Current Residents: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gail A. Inderwies | President & Executive Director | Signed multiple plans of correction and is named as the legal entity representative |
| Susan Burt | Director of Quality and Education | Led training on medication administration competency |
Notice — Aug 1, 2019
Date: Aug 1, 2019
Visit Reason
The document serves to notify Keystone Hospice that a waiver under 55 Pa.Code § 2600.65(f) relating to direct care staff training and orientation has been granted with specific conditions.
Findings
The waiver is granted with conditions including medication administration by a Registered Nurse or Licensed Professional Nurse and that all other training requirements must be met. The waiver remains in effect as long as conditions are met and will be reviewed annually during the facility's annual inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Parisi | Director | Signed the waiver letter |
Inspection Report — Mar 21, 2019
Renewal
Date: Mar 21, 2019
Visit Reason
The inspection was conducted as a renewal inspection of Keystone Hospice to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The annual inspection identified violations related to training deficiencies and reporting policies. Plans of correction were submitted addressing training on medication administration, abuse reporting, and fire safety.
Citations (3)
The annual training provided to direct care staff in 2018 did not include training on medication self-administration, meeting resident needs, dementia care, and safe management techniques.
The home failed to submit an incident report regarding allegations of physical and verbal abuse towards a resident on July 7, 2018.
Direct care staff did not receive training in fire safety, emergency preparedness, resident rights, and accident prevention during 2018.
Report Facts
Number of Residents Served: 6
Number of Current Hospice Residents: 6
Number of Hospice Residents in Past Year: 98
Notice — Mar 1, 2019
Date: Mar 1, 2019
Visit Reason
This document serves as a renewal notice and license approval for Keystone Hospice to operate a Personal Care Home. It informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
Notice — Feb 28, 2018
Date: Feb 28, 2018
Visit Reason
The document serves as a renewal notification and license issuance for Keystone Hospice 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 confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Aug 2, 2017
Renewal
Date: Aug 2, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services for Keystone Hospice on August 2, 2017.
Findings
The inspection found multiple violations related to posting of the violation report, food refrigeration temperatures, medication labeling discrepancies, and failure to record medication administration times. Plans of correction were submitted with partial implementation progress noted.
Citations (4)
Regulation 55 Pa.Code §2600.3(c): The home's current violation report was not posted in a conspicuous and public place in the home on 8/2/2017.
Regulation 55 Pa.Code §2600.103(f): On 8/2/17, refrigerator temperature was 50°F and freezer temperature was 15°F, exceeding required limits of 40°F and 0°F respectively.
Regulation 55 Pa.Code §2600.184(a): Medication labels for residents #1 and #2 did not match doctor's orders regarding medication names and dosages.
Regulation 55 Pa.Code §2600.187(b): The home failed to record the date and time of medication administration for resident #2 on 7/12/17.
Report Facts
Number of Residents Served: 7
Number of Current Hospice Residents: 7
Number of Hospice Residents in past year: 165
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gail A. Inderwies | CEO | Signed plan of correction documents related to multiple violations |
| Cecil A. Znoerwied | Legal Entity Representative | Signed plan of correction documents |
| Sabrina Freeman | Department representative conducting the inspection |
Notice — Feb 27, 2017
Date: Feb 27, 2017
Visit Reason
The document acknowledges receipt of a renewal application to operate Keystone Hospice as a Personal Care Home and informs about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license issuance and notification of future inspection requirements.
Report Facts
Inspection Report — Aug 3, 2016
Renewal
Date: Aug 3, 2016
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of Keystone Hospice to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Violations were found related to criminal history background checks, medication management including discontinued medications still in the medication cart, and labeling of prescription medications. Plans of correction were submitted with partial implementation status noted.
Citations (3)
55 Pa.Code §2600.54 requires criminal history checks and hiring policies to comply with protective services regulations. The criminal history background check for a direct care staff person was not completed prior to or on the date of hire.
55 Pa.Code §2600.183(d) requires only current prescription, OTC, sample, and CAM medications be kept in the home. Resident #1's discontinued 2 mg liquid Haloperidol was still inside the medication cart upon admission.
55 Pa.Code §2600.184(a) requires original prescription containers to be labeled with resident's name, medication name, prescription date, dosage instructions, and prescriber information. Resident #1's morphine sulfate bottle label incorrectly stated dosing frequency as every four hours instead of every hour.
Report Facts
Number of Residents Served: 14
Total Daily Staff: 25
Waking Staff: 19
Number of Residents Age 60 or Older: 13
Number of Residents with Mobility Need: 11
Number of Current Hospice Residents: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gail A. Inderwies | Administrator | Named as legal entity representative and signer of plans of correction |
| Jacqueline L. Rowe | Director | Signed cover letter for inspection report |
Inspection Report — May 3, 2016
Renewal
Date: May 3, 2016
Visit Reason
The document is a renewal license issued to Keystone Hospice for operating a Personal Care Home. The Department of Human Services will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and outlines the requirement for a future inspection.
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