Inspection Reports for
Berkshire Commons

The facility was found to have multiple deficiencies including resident abuse, failure to immediately report suspected abuse, unsafe storage of poisonous materials, unsecured oxygen tanks, inaccurate glucometer readings, uncovered outdoor trash receptacles, and missing posted directions for key-locking devices. All deficiencies had plans of correction accepted and were implemented by 08/27/2026.

No regulatory citations or deficiencies were identified during the inspection.

The facility was found to have fully implemented the plan of correction. Deficiencies previously identified related to contract signatures, safeguarding resident property, medication storage procedures, and training records were addressed with corrective actions and staff training.

The inspection was triggered by a complaint and was conducted as a partial, unannounced visit on 01/28/2026. The plan of correction was accepted and implemented on 03/18/2026.

The inspection found multiple deficiencies related to resident contract signatures, documentation of no objection statements for secured dementia care admissions, involvement of residents or their designated persons in support plan development, and incomplete documentation of health care services for residents receiving home health care.

The submitted plan of correction was determined to be fully implemented. The facility was found compliant with requirements related to staff acceptance of gifts and financial management of resident funds.

The facility had multiple medication administration errors and failures to report incidents timely. Medical evaluations lacked required professional sections. The facility implemented corrective actions including staff education and auditing to address these issues.

The investigation was initiated due to a complaint of abandonment and medication errors involving a resident who was hospitalized after missing multiple doses of prescribed medication. The complaint was substantiated by findings of neglect and failure to report incidents timely.

The facility failed to report a medication incident within 24 hours and did not administer prescribed medications to a resident, resulting in hospitalization. Multiple deficiencies related to medication errors, abuse, and failure to follow prescriber's orders were identified and addressed with corrective actions.

No regulatory citations or deficiencies were identified during this inspection.

No regulatory citations or deficiencies were identified during this inspection.

The inspection found multiple deficiencies including failure to omit privacy coding on documents, lack of CPR and first aid certified staff during certain hours, incomplete annual training for direct care staff, improperly secured resident equipment, failure to meet evacuation time standards, improper medication storage, uncalibrated medical equipment, and incomplete medication administration documentation. All deficiencies had plans of correction accepted and were implemented by the report date.

No regulatory citations or deficiencies were identified during this inspection.

The submitted plan of correction was determined to be fully implemented, with specific updates made to support plans for residents exhibiting wandering and exit-seeking behaviors in the secure dementia care unit. Memory care support plans were audited and staff educated accordingly.

No regulatory citations or deficiencies were identified during the inspection.

The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.

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

The report found a violation related to the treatment of residents, specifically an incident involving resident-to-resident altercation and staff verbal abuse toward a resident. The facility implemented a plan of correction including staff education and termination of the involved employee.

The waiver is granted under specific conditions allowing an employee to serve as direct care staff based on education received outside the United States. The Department will review this waiver annually during inspections to ensure compliance.

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

The visit was complaint-related, with the plan of correction fully implemented as of 08/08/2024.

The facility was found to have a deficiency related to securing medical care for a resident whose health status declined. The resident experienced difficulty urinating but was not seen by a physician in a timely manner, resulting in a hospital transfer. The facility implemented corrective actions including documentation of refusals of care and staff in-service training.

The complaint involved abuse where one resident physically struck another, causing injury. The plan of correction included immediate separation, supervision, medical evaluation, increased medication, and 24/7 companionship. No further incidents have occurred since implementation.

The submitted plan of correction was found to be fully implemented following a complaint related to resident abuse involving a physical altercation between two residents. The facility took immediate actions including separation of residents, 1:1 supervision, staff in-service, medical assessments, and initiation of 24/7 companionship for the affected resident.

The submitted plan of correction was determined to be fully implemented, with measures including medication adjustments, increased supervision, and 24/7 companionship for the resident exhibiting aggressive behaviors to ensure safety.

The inspection was complaint-related, but no deficiencies were found and no follow-up was required.

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

No regulatory citations or deficiencies were identified during this inspection.

The facility was found to have deficiencies related to failure to report a medication incident, improper handling of a resident's smoking privileges, failure to follow smoking area guidelines, and failure to follow prescriber's medication orders. The submitted plan of correction was accepted and fully implemented by the dates indicated.

The submitted plan of correction was found to be fully implemented as of the follow-up review. The facility was required to maintain continued compliance.

The facility was found to have fully implemented the submitted plan of correction addressing failures to immediately develop and implement a plan of supervision or suspend staff involved in an abuse allegation and to timely report the abuse to the Department. Continued compliance must be maintained.

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 report details multiple deficiencies related to staff qualifications, emergency telephone postings, fire safety notifications, combustible storage, fire drills, medication management, and support plan documentation. Plans of correction were submitted and accepted with follow-up reviews confirming implementation.

The visit was complaint-related involving allegations of resident abuse and failure to report incidents timely. The allegations were substantiated as the report details the abuse incident and reporting failures.

The investigation found multiple violations related to resident abuse reporting failures, including an incident where Resident #1 pushed Resident #2 causing a fractured femur, and staff lying to Resident #3 about the time of day. Both staff members involved are no longer employed, and corrective actions including staff training and policy reviews were implemented.

The inspection was complaint-related as indicated by the reason 'Complaint, Incident'.

A violation was found regarding improper thawing of food where a tray of frozen beef was defrosting on the kitchen counter near the sink. The dietary staff was educated on proper thawing methods and the food was discarded on the day of investigation.

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

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

The complaint involved an incident on 3/28/2021 where Resident #1 and Resident #2 engaged in a physical altercation resulting in no injury. The facility did not report this incident to the department as required.

The facility failed to report a physical altercation between two residents to the Department within the required 24-hour timeframe. The submitted plan of correction was accepted and fully implemented, including staff education on abuse reporting requirements.

The waiver is granted with conditions including the administrator obtaining the additional twelve college credits by July 31, 2021, and documentation of compliance to be submitted and reviewed during the annual inspection.

The Department advises that an onsite inspection will be conducted within the next twelve months as required by regulation, and enforcement action will be taken if noncompliance is found during that inspection.

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

The report details several deficiencies related to contract signatures, posting of emergency telephone numbers, medication storage, glucometer calibration, and preadmission screening forms. All cited deficiencies had plans of correction accepted and were verified as implemented through follow-up submissions.

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

The inspection was complaint-driven. The submitted plan of correction was fully implemented and compliance maintained.

The submitted plan of correction was determined to be fully implemented. A violation was found related to fire drill evacuation timing, where drills only timed evacuation of the fire-affected area rather than the entire building.

The submitted plan of correction related to a resident-to-resident abuse incident was determined to be fully implemented. Staff education on supervision during resident agitation was documented and verified.

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

The submitted plan of correction related to failure to provide toileting assistance to a resident was found to be fully implemented. Staff education and new verification processes were established, and audits are ongoing to ensure compliance.

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

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

The Department of Human Services has approved the renewal application and issued a license for the facility. The Department will conduct an onsite annual inspection within the next twelve months to ensure ongoing compliance.

The inspection was triggered by a complaint. The plan of correction was reviewed and found fully implemented as of January 30, 2020.

The facility was found to have insufficient overnight staffing levels to meet the needs of residents, particularly in the secured dementia care unit. A plan of correction was submitted and fully implemented to address staffing and ensure adequate coverage and training.

Multiple violations of 55 Pa. Code Chapter 2600 were found, including failure to report suspected abuse timely, resident dignity violations, inadequate staff training, outdated fire extinguisher inspection, unsecured exit door, improper smoking area signage, and medication administration issues. Plans of correction were approved with partial implementation noted as of June 13, 2019.

No inspection findings are reported in this document. It serves as a license renewal notification and states that enforcement action will be taken if noncompliance is found during the upcoming inspection.

The visit was complaint-related due to an incident where Resident #1 was observed digitally penetrating Resident #2 and sexually assaulting Resident #2 while both were in bed. The complaint was substantiated with findings of neglect and abuse.

The inspection found violations related to resident neglect and abuse, failure to complete required cognitive preadmission screening, and inadequate revision of support plans for residents with behavioral needs. Plans of correction were initiated to address these issues.

Multiple violations were found related to staff training, storage of poisonous materials, facility maintenance, fire alarm accessibility, medication self-administration, medication storage, equipment calibration, and medication record keeping. Plans of correction were submitted with partial implementation status noted.

No inspection findings are reported in this document. It is a license renewal notification and certificate issuance.

The inspection was triggered by an incident complaint. The violations were substantiated as described in the violation report.

Two violations were found related to medication refusal documentation and cognitive preadmission screening timing. Plans of correction were submitted addressing medication refusal documentation and timely cognitive screening prior to admission.

The investigation was triggered by an incident involving missing narcotics discovered during a 3pm narcotic count and a shift change count. Staff interviews confirmed failures in medication security and counting procedures.

The facility failed to implement proper policies and procedures for the safe use of medications, resulting in missing narcotics and failure to follow counting and custody protocols.

Multiple violations related to fire safety, medication management, and documentation were identified. Plans of correction were submitted with partial implementation progress noted as of June 2017.

No inspection findings are reported in this document. It confirms the issuance of a regular license and states that an annual onsite inspection will be conducted within the next twelve months.

The complaint was substantiated based on the investigation. Staff member involved was suspended and terminated after the investigation confirmed improper care of resident #1.

A violation of 55 Pa.Code Chapter 2600 was found where a resident was not treated with dignity and respect. Staff failed to assist a resident properly, resulting in the resident being left on the commode without needed assistance.

The visit was complaint-related due to an incident involving medication errors for resident #1. The violations were substantiated as described in the report.

The inspection found violations related to medication administration errors involving resident #1, including failure to administer medications as prescribed and failure to immediately report medication errors.

No inspection findings are reported in this document. It is a license renewal notice confirming issuance of a regular license and informing about future inspections.

The inspection found multiple violations related to staffing, safety hazards, menu posting, first aid kit contents, medication administration training, medication labeling and documentation, and support plan signatures. Plans of correction were submitted with partial implementation progress noted.