Inspection Reports for Barclay Friends

The inspection was conducted as a renewal inspection of the BARCLAY FRIENDS facility on 07/08/2025 and 07/09/2025 to review compliance with licensing requirements.

The inspection identified multiple deficiencies including record confidentiality breaches, delayed resident refund processing, privacy violations due to lack of signage for video recording, incomplete staff orientation on fire safety and resident rights, furniture and equipment maintenance issues, outdated food items, combustible storage near heat sources, improperly posted menus, and delayed admission support plans for dementia care unit residents. Plans of correction were accepted and implemented by 07/31/2025.

The visit was a follow-up review conducted on 02/27/2025 to determine if the submitted plan of correction was fully implemented at the facility.

The plan of correction submitted by the facility was accepted and fully implemented as of 03/19/2025. Multiple deficiencies related to resident room furnishings, cleanliness, and facility maintenance were corrected promptly during the surveyor's visit.

The inspection was an unannounced full renewal inspection conducted on 07/29/2024 and 07/30/2024 to review compliance with licensing requirements.

The inspection identified multiple deficiencies including privacy violations due to lack of video surveillance signage, incomplete staff training records, sanitary condition issues with medication carts and trash receptacles, lack of elevator certificates, improper food storage, lint accumulation in dryers, missing rabies vaccination certificate for a resident's cat, blocked egress, incomplete or inaccurate medication records, and failure to follow prescriber's orders. All deficiencies had accepted plans of correction which were implemented by 09/18/2024.

The inspection was a partial, unannounced visit conducted due to a complaint and incident.

No regulatory citations or deficiencies were identified during the inspection.

The inspection was complaint-related, but no deficiencies were found and follow-up was not required.

The inspection was an unannounced partial review conducted as a monitoring visit to assess compliance and verify the implementation of a previously submitted plan of correction.

The submitted plan of correction related to medication management was found to be fully implemented. A medication violation was identified involving a container of medication on the cart for a resident without a prescription, which was promptly addressed with corrective actions including staff education and ongoing audits.

The inspection visit was conducted as a follow-up to review the submitted plan of correction related to an incident involving resident care.

The submitted plan of correction was determined to be fully implemented, with the facility providing resident rights training to all staff and terminating the staff member involved in the incident. Continued compliance must be maintained.

The inspection was conducted as a renewal, provisional licensing inspection of Barclay Friends Personal Care Home to determine compliance with 55 Pa. Code Ch. 2600.

The facility was found to be in compliance with applicable regulations, with several deficiencies identified related to resident treatment, sanitary conditions, medication storage, and medication administration. Plans of correction were accepted and implemented by May 31, 2023.

The inspection was an unannounced partial monitoring visit conducted to review the facility's compliance with regulations and the implementation of the submitted plan of correction.

The facility was found to have fully implemented its submitted plan of correction. Multiple specific violations related to criminal background checks, fire drill exit routes, annual medical evaluations, additional assessments, and admission support plans were identified but corrected with ongoing audits and compliance measures in place.

The inspection was an unannounced monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

No regulatory citations or deficiencies were identified during this inspection.

The inspection was conducted as a partial, unannounced visit due to an incident.

No regulatory citations or deficiencies were identified during this inspection.

The inspection was a renewal licensing inspection conducted on 07/26/2022 to assess compliance with Department statutes and regulations.

The inspection identified multiple deficiencies including unsigned resident contracts, missing signed statements acknowledging receipt of resident rights, unqualified direct care staff, uncertified CPR training, incomplete fire drill records, failure to evacuate residents to designated meeting places during fire drills, and incomplete resident education on rights and assessments.

The inspection visit on 02/10/2022 was a partial, unannounced follow-up inspection triggered by a complaint and incident review to verify the implementation of a previously submitted plan of correction.

The facility was found to have fully implemented the submitted plan of correction addressing multiple deficiencies including failure to report suspected resident abuse timely, incomplete criminal background checks for agency staff, unqualified direct care staff providing unsupervised services, unsecured poisonous materials accessible to residents, and incomplete resident medical evaluations and assessments. Continued compliance must be maintained.

The inspection was complaint-related, triggered by allegations of resident abuse and incidents including falls and altercations. The complaint was substantiated as deficiencies were identified.

The document serves as a renewal notification for the Personal Care Home license and informs that an onsite inspection will be conducted within the next twelve months as required by regulation.

No inspection findings are reported; the document confirms issuance of a regular license and advises that enforcement action will be taken if noncompliance is found during future inspections.

The inspection was conducted as a renewal inspection of the Barclay Friends facility to assess compliance with licensing requirements.

The facility was found to have two deficiencies related to posting of current license documents and maintenance of door latches in the memory care unit. Both deficiencies were corrected promptly with plans of correction implemented by June 4, 2021.

The inspection was a partial, unannounced visit conducted due to an incident, with follow-up activities related to a plan of correction submission.

The facility was found to have a deficiency related to medication storage and availability, specifically Tylenol 325 mg was not available as needed for a resident. The submitted plan of correction was reviewed and determined to be fully implemented.