Inspection Reports for
Barclay Friends

The facility was found to have multiple medication-related deficiencies including storage, availability, and administration documentation issues. All deficiencies were addressed with immediate corrective actions and ongoing monitoring plans.

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recording, incomplete staff orientation on fire safety and resident rights, furniture and equipment maintenance issues, outdated food items, combustible storage near heat sources, improperly posted menus, and delayed admission support plans for dementia care unit residents.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 waiver is granted with conditions including documentation of education and training to be maintained by the facility and subject to annual review during inspections. Noncompliance with conditions may result in waiver termination or licensing action.

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 waiver is granted with conditions that the employee's education documentation be maintained and made available upon request. The Department will review this waiver annually during inspections to ensure compliance.

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

No regulatory citations or deficiencies were identified during the inspection.

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 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 facility was found to be in compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes. Several deficiencies were identified related to resident treatment, medication administration, sanitary conditions, and medication storage, all of which were addressed with corrective actions and education.

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.

No regulatory citations or deficiencies were identified during this inspection.

No regulatory citations or deficiencies were identified during this inspection.

Violations of 55 Pa. Code Chapter 2600 related to Personal Care Homes were found during the inspections, resulting in revocation of the previous certificate of compliance and issuance of a first provisional license based on an acceptable plan of correction.

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

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.

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 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 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.

The facility was found to have deficiencies related to resident-home contracts, medical evaluations, and posting of directions for key-locking devices. The submitted plan of correction was fully implemented and compliance must be maintained.

The inspection was triggered by a complaint. The findings included deficiencies in medical evaluation timing, cognitive preadmission screening timing, and missing no objection statements for residents admitted to the secured dementia care unit.

The inspection identified deficiencies related to medical evaluations, preadmission cognitive screenings, and documentation of no objection statements for residents admitted to the secured dementia care unit. Plans of correction were accepted and documented as implemented.

The facility was found to be in substantial compliance with applicable regulations but had several citations related to safety and operational issues that required correction. All cited deficiencies were addressed with accepted plans of correction and documented implementation.