Inspection Reports for Beaumont At Bryn Mawr
601 N Ithan Ave, Bryn Mawr, PA 19010, United States, PA, 19010
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Inspection Report
Renewal
Census: 13
Capacity: 18
Deficiencies: 8
Apr 22, 2025
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 04/22/2025 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including an expired boiler certification, uncovered trash receptacles, water damage to ceilings and walls, stained furniture, expired and improperly stored medications, and medication documentation errors. All deficiencies had accepted plans of correction which were implemented by 06/09/2025.
Deficiencies (8)
| Description |
|---|
| The home's boiler certification expired on 12/15/24. |
| There was a full, uncovered and unattended trash can in the kitchen on 4/22/2025. |
| The ceiling near the top of the staircase on the third-floor had water damage. |
| The chair located in the sitting area at the top of the staircase on the 2nd floor appeared unclean and was covered in stains. |
| The wall and ceiling above the bed in bedroom 2002 showed signs of water damage along the entire length of the wall. |
| Timolol .5% eye drops prescribed to resident 1 opened 2/20/2025 were on the medication cart past the 30-day expiration. |
| The glucometer readings for resident 2 were not properly documented on the medication administration record (MAR). |
| Resident 2's prescribed multivitamin medication was not available in the home on 4/22/2025. |
Report Facts
License Capacity: 18
Residents Served: 13
Total Daily Staff: 13
Waking Staff: 10
Hospice Residents: 1
Inspection Report
Renewal
Census: 11
Capacity: 18
Deficiencies: 2
Jul 17, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the facility license.
Findings
The inspection found deficiencies related to fire safety orientation for new staff and incomplete documentation in the resident support plan regarding medical/dental needs and use of partial side rails. The submitted plan of correction was accepted and fully implemented.
Deficiencies (2)
| Description |
|---|
| Staff Person A and Staff Person B did not receive orientation on fire safety topics including staff duties during fire drills, designated meeting place, smoking safety procedures, and telephone use for emergency services. |
| Resident #1's assessment and support plan did not document the need, risks, safe use, device identification, or FDA cover requirements for partial side rails used for repositioning. |
Report Facts
License Capacity: 18
Residents Served: 11
Total Daily Staff: 12
Waking Staff: 9
Current Hospice Residents: 1
Residents 60 Years or Older: 11
Residents with Mobility Need: 1
Residents Receiving Supplemental Security Income: 1
Inspection Report
Renewal
Census: 10
Capacity: 18
Deficiencies: 6
Apr 11, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction. Several deficiencies were identified related to incomplete medical evaluations, medication storage and availability, following prescriber's orders, and use of correction fluid in resident records, all of which were addressed with corrective actions and staff education.
Deficiencies (6)
| Description |
|---|
| Resident #1's medical evaluation did not include height and body positioning. |
| Resident #2's medical evaluation did not include body positioning. |
| Medications prescribed as needed for Resident #1 were not available in the home. |
| Medications prescribed as needed for Resident #2 were not available in the home. |
| Resident #1 was not administered prescribed medication on 4/10/23 because the medication was not available in the home. |
| Correction fluid was used on Resident #2's Resident Assessment and Support Plan. |
Report Facts
License Capacity: 18
Residents Served: 10
Staffing Hours: 12
Staffing Hours: 9
Inspection Report
Renewal
Census: 9
Capacity: 18
Deficiencies: 2
Mar 24, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found deficiencies related to incomplete documentation in a resident's support plan regarding medical assistance for hypoglycemia and the use of correction fluid on resident record entries. The facility submitted a plan of correction which was fully implemented.
Deficiencies (2)
| Description |
|---|
| Resident #1's support plan did not document the responsible party to assist or the frequency for medical assistance with hypoglycemia. |
| Correction fluid was used on resident #1's support plan entries, violating requirements for permanent, legible, dated, and signed records. |
Report Facts
License Capacity: 18
Residents Served: 9
Current Residents in Hospice: 3
Residents 60 Years or Older: 9
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 4
Total Daily Staff: 13
Waking Staff: 10
Inspection Report
Renewal
Census: 11
Capacity: 18
Deficiencies: 2
Feb 3, 2021
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements at Beaumont at Bryn Mawr.
Findings
Two deficiencies were identified: one involving a resident-home contract that did not specify the party responsible for payment, and another related to insufficient hot water pressure and temperature in a resident's room. Plans of correction were submitted and accepted.
Deficiencies (2)
| Description |
|---|
| Resident-home contract for resident #1 did not specify the party responsible for payment. |
| The home did not have sufficient hot water pressure in a resident room; hot water temperature measured 70.5 degrees, which is not warm enough for comfortable cleaning or bathing. |
Report Facts
Residents Served: 11
License Capacity: 18
Current Hospice Residents: 3
Residents Age 60 or Older: 12
Residents with Mobility Need: 2
Staffing Hours - Total Daily Staff: 13
Staffing Hours - Waking Staff: 10
Notice
Capacity: 18
Deficiencies: 0
Jan 25, 2021
Visit Reason
The document serves as a certificate of compliance and a license renewal notice for Beaumont at Bryn Mawr Personal Care Home, confirming the facility's authorization to operate and advising that an annual inspection will be conducted 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 and outlines the requirement for an annual onsite inspection.
Report Facts
Maximum capacity: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notice letter |
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