Inspection Reports for
Beaumont At Bryn Mawr
601 N Ithan Ave, Bryn Mawr, PA 19010, United States, PA, 19010
Back to Facility Profile16 Reports
Inspection Report — May 27, 2026
Renewal
Date: May 27, 2026
Visit Reason
The inspection was an unannounced full renewal inspection of the facility conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 05/27/2026.
Findings
The inspection found multiple deficiencies including improper food storage, outdated food items, predictable fire drill scheduling, and medication record errors. All identified issues had plans of correction accepted and were reported as fully implemented by the date of the report.
Citations (5)
103g Food shall be stored in closed or sealed containers. Unsealed packages of frozen puff pastries and wonton wrappers were found in the main kitchen walk-in freezer.
103i Outdated or spoiled food or dented cans may not be used. Unlabeled, undated trays and bags of various meats were found in the main kitchen walk-in refrigerator and freezer.
132g Fire drills shall be held on different days and times to avoid predictability. Fire drills were routinely held on the 28th, 29th, or 30th day of the month, creating a predictable pattern.
187a A medication record shall include diagnosis or purpose for the medication. Resident 1's medication administration record lacked a diagnosis.
187b Date and time of medication administration shall be recorded at the time of administration. Staff Member A initialed medication administration prior to actually administering the medication for Resident 2.
Report Facts
Residents Served: 9
Current Hospice Residents: 2
Total Daily Staff: 9
Waking Staff: 7
Inspection Report — Apr 22, 2025
Renewal
Date: 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.
Citations (8)
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
Residents Served: 13
Total Daily Staff: 13
Waking Staff: 10
Hospice Residents: 1
Inspection Report — Jul 17, 2024
Renewal
Date: 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.
Citations (2)
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
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 — Apr 11, 2023
Renewal
Date: 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.
Citations (6)
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
Residents Served: 10
Staffing Hours: 12
Staffing Hours: 9
Inspection Report — Mar 24, 2022
Renewal
Date: 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.
Citations (2)
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
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 — Feb 3, 2021
Renewal
Date: 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.
Citations (2)
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
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 — Jan 25, 2021
Date: 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notice letter |
Inspection Report — Feb 12, 2020
Renewal
Date: Feb 12, 2020
Visit Reason
The inspection was an unannounced full renewal inspection conducted on February 12 and 14, 2020 to assess compliance with regulatory requirements.
Findings
Multiple deficiencies were identified including failure to post the current license inspection summary, unsigned resident contracts, unlabeled leftover food items, uncovered trash receptacles, hot water temperatures exceeding 120°F, missing refrigerator/freezer thermometers, incomplete medical evaluations, incomplete support plans, and failure to post menus. Plans of correction were submitted and approved with implementation dates mostly by March 2020.
Citations (16)
2600.3c The personal care home did not post the current license inspection summary dated 6/11/19 in a conspicuous public place on 2/12/20.
2600.25b The resident-home contract dated 8/23/19 for resident #1 was not signed by the resident.
2600.103e On 2/12/20, unlabeled and undated leftover food items were observed in the refrigerator and freezer.
2600.85d On 2/12/20, the second-floor kitchen/laundry room trashcan was 1/4 full and uncovered.
2600.88a On 2/14/20, a bathroom under construction was not blocked off and posed a tripping hazard due to exposed ductwork and items blocking the toilet.
2600.89b On 2/12/20, hot water temperatures in room 3005 and the third floor hall bathroom exceeded 120°F.
2600.103f On 2/12/20, the refrigerator and freezer lacked thermometers.
2600.109b The home did not have a current rabies vaccination certificate for the feline residing in room 3001.
2600.132f Fire drills conducted on 3/19/19, 4/12/19, and 5/15/19 all used the same fire door exit without alternating exit routes.
2600.141a Resident #2 admitted 8/26/19 did not have a medical evaluation documented on the Department's specified form within 60 days prior to or 30 days after admission.
2600.141a Resident #1's DME dated 8/5/19 did not indicate whether the resident has allergies; Resident #3's DME dated 1/21/20 was incomplete regarding health status.
2600.162c On 2/12/20, no menu was posted in the home as required.
2600.184a Prescription medication containers for residents #4 and #5 had pharmacy labels with incorrect dosage information.
2600.191 Resident #1 was not educated on the right to refuse medication if a medication error is suspected.
2600.224a Resident #1's pre-admission screening form did not include a determination that the resident's needs can be met by the home.
2600.227d Resident #2's support plan did not document how the need for securing healthcare would be met; Resident #3's RASP was incomplete regarding appointments and prosthetic device use.
Report Facts
Residents Served: 14
Resident Support Staff: 64
Total Daily Staff: 79
Waking Staff: 59
Notice — Nov 15, 2019
Date: Nov 15, 2019
Visit Reason
The document is a renewal notification and license issuance letter for Beaumont at Bryn Mawr 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 serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Inspection Report — Jun 11, 2019
Renewal
Date: Jun 11, 2019
Visit Reason
The inspection was a renewal visit conducted by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
The inspection found violations related to the refund process following a resident's death and the submission of emergency management procedures. Plans of correction were partially implemented with adequate progress noted.
Citations (2)
2600.28e The administrator failed to refund the remainder of previously paid charges to the estate of a resident over 60 years old within 30 days after the resident's death. Documentation of the refund was not properly maintained in the resident's record.
2600.107d The home did not submit written emergency procedures to the local emergency management agency annually; procedures were submitted in 2017 but not again until December 2018.
Report Facts
Residents Served: 12
Total Daily Staff: 14
Waking Staff: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracey Sutton-Vitabile | Administrator, RN-BC, PCHA | Named in plan of correction and signature on violation reports |
Notice — Nov 15, 2018
Date: Nov 15, 2018
Visit Reason
This document serves as a renewal application and license certificate for Beaumont at Bryn Mawr Personal Care Home. It notifies 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 is an administrative renewal notice confirming license issuance and outlining future inspection requirements.
Report Facts
Inspection Report — Aug 7, 2018
Renewal
Date: Aug 7, 2018
Visit Reason
The inspection was a renewal visit conducted by the Department's Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for the Beaumont at Bryn Mawr Personal Care Home.
Findings
The inspection found violations related to missing annual medical evaluations and failure to maintain medication supplies. Plans of correction were developed and partially implemented with adequate progress noted.
Citations (2)
Regulation 55 Pa.Code 2600.141(b)(1): Resident #1 did not have a medical evaluation completed for 2017.
Regulation 55 Pa.Code 2600.185(a): The home did not have resident #1's PRN Lorazepam 0.5 mg tablets available due to failure to reorder the medication.
Report Facts
Residents Present: 11
Total Daily Staff: 11
Waking Staff: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracey Sutton-Vitabile | RN-BC, Personal Care Home Administrator | Named in relation to the violations and plans of correction. |
| Tahesia Thomas | Department representative conducting the inspection. | |
| Jennie Vasquez | Department representative conducting the inspection. |
Notice — Nov 17, 2017
Date: Nov 17, 2017
Visit Reason
The document serves as a renewal notification and license issuance for Beaumont at Bryn Mawr 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 is a license renewal approval letter with information about future inspection requirements.
Report Facts
Inspection Report — Feb 7, 2017
Annual Inspection
Date: Feb 7, 2017
Visit Reason
The inspection was an annual licensing inspection conducted by the Pennsylvania Department of Human Services on February 7, 2017, for Beaumont at Bryn Mawr to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
The inspection found violations related to hot water temperature exceeding 120°F, presence of a discontinued medication (Atrovent inhaler) in the medication cart, and uncalibrated glucometers for residents #1 and #2. Plans of correction were submitted and partially implemented as of June 9, 2017.
Citations (3)
55 Pa.Code §2600.89(b) - Hot water temperature in areas accessible to residents exceeded 120°F, measuring 123.8°F in apartment 2005 bathroom.
55 Pa.Code §2600.183(d) - An Atrovent HFA inhaler for resident #1 was found in the medication cart without a current prescription.
55 Pa.Code §2600.185(a) - Residents #1 and #2's glucometers were not calibrated to the correct date and time.
Report Facts
Number of Residents Served: 13
Total Daily Staff: 14
Walking Staff: 11
Inspection Report — Nov 16, 2016
Renewal
Date: Nov 16, 2016
Visit Reason
The document is a renewal application and license for Beaumont at Bryn Mawr 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 confirmation and notification of upcoming inspection requirements.
Report Facts
Inspection Report — Feb 9, 2016
Renewal
Date: Feb 9, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections and renewal of the facility license.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including unsigned resident contracts, insufficient annual training hours for the administrator, uncovered trash cans in the kitchen, outdated emergency procedures, improper medication storage, and medication labeling errors. Plans of correction were submitted and partially implemented as of April 2016.
Citations (7)
55 Pa.Code 2600.25(b) The contracts for residents #1, #2, and #3 were not signed by the residents themselves.
55 Pa.Code 2600.64(c) The home's administrator completed only 17 hours of annual training in 2015, less than the required 24 hours.
55 Pa.Code 2600.85(d) Trash cans in the home's kitchen had raised dome lids with square openings, preventing complete coverage and allowing insect and rodent penetration.
55 Pa.Code 2600.107(d) The home's written emergency procedures had not been submitted to the municipal emergency management agency since 2012.
55 Pa.Code 2600.183(e) Resident #4's Lantus vial was stored opened and not dated, violating medication storage instructions.
55 Pa.Code 2600.184(a) The label for resident #5's Senna 8.6mg medication did not match the MAR and physician's order, with conflicting dosage instructions.
55 Pa.Code 2600.185(a) A loose PRN Loperamide 2mg pill was found in resident #5's clear plastic pharmacy bag.
Report Facts
Number of Residents Served: 14
Total Daily Staff: 15
Walking Staff: 11
Number of Residents Age 60 or Older: 14
Number of Residents with Mobility Need: 1
Number of Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracey Sutton-Vitabile | Administrator | Named in multiple findings including contract violations, training deficiencies, and medication errors. |
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