Inspection Reports for Berkshire Commons

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

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 conducted as a renewal inspection of the facility's license to ensure continued compliance with regulatory requirements.

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.

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

No regulatory citations or deficiencies were identified during this inspection.

The inspection was a partial, unannounced visit conducted due to an incident at the facility, with a focus on reviewing the submitted plan of correction.

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.

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

No regulatory citations or deficiencies were identified during the inspection.

The inspection was conducted as a complaint investigation at the facility on January 10, 2025.

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

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

The inspection was a partial, unannounced visit conducted due to an incident at the facility.

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 inspection was a partial, unannounced licensing inspection conducted due to an incident.

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

The inspection was conducted as a complaint investigation to review the facility's compliance and the submitted plan of correction.

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

The inspection was conducted as a complaint and incident investigation at Berkshire Commons, Genesis Healthcare.

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

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 conducted as a complaint investigation during an unannounced partial licensing inspection on 04/09/2024.

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

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

The inspection was conducted as a partial, unannounced visit due to an incident at the facility on 03/26/2024.

No regulatory citations or deficiencies were identified during this inspection.

The inspection was a partial, unannounced follow-up visit conducted due to an incident at the facility, with a focus on verifying the implementation of a previously submitted plan of correction.

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 inspection visit was a partial, unannounced follow-up to review the submitted plan of correction related to an incident at the facility.

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 inspection was a partial, unannounced follow-up visit conducted on 11/16/2023 to review the submitted plan of correction related to an incident involving an allegation of abuse.

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.

The inspection was conducted as a licensing inspection triggered by an incident, with an unannounced partial inspection type.

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

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

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

The inspection was conducted as a renewal inspection of the facility's license.

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 inspection was conducted as a complaint and incident investigation at Berkshire Commons, Genesis Healthcare on 02/23/2022.

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 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 inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 12/20/2021 and an off-site exit conference on 01/05/2022.

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.

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

The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing licensing inspections on 08/23/2021 and 08/30/2021 for the facility.

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

The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/13/2021.

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

The inspection was conducted as a complaint investigation following a reported incident involving residents at the facility.

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 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 document serves to notify the facility that their request for a waiver to delay compliance with the educational qualifications for the personal care home administrator has been granted.

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 document serves as a renewal notification and issuance of a regular license for the Personal Care Home, Berkshire Commons, Genesis Healthcare, following receipt of the renewal application dated March 9, 2021.

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.

The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

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

The inspection was conducted as a renewal inspection of the facility's license to operate.

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.