Inspection Reports for Brandywine Haverford Estates

The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.

The inspection found multiple deficiencies including failure to report medication incidents timely, breaches of resident record confidentiality, failure to follow prescriber's medication orders, failure to report medication errors to the prescriber, and failure to provide resident records timely to the designated person. Plans of correction were accepted and implemented by July 19, 2024.

The visit was complaint-related, triggered by a complaint. The report does not explicitly state substantiation status.

The inspection was conducted as a complaint and incident investigation at Brandywine Living at Haverford Estates on 04/04/2024.

The investigation found that Staff Person A physically abused a resident by forcefully grabbing and pushing them, causing bruising. Staff Person B refused the resident's request for their cell phone. The facility took immediate corrective actions including suspension and termination of Staff Person A, staff training on resident rights and abuse prevention, and ongoing compliance monitoring.

The complaint involved alleged physical abuse by Staff Person A and neglect by Staff Person B. The abuse was substantiated with evidence of bruising and resident report. Immediate suspension and termination of Staff Person A followed, along with staff training and policy reinforcement.

The inspection was a partial, unannounced follow-up visit conducted on 01/08/2024 to review the submitted plan of correction related to an incident.

The facility was found to have multiple deficiencies including failure to report incidents timely, direct care staff lacking required qualifications and training, incomplete resident medication records, and incomplete resident assessments and support plans. The submitted plan of correction was determined to be fully implemented as of 04/05/2024.

The inspection was conducted as a complaint investigation following an allegation that a resident was pushed by a family member visiting another resident, which was not properly reported by staff.

The investigation found that a resident was pushed by a visitor, the incident was observed by staff but not reported to the appropriate agencies. Staff training and new reporting protocols were implemented to prevent recurrence. The visitor was banned from the community. Additional deficiencies related to record keeping and resident treatment were also identified and addressed.

The complaint involved an incident where Resident 1 was pushed by a family member visiting Resident 2. The incident was observed by staff but was not reported to the appropriate agencies in a timely manner. The complaint was substantiated and led to staff retraining, changes in reporting protocols, and banning the visitor from the community.

The inspection was an unannounced full renewal inspection conducted on 08/30/2023 to review compliance with licensing regulations.

The inspection identified several deficiencies including improper treatment of residents by staff, incorrect ombudsman contact information posted, furniture and equipment not in good repair, lint accumulation in dryer vents, unlabeled OTC medications, and delayed support plan signatures. All deficiencies had plans of correction accepted and were implemented by 12/04/2023.

The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.

The facility was found to have fully implemented the submitted plan of correction related to medication administration records and support plan documentation. Specific deficiencies involved missing diagnosis or purpose for medication and missing staff initials on medication administration records, as well as incomplete dietary needs documentation in a resident's support plan.

The inspection visit on 09/07/2022 was a partial, unannounced follow-up to review the implementation of a previously submitted plan of correction related to an incident involving resident elopement.

The facility was found to have fully implemented the submitted plan of correction addressing the elopement of Resident #1 from the secured dementia care unit. The plan included staff retraining, increased staffing, installation of cameras, use of two-way radios, and enhanced monitoring protocols. Continued compliance and ongoing monitoring were emphasized.

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

The inspection found deficiencies related to direct care staff qualifications, incomplete first aid kits, and medication storage procedures. The facility submitted a plan of correction which was determined to be fully implemented.

The inspection visit on 03/14/2022 was a partial, unannounced follow-up to review the submitted plan of correction related to a previous incident.

The submitted plan of correction was determined to be fully implemented. The deficiency involved a resident not signing their support plan and the facility failing to document the resident's inability to sign. The facility marked the appropriate box indicating the resident was unable to sign and implemented care plan audits to ensure compliance.

The inspection was conducted due to a complaint regarding the facility's handling of resident refunds following deaths.

The facility failed to issue timely refunds to the estates of deceased residents as required by regulations. A plan of correction was accepted to ensure refunds are processed promptly and documented properly.

The visit was complaint-related concerning delayed refunds after resident deaths. Specific violations involved refunds not issued timely for three residents.

The inspection was a full, unannounced review conducted on 06/16/2021 and 06/17/2021 to verify the implementation of a previously submitted plan of correction.

The facility was found to have multiple deficiencies including unlocked poisonous materials accessible to residents, uncovered trash dumpsters, disrepair of outdoor surfaces, unlabeled over-the-counter medications, improperly calibrated glucometers, missing prescribed medications, incomplete resident assessments, and unsigned support plans. The submitted plan of correction was determined to be fully implemented.

The document serves as a response to the renewal application submitted on February 9, 2021, for the operation of Brandywine Living at Haverford Estates, and notifies that a regular license is being issued. It also informs that an onsite annual inspection will be conducted within the next twelve months as required by regulation.

No inspection findings are reported in this document; it is a licensing renewal notice confirming issuance of a regular license and outlining future inspection requirements.