Inspection Reports for Briarwood Senior Living

878 Main St, Newfoundland, PA 18445, United States, PA, 18445

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Inspection Report Renewal Census: 9 Capacity: 26 Deficiencies: 2 Feb 12, 2025
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The facility was found to have fully implemented its submitted plan of correction. Two deficiencies were noted: ice and snow obstruction on exterior exits, and an incomplete annual medical evaluation for a resident, both of which were corrected by the specified dates.
Deficiencies (2)
Description
The exterior stairs leading from the annex hallway had sections covered in ice. The wood room porch exit had ice on the porch immediately outside of the exit doorway.
Resident 1’s annual Documentation of Medical Evaluation was incomplete; Section 4, Special Health or Dietary Needs was not completed.
Report Facts
License Capacity: 26 Residents Served: 9 Current Residents in Hospice: 2 Residents 60 Years or Older: 9 Residents with Mobility Need: 1 Total Daily Staff: 10 Waking Staff: 8
Inspection Report Renewal Census: 7 Capacity: 26 Deficiencies: 6 Jan 9, 2024
Visit Reason
The inspection was conducted as a renewal review of Briarwood Senior Living by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 01/09/2024.
Findings
The inspection identified several deficiencies including an unsecured enabler bar on a resident's bed, missing gauze in the first aid kit, icy exterior stairs and deck, obstructed egress route by a rock salt dispenser, incorrect resident count in the fire department notification, and incomplete documentation in a resident's support plan regarding enabler bar use. All deficiencies had plans of correction submitted and were implemented by 01/29/2024.
Deficiencies (6)
Description
The enabler bar on Resident 1’s bed was not securely attached to the bed frame.
The home’s first aid kit did not include gauze.
The exterior stairs leading from the right side of the second floor were covered with ice. The outside deck coming out from the first floor exit #10 was icy and slippery.
The egress route exiting from the Wood Room was obstructed by a rock salt dispenser.
The notification to the local Fire Department stated there are 8 residents in the home, however there are only 7 residents currently residing in the home.
Resident 1’s RASP did not include information indicating the resident utilizes enabler bars.
Report Facts
Residents Served: 7 License Capacity: 26 Total Daily Staff: 7 Waking Staff: 5
Inspection Report Follow-Up Census: 9 Capacity: 26 Deficiencies: 3 Mar 16, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to resident abuse reporting, abuse incidents, and indoor temperature violations. Staff were retrained, and corrective actions such as suspension and termination of a staff member and installation of a baseboard heater were completed.
Deficiencies (3)
Description
Failure to immediately report suspected abuse of a resident by staff person B, witnessed by staff person A.
Resident abuse including physical abuse by staff person B, who grabbed resident #1's neck, forcibly pushed them to the floor, and hit them on the head.
Indoor temperature in resident #1's room was below the required 70°F, measured at 63.5°F.
Report Facts
License Capacity: 26 Residents Served: 9 Total Daily Staff: 10 Waking Staff: 8 Residents 60 Years or Older: 9 Residents with Mobility Need: 1 Indoor Temperature: 63.5
Inspection Report Renewal Census: 6 Capacity: 26 Deficiencies: 7 Dec 13, 2022
Visit Reason
The inspection was conducted as a renewal review of Briarwood Senior Living to assess compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including contract refund terms, lack of CPR-trained staff during certain periods, missing water testing, snow removal issues, obstructed egress, improperly timed fire drills, and overdue annual medical evaluations. Plans of correction were accepted and implemented by January 2023.
Deficiencies (7)
Description
Resident contract did not include refund information regarding death of residents over 60 years old as required by the Elder Care Payment Restitution Act.
No staff person trained in First Aid and CPR was present during certain dates despite requirement for at least one per 50 residents.
The home had not conducted a coliform water test since December 2021 despite being required every 3 months.
Snow accumulation of approximately 1-2 inches was present on the porch exit outside the kitchen.
The door in the living room area was difficult to open, preventing immediate egress in an emergency.
Seven out of eight fire drills between March and October 2022 were conducted between 2pm and 4pm, not rotated as required.
Resident #1's most recent medical evaluation exceeded the annual timeframe required by regulation.
Report Facts
License Capacity: 26 Residents Served: 6 Staffing: 7 Waking Staff: 5 Snow Accumulation: 1.5 Fire Drills: 7
Inspection Report Renewal Census: 20 Capacity: 26 Deficiencies: 7 Oct 21, 2021
Visit Reason
The inspection was conducted as a renewal inspection of Briarwood Senior Living to assess compliance with licensing requirements.
Findings
The inspection identified several deficiencies including undated carbon monoxide detector batteries, lack of documentation for quality management meetings, insufficient administrator staffing hours, absence of CPR certified staff overnight, failure to notify the fire department after change of ownership, missing fire safety inspection documentation, and menus not posted sufficiently in advance. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (7)
Description
Carbon monoxide detector batteries were not dated with installation date.
No documentation of a Quality Management meeting completed.
Administrator works less than required 20 hours per week with no written schedule.
No CPR certified staff present overnight on 10/16/2021 from 11pm to 7am.
Failure to notify local fire department after change of ownership; last notification from 2016.
No fire safety inspection completed since taking over as legal entity; no previous inspection letters provided.
Menus posted in dining room only until 10/24/2021 on date of inspection.
Report Facts
License Capacity: 26 Residents Served: 20 Total Daily Staff: 20 Waking Staff: 15 Residents 60 Years or Older: 10
Notice Capacity: 26 Deficiencies: 0 Oct 8, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Briarwood Manor, a Personal Care Home, following receipt of the renewal application dated October 8, 2021. It also advises that an annual onsite 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 and states that enforcement action will be taken if noncompliance is found during future inspections.
Report Facts
Total licensed capacity: 26
Employees Mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter.
Inspection Report Monitoring Census: 9 Capacity: 26 Deficiencies: 2 Mar 9, 2021
Visit Reason
The inspection was an interim monitoring visit conducted 90 days after a new inspection to verify the implementation of the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were identified related to hot water temperature exceeding 120°F and missing exit signage, both of which were corrected with documented evidence submitted and reviewed.
Deficiencies (2)
Description
Hot water temperature measured 127.4 degrees in the residents common bathroom next to the medication room, exceeding the 120°F limit.
No exit sign over the exit door leading from the large living room to the front porch in a home serving 9 residents.
Report Facts
License Capacity: 26 Residents Served: 9 Hot Water Temperature: 127.4 Hot Water Temperature After Correction: 117 Residents Served: 9

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