Deficiencies per Year
24
18
12
6
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Census: 71
Capacity: 120
Deficiencies: 4
Jun 2, 2025
Visit Reason
The visit was a partial, unannounced inspection conducted as a follow-up to review the submitted plan of correction for an incident reported on 06/02/2025.
Findings
The inspection found multiple deficiencies including failure to timely report an incident, improper labeling of OTC medications, failure to follow prescriber's medication orders, and missing resident signatures on support plans. The facility submitted plans of correction which were accepted and implemented by 08/12/2025.
Deficiencies (4)
| Description |
|---|
| Failure to report an incident to the Department within 24 hours as required. |
| OTC medications and CAM were not labeled with the resident's name. |
| Failure to follow prescriber's medication orders, including missed doses and unavailable medications. |
| Resident participated in support plan development but did not sign the support plan. |
Report Facts
License Capacity: 120
Residents Served: 71
Secured Dementia Care Unit Capacity: 25
Secured Dementia Care Unit Residents Served: 12
Current Hospice Residents: 8
Residents Age 60 or Older: 71
Residents with Mobility Need: 17
Residents with Physical Disability: 1
Inspection Report
Census: 75
Capacity: 120
Deficiencies: 0
Mar 31, 2025
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 120
Residents Served: 75
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 14
Current Hospice Residents: 7
Resident Support Staff: 0
Total Daily Staff: 91
Waking Staff: 68
Inspection Report
Monitoring
Census: 65
Capacity: 120
Deficiencies: 8
Apr 11, 2024
Visit Reason
The visit was an unannounced partial inspection conducted as a monitoring review of the facility's compliance with regulatory requirements.
Findings
The inspection identified several deficiencies including unsigned resident contracts, missing signed statements acknowledging receipt of resident rights, sanitary issues with medication carts, lack of operable bedside lamps for a resident, incomplete menu postings in the memory care unit, improperly stored medications without open dates, unlabeled medication direction changes, and incomplete preadmission cognitive screening documentation for secured dementia care unit residents. Plans of correction were submitted and accepted with ongoing monitoring.
Deficiencies (8)
| Description |
|---|
| Resident-home contract for Resident 1 was not signed by the resident. |
| Resident 1's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures. |
| Three packs of cigarettes and plastic utensils were found in memory care medication cart. |
| Resident 3 did not have access to an operable lamp or source of lighting at bedside. |
| Weekly menus for the upcoming week were not posted in a conspicuous and public place in the memory care unit. |
| Medication belonging to Resident 4 did not have an open date and should have been discarded after 28 days. |
| Medication direction changes for Residents 1 and 5 were not indicated on medication containers/labels. |
| Resident 1's written cognitive preadmission screening did not indicate the resident requires secured care due to dementia. |
Report Facts
Residents Served: 65
License Capacity: 120
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 19
Current Hospice Residents: 5
Residents Age 60 or Older: 65
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 39
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 69
Capacity: 120
Deficiencies: 6
Sep 28, 2023
Visit Reason
The inspection was a partial, unannounced complaint investigation conducted due to a complaint received by the Pennsylvania Department of Human Services.
Findings
The inspection identified multiple deficiencies including failure to submit an incident report for a resident's unwitnessed fall with head injury, breaches in record confidentiality, inadequate staffing leading to delayed resident assistance, incomplete medical evaluation documentation, failure to secure medical care after a head injury, and incomplete preadmission screening documentation. Plans of correction were accepted and implemented.
Complaint Details
The visit was complaint-related, triggered by a complaint. The report does not explicitly state substantiation status.
Deficiencies (6)
| Description |
|---|
| Failure to submit an incident report to the Department for a resident's unwitnessed fall resulting in a head injury. |
| Resident records were left unlocked and accessible to visitors, violating confidentiality requirements. |
| Resident did not receive toileting assistance as required by assessment and support plan due to lack of available direct care staffing. |
| Resident's medical evaluation did not include required page 2 information such as special health or dietary needs and medication regimen. |
| Resident with head injury was not sent to hospital or evaluated by doctor despite unclear speech; failure to secure medical care as required. |
| Resident's preadmission screening form did not include determination that the resident's needs can be met by the services provided by the home. |
Report Facts
License Capacity: 120
Residents Served: 69
Residents Served in Secured Dementia Care Unit: 22
Current Hospice Residents: 8
Residents Diagnosed with Mental Illness: 3
Residents Age 60 or Older: 69
Residents with Mobility Need: 39
Residents with Physical Disability: 1
Total Daily Staff: 108
Waking Staff: 81
Inspection Report
Renewal
Census: 65
Capacity: 120
Deficiencies: 22
Sep 14, 2022
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal, complaint, incident, and monitoring purposes at the facility.
Findings
The inspection identified multiple deficiencies including failure to post required documents, delayed incident reporting, issues with resident dignity and respect, sanitary and maintenance concerns, medication storage and documentation errors, incomplete resident records, and other regulatory noncompliance. Plans of correction were submitted and accepted with re-education and audits planned or implemented.
Deficiencies (22)
| Description |
|---|
| The home's copy of 55 Pa. Code Chapter 2600 was not posted in a conspicuous and public place. |
| The home did not report multiple incidents involving residents to the Department within 24 hours as required. |
| Refund check for a deceased resident was not issued within the required timeframe. |
| A staff person treated a resident without dignity and respect, including physical contact and verbal commands. |
| Rugs in the dementia unit entrance had large brown stains; emergency food cans were covered in a black substance resembling mold. |
| Trash outside the home was not properly stored; old pallets, salt bags, and carts were found outside dumpsters. |
| Furniture in resident rooms was broken and in disrepair, including nightstand drawers and scratched walls. |
| 102 five-gallon jugs of water were stored on the floor, violating food storage requirements. |
| Unlabeled and undated food items were found in the main kitchen freezer. |
| Ice cream freezer temperature was above required level (10°F) during inspection. |
| Food was stored in opened, unsealed, unlabeled, and undated containers in the main kitchen freezer. |
| Large accumulation of lint was found in the lint trap of clothes dryers. |
| A dog present at the home did not have a current rabies vaccination certificate. |
| Emergency procedures were not posted in a conspicuous and public place in the home. |
| Resident medical evaluation was incomplete, missing special health or dietary needs and medication list. |
| Loose half pill found in medication cart; tape found on blister card covering a pill. |
| Medication administration record discrepancies and documentation errors were found. |
| Preadmission screening forms did not include determination that resident needs can be met by the home. |
| Resident assessment was not completed within 15 days of admission. |
| Resident support plan was not signed by the resident. |
| Resident cognitive preadmission screening was not dated. |
| Resident records were missing required information including abuse incident reports, race, religion, and face sheets. |
Report Facts
License Capacity: 120
Residents Served: 65
Staffing: 104
Waking Staff: 78
Residents with Mobility Need: 39
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Physical Disability: 1
Residents Receiving Hospice: 10
Five Gallon Water Jugs Stored on Floor: 102
Medication Count Discrepancy: 1
Inspection Report
Follow-Up
Census: 61
Capacity: 120
Deficiencies: 1
Jan 31, 2022
Visit Reason
The inspection visit was a partial, unannounced follow-up inspection conducted due to an incident, to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction for a deficiency related to the support plan revision was fully implemented and compliance was maintained. The facility demonstrated corrective actions including audits and clinical staff retraining.
Deficiencies (1)
| Description |
|---|
| Support plan did not document the change for Honey Thick Liquids as required by the resident's nutritional needs. |
Report Facts
License Capacity: 120
Residents Served: 61
Capacity of Secured Dementia Care Unit: 23
Residents Served in Secured Dementia Care Unit: 22
Current Residents in Hospice: 5
Residents Age 60 or Older: 61
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 35
Residents with Physical Disability: 1
Resident Support Staff: 0
Total Daily Staff: 96
Waking Staff: 72
Notice
Capacity: 120
Deficiencies: 0
Jul 7, 2021
Visit Reason
The document serves as a certificate of compliance and notification of license renewal for Brookdale Northampton Personal Care Home, confirming the facility's authorized operation and informing 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 advises that the Department will conduct an inspection within the next year to ensure compliance.
Report Facts
Maximum capacity: 120
Secure Dementia Care Unit capacity: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the license renewal notification letter |
Inspection Report
Renewal
Census: 54
Capacity: 120
Deficiencies: 13
Jun 3, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license, including multiple on-site and off-site review dates.
Findings
The inspection identified multiple deficiencies related to posting of licensing inspection summary, quality management plan implementation, administrator staffing hours, emergency management procedures, smoke detector repair policy, menu posting, medication self-administration assistance, medication record accuracy, discontinued medication storage, medication availability, support plan content and signatures, and resident record content including outdated photographs. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (13)
| Description |
|---|
| Licensing inspection summary was not posted in a conspicuous and public place in the home. |
| Quality management plan meeting did not include development and implementation of measures to address identified issues. |
| Administrator was present in the home an average of 8 hours per week, less than the required 20 hours. |
| Written emergency procedures were not submitted to the local emergency management agency for calendar year 2020. |
| Emergency procedures policy did not indicate that repairs to smoke detectors shall be completed within 48 hours of being found inoperative. |
| Menu for the following week was not posted in a conspicuous and public place in the home. |
| Failure to provide assistance with medication self-administration as outlined in the support plan, resulting in expired medications present, unavailable prescribed medications, and incomplete medication administration records. |
| Resident's record did not include a current list of medications for self-administering resident. |
| Expired medications were stored in the resident's room. |
| Medication prescribed as needed was not available in the home (repeat violation). |
| Support plan form did not include spaces to indicate frequency and responsible party, relying on narrative text. |
| Resident participated in support plan development but did not sign the support plan (repeat violation). |
| Resident record did not include a photograph no more than 2 years old. |
Report Facts
License Capacity: 120
Residents Served: 54
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 18
Hospice Current Residents: 5
Residents with Mobility Need: 39
Residents 60 Years or Older: 54
Administrator Staffing Hours: 8
Total Daily Staff: 93
Waking Staff: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Claire Mendez | Department Representative | Signed the initial letter regarding plan of correction implementation. |
| Unnamed Executive Director | Executive Director | Named in multiple findings related to plan of correction implementation and staff training. |
| Health and Wellness Director | Health and Wellness Director | Involved in retraining staff and auditing medication administration and support plans. |
| District Director of Clinical Services | District Director of Clinical Services | Provided training and oversight for support plan revisions and staff education. |
| District Director of Operations | District Director of Operations | Responsible for reviewing administrator coverage schedule. |
| Regional Maintenance Technician | Regional Maintenance Technician | In-serviced maintenance staff on smoke detector repair policy. |
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