Inspection Reports for Brookside at Cross Keys Village

225 VILLAGE DRIVE,, NEW OXFORD, PA, 17350

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

51% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023

Census

Latest occupancy rate 94% occupied

Based on a June 2023 inspection.

Census over time

27 30 33 36 39 42 Jun 2022 Jun 2023

Inspection Report

Renewal
Census: 34 Capacity: 36 Deficiencies: 2 Date: Jun 30, 2023

Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Brookside at Cross Keys Village on 06/30/2023.

Findings
The inspection found two deficiencies: one related to locking poisonous materials accessible to residents who cannot safely use them, and another related to incomplete medication administration course observations for a staff member. Plans of correction were accepted and implemented.

Deficiencies (2)
Poisonous materials were found unlocked in residents' bathrooms despite some residents being unable to safely use or avoid them.
A staff member did not complete the required second observation for the Medication Administration Observation annual practicum.
Report Facts
License Capacity: 36 Residents Served in Dementia Care Unit: 34 Current Residents in Hospice: 3 Residents with Mobility Need: 34 Residents 60 Years or Older: 34 Total Daily Staff: 34 Waking Staff: 26

Inspection Report

Renewal
Census: 35 Capacity: 36 Deficiencies: 5 Date: Jun 1, 2022

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

Findings
The inspection identified several deficiencies including unlocked poisonous materials accessible to residents, incomplete menu postings, improper medication storage and documentation, and incomplete resident support plans. Plans of correction were accepted and implemented with ongoing audits scheduled.

Deficiencies (5)
Unlocked poisonous materials accessible to residents in Rosemary neighborhood.
The following week's menu was not posted as required.
An opened insulin pen for Resident #1 lacked an opening date to ensure use within 28 days.
Incorrect glucose reading recorded in the medication administration record for Resident #2.
Resident support plans did not indicate the need for bed enabler bars found on beds of Residents 1, 2, 3, and 4.
Report Facts
License Capacity: 36 Residents Served in Secured Dementia Care Unit: 32 Current Residents in Hospice: 3 Residents 60 Years or Older: 32 Residents with Mobility Need: 32 Total Daily Staff: 32 Waking Staff: 24

Inspection Report

Renewal
Capacity: 36 Deficiencies: 0 Date: Feb 15, 2021

Visit Reason
The document is a renewal license issued in response to the facility's renewal application to operate a Personal Care Home. The Department advises that an onsite inspection will be conducted within the next twelve months as required by regulation.

Findings
The document grants a Certificate of Compliance for the facility to operate as a Personal Care Home with a maximum capacity of 36 residents, including a Secure Dementia Care Unit with the same capacity. No findings of non-compliance or deficiencies are stated.

Report Facts
Maximum capacity: 36

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy SecretarySigned the renewal license letter

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