Inspection Reports for Chandler Hall Health Services, Inc. – Hicks
99 BARCLAY STREET,, NEWTOWN, PA, 18940
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
6.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
64% occupied
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 23
Capacity: 36
Deficiencies: 4
Sep 22, 2025
Visit Reason
The inspection was an unannounced partial incident review conducted on 09/22/2025 to follow up on a submitted plan of correction related to prior deficiencies.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies included failure to immediately report suspected resident abuse, delayed incident reporting to the department, failure to provide required assistance with activities of daily living, and unlocked poisonous materials accessible to residents.
Deficiencies (4)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident with a large skin tear requiring sutures. |
| Failure to report the incident to the department within 24 hours. |
| Resident did not receive required assistance with eating during breakfast, waiting 15 minutes for help. |
| Poisonous materials (toothpaste and mouthwash) were unlocked and accessible to residents not assessed as safe to use them. |
Report Facts
License Capacity: 36
Residents Served: 23
Current Residents in Hospice: 5
Residents Diagnosed with Mental Illness: 8
Residents Aged 60 or Older: 23
Sutures Required: 8
Staff Total Daily: 46
Waking Staff: 35
Inspection Report
Renewal
Census: 22
Capacity: 36
Deficiencies: 8
Mar 6, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license.
Findings
The inspection found multiple deficiencies related to staff training, food safety, medication management, fire drill evacuation, and preadmission screening. All deficiencies had plans of correction submitted and were determined to be fully implemented by the follow-up date.
Deficiencies (8)
| Description |
|---|
| Staff person A did not receive training in emergency preparedness procedures and recognition and response to crises and emergency situations during training year 2024. |
| There was an uncovered, unsealed bag of herbs stored in the walk-in refrigerator. |
| There was a tray of peeled bananas and a black trash bag said to contain loaves of bread in the walk-in freezer; both were unlabeled and undated. |
| All residents in the home did not evacuate to a designated meeting place away from the building or within the fire-safe area during fire drills on 9/20/2024 and 11/20/2024. |
| Guaifenesin Oral Solution and Milk of Magnesia prescribed for individual 1 were in the medication cart but not listed on resident 1's current medication orders. |
| An Insulin Glargine Pen prescribed to resident 2 was in the medication cart with no open date indicated. Olopatadine .1% eye drops and Latanoprost solution .005% eye drops prescribed to resident 3 were in the medication cart with open dates from 12/20/2024, exceeding manufacturer discard timeframes. |
| Resident 2's prescribed Acetaminophen 325 mg tablets were not available in the home at the time of inspection. |
| Resident 4's written cognitive preadmission screening was not completed as of admission to the Secure Dementia Care Unit. |
Report Facts
License Capacity: 36
Residents Served: 22
Residents in Secured Dementia Care Unit: 22
Current Hospice Residents: 10
Residents Age 60 or Older: 22
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 22
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Staffing Hours - Total Daily Staff: 44
Staffing Hours - Waking Staff: 33
Fire Drill Evacuation - 9/20/2024: 16
Fire Drill Evacuation - 11/20/2024: 9
Inspection Report
Renewal
Census: 23
Capacity: 36
Deficiencies: 13
Feb 15, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing regulations at Chandler Hall Health Services, Inc. - Hicks.
Findings
The inspection found multiple deficiencies related to contract signatures, signed statements, locking poisonous materials, bathroom ventilation, medical evaluations, medication management, resident rights, support plan documentation, preadmission screening, and staff training. Plans of correction were accepted and implemented to address these issues.
Deficiencies (13)
| Description |
|---|
| The resident-home contract for resident #1 was not signed by the resident or payor. |
| Resident #1's record did not contain a statement signed by the resident acknowledging receipt of a copy of the resident rights and complaint procedures. |
| Bathroom cabinets in resident rooms #409 and #600 contained unlocked poisonous materials accessible to residents who have not been assessed capable of recognizing and using poisons safely. |
| The bathroom in resident room #409 does not have an operable window and the ventilation fan is inoperable. |
| Resident #2's medical evaluation did not include special health or dietary needs of the resident. |
| Expired medication prescribed for resident #3 was found in the home's medication cart. |
| Resident #4 had a missing pill from prescribed medication; pharmacy confirmed fewer pills dispensed than ordered. |
| Resident #4's medication administration record did not include initials of staff who administered certain medications. |
| Resident #5's controlled medication log indicated medication was not signed out/administered on a date, but the MAR documented it as administered. |
| Resident #1 was not educated on the right to refuse medication if a medication error is suspected. |
| Resident #2's support plan did not document notation of inability or refusal to sign the support plan. |
| Resident #2 and Resident #6 did not have timely completed written cognitive preadmission screenings prior to admission to the secured dementia care unit. |
| Direct care staff B and C working in the secured dementia care unit did not meet the required 6 hours of annual dementia care training during the 2023 training year. |
Report Facts
License Capacity: 36
Residents Served: 23
Current Residents in Hospice: 4
Residents Diagnosed with Mental Illness: 5
Residents Aged 60 or Older: 23
Residents with Mobility Need: 23
Total Daily Staff: 46
Waking Staff: 35
Deficiencies Cited: 13
Training Hours Deficiency: 2
Inspection Report
Complaint Investigation
Census: 31
Capacity: 36
Deficiencies: 0
Jan 4, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 36
Residents Served: 31
Current Hospice Residents: 1
Total Daily Staff: 62
Waking Staff: 47
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 5, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Inspection Report
Renewal
Census: 24
Capacity: 36
Deficiencies: 7
Jul 7, 2021
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing regulations for CHANDLER HALL HEALTH SERVICES, INC. - HICKS.
Findings
The inspection identified several deficiencies including failure to post the current license inspection summary, untimely criminal background check for a staff member, unlocked poisonous materials accessible to residents, missing closet doors in a resident bedroom, damaged window shades, lack of evidence for timely submission of emergency procedures to the local emergency management agency, and failure to post emergency procedures in a conspicuous place. Plans of correction were submitted and fully implemented.
Deficiencies (7)
| Description |
|---|
| License Inspection Summary dated 12/9/2019 was not posted in a conspicuous and public place in the home. |
| Criminal History Check for Staff A was not completed timely. |
| Cleaning solution labeled 'Hazard' was unlocked, unattended, and accessible to residents in the food pantry closet. |
| Closet doors were missing in bedroom 503. |
| Window shade in bedroom 410 had adhesive peeling off the window frame. |
| No evidence that 2019 and 2020 written emergency procedures were submitted in a timely manner to the local emergency management agency. |
| Emergency procedures were not posted in a conspicuous and public place in the home. |
Report Facts
License Capacity: 36
Residents Served: 24
Current Hospice Residents: 3
Total Daily Staff: 48
Waking Staff: 36
Notice
Capacity: 36
Deficiencies: 0
Jan 25, 2021
Visit Reason
This document serves as a license renewal notification and certificate of compliance for Chandler Hall Health Services, Inc. - Hicks, confirming the facility's authorized operation as a Personal Care Home with a maximum capacity of 36 residents.
Findings
The Department has issued a regular license in response to the renewal application and advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
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