Inspection Reports for Columbia Cottage Wyomissing

The inspection visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to a complaint and incident.

The submitted plan of correction was determined to be fully implemented, and the facility is currently in compliance. The report includes documentation of a completed annual fire safety inspection and fire drill conducted by a certified fire safety expert.

The inspection was complaint-related and incident-related, with the plan of correction fully implemented as of the follow-up date.

The inspection was conducted as a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for the facility.

The submitted plan of correction was found to be fully implemented, addressing the deficiency related to a resident's nighttime roaming behavior not documented in the support plan. The facility updated the support plan, implemented hourly safety checks, and established systemic measures including audits and staff training to ensure compliance.

The inspection was conducted as a renewal inspection of the assisted living facility to verify compliance with licensing requirements.

The facility was found to have multiple deficiencies including failure to post the current license, unlabeled leftover food, lint accumulation in the dryer lint trap, incomplete medical evaluation documentation, missing posted menus, and unsigned resident support plans. All deficiencies had plans of correction accepted and were implemented by July 14, 2025.

The inspection was a partial, unannounced licensing inspection conducted due to an incident.

No regulatory citations or deficiencies were identified during the inspection.

The inspection was conducted as a partial, unannounced visit due to an incident.

No regulatory citations or deficiencies were identified during the inspection.

The inspection was a partial, unannounced follow-up review conducted due to an incident involving allegations of resident abuse.

The facility was found to have fully implemented the submitted plan of correction related to the immediate reporting, supervision, and incident reporting requirements following allegations of resident abuse. The report details corrective actions including staff training, policy revisions, and monitoring systems to ensure compliance.

The visit was triggered by a complaint/incident involving Resident #1 accusing Staff A and Staff B of rape. The Administrator reported the accusation to the local Area Agency on Aging and the Department, though with delays exceeding reporting requirements.

The inspection was conducted as a renewal visit to assess compliance with licensing requirements for Columbia Cottage Wyomissing, LLC.

The inspection identified several deficiencies including insufficient certified first aid/CPR staff during the 3rd shift, unlabeled leftover food in the kitchen, inadequate scheduling of fire drills during sleeping hours, and incomplete documentation in a resident's support plan regarding a bed mobility device. Plans of correction were accepted and fully implemented by the facility.

The inspection was conducted as a renewal visit to review the facility's compliance and licensing status.

The submitted plan of correction was found to be fully implemented, with continued compliance required. One deficiency was noted regarding food protection where an opened block of cheese was not dated, which was corrected during the inspection.

The inspection visit on 01/26/2023 was a partial, unannounced follow-up inspection triggered by an incident to verify the implementation of a submitted plan of correction.

The facility was found to have fully implemented the submitted plan of correction related to abuse/neglect allegations involving Staff A. The allegations were substantiated, Staff A was terminated, and staff training and monitoring plans were put in place to ensure compliance and resident safety.

The visit was complaint-related due to an incident involving abuse/neglect. The allegations were investigated, found to be founded, and appropriate corrective actions were taken including termination of Staff A and reporting to the Area Agency on Aging and BHSL.

The document confirms that the submitted plan of correction for the facility was reviewed following an inspection on 09/15/2022.

The plan of correction submitted by the facility was determined to be fully implemented, and continued compliance must be maintained.

The inspection was an unannounced full renewal inspection conducted on 04/12/2022 and 04/13/2022 to review compliance with licensing requirements.

The facility was found to have multiple deficiencies including breaches in resident record confidentiality, storage of outdated food, incomplete emergency evacuation diagrams, missing first aid kit in the transport van, and medication record discrepancies. Plans of correction were submitted and determined to be fully implemented by the time of the follow-up review.

The visit was a follow-up inspection to review the submitted plan of correction related to an incident and resident rights violations reported at the facility.

The plan of correction was determined to be fully implemented, with corrective actions taken including staff administrative leave, investigations, notifications, and staff training on APS/OPSA. Continued compliance must be maintained.

The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

No regulatory citations were identified as a result of this inspection.

A license renewal inspection was conducted on 04/07/2021 and 04/08/2021 to assess compliance with staffing levels and resident support plans.

The inspection found that the facility had insufficient staffing on overnight shifts to safely evacuate residents with mobility needs during emergencies. A minimum of four staff members is required overnight, but only three were routinely scheduled. The facility submitted a plan of correction which was initially not accepted but later approved after adjustments to staffing and fire drill procedures.

The document serves as a certificate of compliance and a license renewal notice for Columbia Cottage Wyomissing LLC, an Assisted Living facility. It also informs that an annual inspection will be conducted within the next twelve months as required by regulation.

No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application and advises that future inspections will be conducted to ensure compliance.

The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident involving staff disrespect towards a resident.

The submitted plan of correction was determined to be fully implemented, including staff training on resident rights and abuse reporting. The incident involved one staff member who was terminated, and additional staff training was completed to prevent future occurrences.