Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 56
Capacity: 120
Deficiencies: 0
Sep 5, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 09/05/2025.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was complaint-related and no deficiencies or regulatory citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 120
Residents Served: 56
Secured Dementia Care Unit Capacity: 60
Secured Dementia Care Unit Residents Served: 42
Resident Demographics: 44
Resident Demographics: 56
Resident Demographics: 1
Resident Demographics: 2
Resident Demographics: 0
Resident Demographics: 0
Inspection Report
Renewal
Census: 56
Capacity: 120
Deficiencies: 6
Oct 30, 2024
Visit Reason
The inspection was conducted as a renewal and complaint investigation to review compliance with licensing regulations and to verify the implementation of a submitted plan of correction.
Findings
The inspection identified multiple deficiencies including delayed signing of resident-home contracts, incomplete staff training on abuse reporting, missing first aid kit items in transport vehicles, medication labeling errors, incomplete resident assessments, and lack of updated support plans. All deficiencies had accepted plans of correction which were implemented by January 7, 2025.
Deficiencies (6)
| Description |
|---|
| Resident did not sign the resident-home contract until after admission. |
| Ancillary staff person did not receive training on reporting abuse and neglect within the first 40 hours of work. |
| First aid kit in the van used to transport residents did not include a breathing shield. |
| Pharmacy label on resident's medication indicated incorrect dosage instructions. |
| Resident assessment did not address the need for an enabler bar attached to the resident’s bed. |
| Resident support plan was not updated to address hospice services and medication self-administration needs. |
Report Facts
License Capacity: 120
Residents Served: 56
Secured Dementia Care Unit Capacity: 60
Secured Dementia Care Unit Residents Served: 39
Current Hospice Residents: 2
Residents with Mobility Need: 41
Residents Age 60 or Older: 39
Residents Diagnosed with Mental Illness: 2
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 58
Capacity: 120
Deficiencies: 6
Jan 26, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the plan of correction related to medication administration, resident abuse prevention, access to bedrooms, and medication storage. Several deficiencies were identified involving medication administration errors, unsecured medications, denial of resident access to bedroom, and failure to follow prescriber's orders, all of which were addressed through staff education, policy reviews, and ongoing audits.
Deficiencies (6)
| Description |
|---|
| Resident was neglected and verbally abused by staff failing to provide prescribed medication despite repeated requests, leading to a medication overdose incident. |
| Resident was denied access to their bedroom in the personal care home section from 1/24/24 to 1/27/24. |
| Medications were removed from original labeled containers and given to resident in a cup for self-administration despite resident being unable to self-administer. |
| Prescription medications and syringes were found unlocked and unattended in resident's bedroom. |
| Medication administration records documented incorrect times for medication administration. |
| Failure to follow prescriber's orders regarding medication administration times and dosages. |
Report Facts
License Capacity: 120
Residents Served: 58
Residents in Secured Dementia Care Unit: 38
Current Hospice Residents: 1
Total Daily Staff: 97
Waking Staff: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Met with nurses and Pharmacy to review medication administration policies and conducted educational in-service. |
| PCP | Primary Care Physician | Reviewed and made changes to resident medication list following incident. |
Inspection Report
Follow-Up
Census: 59
Capacity: 120
Deficiencies: 10
Oct 19, 2023
Visit Reason
The inspection was a full, unannounced renewal inspection with an incident review conducted on 10/19/2023 and 10/20/2023 to verify the implementation of a previously submitted plan of correction.
Findings
The facility had multiple deficiencies including missing direct care staff training documentation, improper trash disposal, non-operable bathroom ventilation fans, lack of operable bedside lighting for a resident, full lint trap in a dryer, missed monthly fire drill, incomplete medical evaluation documentation, missing breathing shield in the first aid kit, inaccurate resident support plans, and undocumented dementia care training hours for a staff member. All deficiencies had plans of correction accepted and were reported as implemented by 12/28/2023.
Deficiencies (10)
| Description |
|---|
| Direct care staff person did not complete and pass the Department-approved direct care training course and competency test. |
| Seven full bags of garbage were found on the ground next to the home's exterior dumpster. |
| Bathrooms in bedrooms #304 and #409 did not have operable ventilation fans. |
| Resident #1 did not have access to a source of light that can be turned on/off at bedside. |
| Lint trap in the left commercial dryer was full. |
| An unannounced fire drill was not held during the month of April 2023. |
| Resident #2's status change medical evaluation did not include height, weight, pulse rate, blood pressure and temperature. |
| The first aid kit in the home's van used to transport residents did not include a breathing shield. |
| Resident #1's assessment did not document the use of the Guard used for supervision needs; Resident #3's assessment contained incorrect name references. |
| Direct care staff person B working in the Secure Dementia Care Unit had no documented hours of training in dementia care during the 2022 training year. |
Report Facts
License Capacity: 120
Residents Served: 59
Residents Served in Secured Dementia Care Unit: 37
Full bags of garbage: 7
Total Daily Staff: 92
Waking Staff: 69
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gabriel Charles | Director of Maintenance | Named in relation to fire drill scheduling and ventilation fan repairs |
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 30, 2022
Visit Reason
The document is a follow-up review by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to determine if the submitted plan of correction for the facility was fully implemented.
Findings
The review determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.
Report Facts
Review dates: Review conducted on 06/30/2022 and 07/08/2022
Inspection Report
Renewal
Deficiencies: 0
Apr 5, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 0
Dec 28, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice
Capacity: 120
Deficiencies: 0
Sep 13, 2021
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home facility Barnabas Court at Brevillier Village, confirming the receipt of the renewal application and informing about the upcoming annual inspection.
Findings
The Department has issued a regular license in response to the renewal application and will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 120
Secure Dementia Care Unit capacity: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
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