23 Reports
Inspection Report — Apr 9, 2026
Complaint Investigation
Date: Apr 9, 2026
Visit Reason
The inspection was a partial, unannounced visit conducted due to a complaint and incident at the facility.
Complaint Details
The inspection was triggered by a complaint and incident. The plan of correction was fully implemented and accepted.
Findings
The inspection found that a container of BioFreeze and a tube of Pain-Relieving Cream were left unlocked and accessible on a resident's bedside table, violating medication security requirements. The facility promptly removed the items, investigated the incident, and implemented corrective actions including family education and ongoing room audits.
Citations (1)
183b - Prescription medications, OTC medications, CAM and syringes must be kept locked. A container of BioFreeze and a tube of Pain-Relieving Cream were found unlocked and accessible on a resident's bedside table.
Report Facts
Residents Served: 61
Residents Served in Secured Dementia Care Unit: 41
Inspection Report — Jan 8, 2026
Complaint Investigation
Date: Jan 8, 2026
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 01/08/2026.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 43
Secured Dementia Care Unit Residents Served: 84
Inspection Report — Sep 5, 2025
Complaint Investigation
Date: Sep 5, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 09/05/2025.
Complaint Details
The inspection was complaint-related and no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 56
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 — Oct 30, 2024
Renewal
Date: 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.
Citations (6)
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
Residents Served: 56
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 — Jan 26, 2024
Follow-Up
Date: 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.
Citations (6)
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
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 — Oct 19, 2023
Follow-Up
Date: 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.
Citations (10)
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
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 — Jun 30, 2022
Plan of Correction
Date: 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 — Apr 5, 2022
Renewal
Date: 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 — Dec 28, 2021
Renewal
Date: 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 — Oct 21, 2020
Date: Oct 21, 2020
Visit Reason
The document serves as a renewal notification and license issuance for Barnabas Court at Brevillier Village, a Personal Care Home, and advises that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document; it confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Nov 20, 2019
Routine
Date: Nov 20, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — Sep 18, 2019
Renewal
Date: Sep 18, 2019
Visit Reason
The inspection was an unannounced annual renewal inspection conducted on September 18 and 19, 2019, to assess compliance with 55 Pa. Code Ch. 2600 for Personal Care Homes.
Findings
Multiple violations of 55 Pa. Code Ch. 2600 were found, including issues with resident record confidentiality, training topics, fire drill records, annual medical evaluations, medication storage, and labeling of medications. Plans of correction were partially implemented with adequate progress noted.
Citations (7)
2600.17 Resident records were not kept confidential as meal tickets containing detailed meal preference information were visible at each resident's place setting.
2600.65f Direct care staff person A did not receive annual training on required topics including medication self-administration and care for residents with mental illness during the 2018 training year.
2600.65g Direct care staff person A did not receive annual training on fire safety, emergency preparedness, and resident rights during the 2018 training year.
2600.132c Fire drill records for drills conducted on 7/25/19 and 9/15/19 did not indicate whether drills were held in the AM or PM or note any problems encountered.
2600.141b1 Resident #1's most recent medical evaluation dated 9/9/19 lacked pulse rate, temperature, and immunization history.
2600.183e Resident #2's Humalog Kwikpen insulin was opened beyond the 28-day discard period and was still present on 9/19/19.
2600.184a No pharmacy label was present on resident #3's Mupirocin ointment, and resident #2's Humalog Kwikpen label lacked prescribed sliding scale dosage instructions.
Report Facts
Residents Served: 67
Secured Dementia Care Unit Residents Served: 40
Current Hospice Residents: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jean LaFuria | Administrator, VP Residential Services | Named as legal entity representative signing plans of correction and involved in findings |
| Kristin Brotherson | LPN | Named as nursing staffing agency nurse involved in training plan of correction |
Inspection Report — Aug 26, 2019
Renewal
Date: Aug 26, 2019
Visit Reason
The document is a renewal application and license issuance for Barnabas Court at Brevillier Village Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and certificate issuance.
Report Facts
Inspection Report — Feb 1, 2019
Routine
Date: Feb 1, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — Sep 25, 2018
Renewal
Date: Sep 25, 2018
Visit Reason
The inspection was a renewal inspection conducted by the Department's Bureau of Human Services Licensing on September 25 and 26, 2018, to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
The report identified violations related to food refrigeration temperatures, missing medical professional license numbers on annual medical evaluations, and inaccurate documentation of blood glucose readings. Plans of correction were submitted and partially implemented as of April 25, 2019.
Citations (3)
55 Pa.Code §2600.103(f) - Food requiring refrigeration was stored above required temperatures; the refrigerator temperature in the Sunset Lounge was 42 degrees on 09/25/18 at 11:30 AM.
55 Pa.Code §2600.141(b)(1) - The annual medical evaluation for resident #1 dated 4/3/18 did not include the medical professional license number.
55 Pa.Code §2600.185(a) - The home failed to properly document blood glucose readings; resident #2's glucometer readings were inaccurately recorded on the September 2018 medication administration record.
Report Facts
Number of Residents Served: 65
Number of Residents Served in Secured Dementia Care Unit: 40
Number of Current Hospice Residents: 3
Number of Hospice Residents in past year: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jean LaFuria | Administrator | Named in signature and plan of correction approvals |
Notice — Aug 20, 2018
Date: Aug 20, 2018
Visit Reason
This document serves as a renewal notification and certificate of compliance for Barnabas Court at Brevillier Village to operate as a Personal Care Home. It informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
The document does not report inspection findings but confirms issuance of a regular license following the renewal application and outlines the Department's inspection requirements.
Report Facts
Notice — Jan 1, 2018
Date: Jan 1, 2018
Visit Reason
The document serves as a response to a request for a waiver of specific Pennsylvania Code regulations related to admission, medical evaluation, and preadmission screening for the licensed personal care home Barnabas Court at Brevillier Village.
Findings
The waiver is granted under specified conditions, including the use of alternative documentation forms for medical evaluation and preadmission screening. The waiver remains effective as long as conditions are met and will be reviewed annually during inspections.
Inspection Report — Sep 12, 2017
Annual Inspection
Date: Sep 12, 2017
Visit Reason
The inspection was an annual licensing inspection conducted over multiple days in September and December 2017 to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations were found related to sanitary conditions, fire drill documentation, dietary needs, medication administration, resident assessments, and secured dementia care unit admission criteria. Plans of correction were submitted and partially implemented as of July 2018.
Citations (13)
Regulation 65 Pa.Code §2600 2600.85(a): Sanitary conditions were not maintained as blood glucose meters were improperly used and documented.
Regulation 56 Pa.Code §2600 2600.132(c): Fire drill records lacked AM/PM indication for multiple drills.
Regulation 65 Pa.Code §2600 2600.161(d): Resident #12's special dietary needs were not met as the resident was observed eating inappropriate food textures.
Regulation 65 Pa.Code §2600 2600.185(a): Glucometers were not calibrated to current date and time and some readings were illegible.
Regulation 65 Pa.Code §2600 2600.187(a): Medication administration records did not match the pharmacy orders for Resident #8.
Regulation 65 Pa.Code §2600 2600.224(a): Resident #3 was admitted without a completed preadmission screening form.
Regulation 65 Pa.Code §2600 2600.225(a): Resident #3 did not have a written initial assessment documented within 15 days of admission.
Regulation 65 Pa.Code §2600 2600.231(b): Resident records were not kept confidential as the social worker's office door was unlocked and accessible.
Regulation 65 Pa.Code §2600 2600.161(d): Residents did not follow prescribed mechanical soft diets and staff did not follow orders for diet consistency.
Regulation 65 Pa.Code §2600 2600.185(a): Blood glucose checks and medication administration records did not match for multiple residents.
Regulation 65 Pa.Code §2600 2600.231(c): Resident #3 did not have a medical evaluation documented within 60 days prior to admission to the secured dementia care unit.
Regulation 65 Pa.Code §2600 2600.231(g): Resident #3's medical evaluation did not include required documentation of dementia diagnosis and need for secured dementia care unit.
Regulation 65 Pa.Code §2600 2600.231(i): Residents who did not meet secured dementia care unit admission criteria were not registered in the home's biometric iris scanner system.
Report Facts
Number of Residents Served: 68
Number of Residents Served: 60
Number of Deficiencies: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jean LaFuria | Administrator | Named as Administrator and signatory on multiple plans of correction and inspection documents. |
| Ashley Roser | Named as inspector on multiple inspection dates. | |
| Vicky Summers | Named as inspector on multiple inspection dates. |
Notice — Aug 22, 2017
Date: Aug 22, 2017
Visit Reason
This document serves as a renewal notification and license issuance for Barnabas Court at Brevillier Village to operate as a Personal Care Home. It informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is an administrative notice confirming license renewal and outlining inspection requirements.
Report Facts
Inspection Report — Sep 14, 2016
Renewal
Date: Sep 14, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections on September 14, 15, and 16, 2016, for renewal and settlement purposes.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found, including issues with resident privacy documentation, direct care staff training, hot water temperature, medication administration, cognitive preadmission screening, and support plan completion for residents in the secured dementia care unit.
Citations (6)
55 Pa.Code §2600.17: Resident privacy coding document was posted in error and included residents' names without proper consent.
55 Pa.Code §2600.85(d): Direct care staff had not completed the required Department-approved ADL training and competency test.
55 Pa.Code §2600.89(b): Hot water temperature in accessible areas exceeded 120°F, measuring 127.4°F in Barnabas Court North.
55 Pa.Code §2600.187(d): Medication cream was not administered as prescribed due to a transcription error.
55 Pa.Code §2600.231(c): Residents admitted to the secured dementia care unit did not have completed written cognitive preadmission screenings within 72 hours of admission.
55 Pa.Code §2600.234(a): Support plans for residents without dementia diagnoses in the secured dementia care unit were not completed within required timeframes.
Report Facts
Number of Residents Served: 67
Number of Residents Served in Secured Dementia Care Unit: 47
Number of Current Hospice Residents: 0
Number of Hospice Residents in Past Year: 12
Number of Residents Age 60 or Older: 67
Number of Residents with Mental Illness: 8
Number of Residents with Mobility Need: 61
Number of Residents Receiving Supplemental Security Income: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jean LaFuria | Administrator / Vice President of Residential Services | Named in multiple plans of correction and signature on violation reports. |
| Donald Knee | Inspector conducting the violation report. | |
| Courtney Barry | Inspector conducting the violation report. | |
| Suzanne Quinn | Inspector conducting the violation report. |
Inspection Report — Aug 30, 2016
Renewal
Date: Aug 30, 2016
Visit Reason
This document is a renewal license issued to Barnabas Court at Brevillier Village to operate a Personal Care Home. The Department will conduct an onsite annual inspection within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of upcoming annual inspection requirements.
Report Facts
Inspection Report — Mar 24, 2016
Date: Mar 24, 2016
Visit Reason
The inspection was a licensing inspection conducted on March 24 and 25, 2016, triggered by a settlement reason as a partial, unannounced inspection.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found related to medical evaluations, preadmission screenings, dementia care unit requirements, and resident assessments. Plans of correction were partially implemented with adequate progress noted.
Citations (6)
55 Pa.Code 2600.141(a)(2) The medical evaluation for resident #1 lacked the attached medication addendum despite referencing it.
55 Pa.Code 2600.224(a) The preadmission screening for resident #2 was undated, so timely completion could not be verified.
55 Pa.Code 2600.231(b) Resident #2 and #5 medical evaluations did not document the need or diagnosis for secured dementia care unit placement.
55 Pa.Code 2600.231(c) Resident #2 was admitted to the secured dementia care unit without a completed written cognitive preadmission screening.
55 Pa.Code 2600.231(f) Resident #4 and #8 assessments indicated no need for secured dementia care unit, but documentation and diagnosis errors were found.
55 Pa.Code 2600.231(g) Residents #6 and #7 voluntarily resided in the secured dementia care unit but could not independently operate biometric systems or exit the home.
Report Facts
Number of Residents Served: 63
Number of Residents Served in Secured Dementia Care Unit: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jean LaFuria | Vice President Residential Services | Signed plan of correction and legal entity representative on multiple pages |
| Courtney Barry | Department representative on-site during inspection | |
| Vicki Pfaff | Department representative on-site during inspection |
Notice — September 13, 2021
Date: September 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
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