Inspection Reports for Dock Woods
275 Dock Dr, Lansdale, PA 19446, United States, PA, 19446
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Inspection Report
Renewal
Census: 68
Capacity: 80
Deficiencies: 11
Apr 22, 2025
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident review purposes on 04/22/2025 and 04/23/2025.
Findings
The inspection identified multiple deficiencies including treatment of residents, fire safety orientation, sanitary conditions, furniture and equipment hazards, access to bedrooms, lighting issues, outdated food, fire extinguisher inspection lapses, fire drill evacuation problems, smoking area safety, and medication self-administration documentation. Plans of correction were accepted and implemented with follow-up audits and education scheduled.
Complaint Details
The inspection included complaint and incident reasons as part of the renewal inspection; specific substantiation status is not stated.
Deficiencies (11)
| Description |
|---|
| Resident #1 reported feeling ashamed and scared due to staff behavior regarding a sexual relationship with another resident. |
| Staff members did not receive required fire safety orientation on their first day of work. |
| Ice bins in refrigerators/freezers were overflowing and had dirt and debris; underwear was found on a railing outside a bedroom. |
| An unlocked and unattended toolbox containing potentially hazardous items was found in the secured dementia care unit. |
| Resident bedrooms 8 and 12 in the secured dementia care unit were locked, denying residents access without staff assistance. |
| Resident #3 did not have access to an operable bedside lamp. |
| Unlabeled and undated food items were found in common area refrigerators and freezers. |
| The fire extinguisher in the Oakwood kitchen had not been inspected by a fire safety expert since February 2024. |
| During multiple fire drills, not all residents evacuated to designated meeting places away from the building or within fire-safe areas. |
| The designated smoking area contained a wicker loveseat not determined to be fire resistant. |
| Resident #4's support plan had conflicting documentation regarding the ability to self-administer medications. |
Report Facts
License Capacity: 80
Residents Served: 68
Secured Dementia Care Unit Capacity: 26
Residents Served in Secured Dementia Care Unit: 24
Total Daily Staff: 92
Waking Staff: 69
Residents Age 60 or Older: 68
Residents Diagnosed with Mental Illness: 40
Residents with Mobility Need: 24
Residents with Physical Disability: 1
Repeated Violation Date: May 29, 2024
Plan of Correction Completion Date: Jun 16, 2025
Plan of Correction Implementation Date: Jul 9, 2025
Inspection Report
Follow-Up
Census: 69
Capacity: 80
Deficiencies: 1
Dec 23, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to verify the submitted plan of correction was fully implemented.
Findings
The facility was found to have previously unlocked poisonous materials accessible to residents, which was a violation. A plan of correction was submitted and determined to be fully implemented as of the follow-up inspection date.
Complaint Details
The inspection was complaint-related and incident-related, as stated under Inspection Information. Substantiation status is not explicitly stated.
Deficiencies (1)
| Description |
|---|
| Poisonous materials were kept unlocked and accessible to residents, including toothpaste with a poison warning label, despite not all residents being assessed as capable of safely using or avoiding poisonous materials. |
Report Facts
License Capacity: 80
Residents Served: 69
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 22
Residents Diagnosed with Mental Illness: 38
Residents with Mobility Need: 23
Residents 60 Years or Older: 69
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 70
Capacity: 80
Deficiencies: 0
Nov 6, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial licensing inspection.
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
Residents Served: 70
License Capacity: 80
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 4
Inspection Report
Census: 72
Capacity: 80
Deficiencies: 0
Aug 14, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 72
License Capacity: 80
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 25
Current Hospice Residents: 3
Residents Diagnosed with Mental Illness: 43
Residents Aged 60 or Older: 72
Residents with Mobility Need: 27
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 64
Capacity: 80
Deficiencies: 0
Jun 5, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation during unannounced visits on 06/05/2023 and 06/07/2023.
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.
Report Facts
License Capacity: 80
Residents Served: 64
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 25
Current Hospice Residents: 3
Residents Diagnosed with Mental Illness: 27
Residents with Mobility Need: 29
Residents Age 60 or Older: 64
Inspection Report
Renewal
Census: 66
Capacity: 80
Deficiencies: 0
Jan 31, 2023
Visit Reason
The inspection was conducted as a renewal licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
License Capacity: 80
Residents Served: 66
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 18
Residents Diagnosed with Mental Illness: 33
Residents Aged 60 or Older: 66
Residents with Mobility Need: 22
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Current Hospice Residents: 0
Total Daily Staff: 88
Waking Staff: 66
Resident Support Staff: 0
Inspection Report
Follow-Up
Census: 69
Capacity: 80
Deficiencies: 5
Sep 15, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to medication administration errors, medication storage issues, and training record deficiencies. Continued compliance is required.
Deficiencies (5)
| Description |
|---|
| Staff person A did not follow proper medication administration procedures, resulting in medication errors between residents. |
| A total of 6 loose medication pills were observed in the medication cart drawers of the Homestead medication cart. |
| Resident 1 was administered multiple medications prescribed for and belonging to resident 2. |
| Resident 1 received multiple medications prescribed for resident 2 in error and did not receive their prescribed medications due to the medication error. |
| The home's medication administration training records for several staff persons did not include documentation of successful completion of training for 2021 or 2022. |
Report Facts
License Capacity: 80
Residents Served: 69
Medication Pills: 6
Total Daily Staff: 105
Waking Staff: 79
Current Hospice Residents: 2
Residents with Mobility Need: 36
Secured Dementia Care Unit Capacity: 26
Residents Served in Dementia Care Unit: 26
Residents 60 Years or Older: 69
Inspection Report
Follow-Up
Census: 68
Capacity: 80
Deficiencies: 2
Jan 5, 2022
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to incidents and medication administration issues.
Findings
The submitted plan of correction was determined to be fully implemented. The report details incidents involving resident #1's aggressive behavior towards other residents and medication administration errors that have been addressed through increased care and staff education.
Deficiencies (2)
| Description |
|---|
| Resident #1 was physically and verbally aggressive towards other residents, requiring 1:1 care to prevent harm. |
| Resident #1 was not administered prescribed medications as ordered on specific dates. |
Report Facts
License Capacity: 80
Residents Served: 68
Secured Dementia Care Unit Capacity: 26
Residents Served in Dementia Unit: 26
Residents with Mental Illness: 16
Residents 60 Years or Older: 64
Residents with Mobility Need: 26
Resident Support Staff Total Daily Staff: 94
Waking Staff: 71
Inspection Report
Renewal
Census: 65
Capacity: 80
Deficiencies: 12
Oct 7, 2021
Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 10/07/2021 and 10/08/2021 to review the facility's compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including failure to post current license and inspection summary, unsigned resident contracts, incomplete resident support plans, staff training and orientation deficiencies, missing emergency telephone numbers, improper refrigerator temperatures, and missing emergency procedures postings. All deficiencies had plans of correction accepted and were documented as implemented.
Deficiencies (12)
| Description |
|---|
| The home did not have the previous inspection report or the 2600 regulation book posted in a conspicuous and public place. |
| Resident #1's contract was not signed by the resident nor was there documentation of inability or refusal to sign. |
| Resident #1's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures. |
| Direct care staff person A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| Staff persons B and C did not receive orientation on smoking safety procedures or telephone use and notification of emergency services. |
| Direct care staff person A did not complete and pass the Department-approved direct care training course and competency test at time of inspection. |
| No emergency telephone numbers including nearest hospital and fire department were posted on or by the telephone in room 19. |
| Refrigerator temperatures on Shorehouse and Homestead units were above required limits (50°F and 46°F respectively). |
| The home's emergency procedures were not posted in a conspicuous and public place. |
| Resident #1 was not documented as educated on the right to refuse medication if a medication error is suspected. |
| Resident #2's support plan was incomplete and did not document dental care, dietary restrictions, psychological/medical diagnosis, or behavior and cognition. |
| Directions for operating the home's locking mechanism were not conspicuously posted near the Secure Dementia Care Unit door or playground patio exit. |
Report Facts
License Capacity: 80
Residents Served: 65
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 26
Hospice Residents: 3
Total Daily Staff: 97
Waking Staff: 73
Residents with Mobility Need: 32
Notice
Capacity: 80
Deficiencies: 0
Sep 1, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home 'Oakwood Court' following receipt of the renewal application dated July 22, 2021. It also advises that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license and outlines the requirement for a future annual inspection to ensure compliance.
Report Facts
Maximum licensed capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
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