Inspection Reports for
Dock Woods

275 Dock Dr, Lansdale, PA 19446, United States, PA, 19446

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31 Reports

2016–2025

Inspection Report — Sep 11, 2025

Annual Inspection
Date: Sep 11, 2025

Visit Reason
The inspection was conducted as an annual survey to assess the facility's compliance with health regulations.

Findings
No health deficiencies were found during the inspection.

Inspection Report — Apr 22, 2025

Renewal
Date: 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.

Complaint Details
The inspection included complaint and incident reasons as part of the renewal inspection; specific substantiation status is not stated.
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fire safety orientation, sanitary conditions, furniture and equipment hazards, access to bedrooms, lighting issues, outdated food, fire extinguisher inspection lapses, fire drill evacuation problems, smoking area safety, and medication self-administration documentation.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.

Citations (11)
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
Residents Served: 68 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

Notice — Apr 17, 2025

Date: Apr 17, 2025

Visit Reason
The document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted.

Findings
The waiver allows a specified employee to serve as direct care staff based on educational equivalency determined by World Education Services. The waiver is subject to conditions and annual review during inspections.

Inspection Report — Dec 23, 2024

Follow-Up
Date: 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.

Complaint Details
The inspection was complaint-related and incident-related, as stated under Inspection Information. Substantiation status is not explicitly stated.
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.

Citations (1)
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
Residents Served: 69 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 — Nov 6, 2024

Complaint Investigation
Date: Nov 6, 2024

Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial licensing inspection.

Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Residents Served: 70 Secured Dementia Care Unit Residents Served: 23 Hospice Current Residents: 4

Inspection Report — Aug 22, 2024

Annual Inspection
Date: Aug 22, 2024

Visit Reason
The inspection was conducted as a routine annual survey of the nursing home facility to assess compliance with health and safety regulations.

Findings
No health deficiencies were found during the inspection, indicating the facility met all required standards at the time of the survey.

Inspection Report — Aug 14, 2024

Date: 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 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

Notice — Feb 7, 2024

Date: Feb 7, 2024

Visit Reason
The document serves to notify the facility that a waiver request to waive the high school diploma requirement for a direct care staff person has been granted under 55 Pa.Code § 2600.19.

Findings
The waiver is granted with conditions including documentation of equivalent education and maintenance of records by the facility. The Department will review this waiver annually during inspections to ensure compliance.

Employees mentioned
NameTitleContext
Theresa HartmanBureau Director, Human Services LicensingSigned the waiver approval letter.

Notice — Dec 6, 2023

Date: Dec 6, 2023

Visit Reason
The document serves to notify the facility that a waiver request to waive the high school diploma requirement for a direct care staff person has been granted under 55 Pa.Code § 2600.19.

Findings
The waiver is granted with conditions including documentation of equivalent education and annual review during the facility's annual inspection to ensure compliance. Failure to comply may result in termination of the waiver or other licensing actions.

Employees mentioned
NameTitleContext
Theresa HartmanBureau Director, Human Services LicensingSigned the waiver approval letter.

Inspection Report — Sep 7, 2023

Annual Inspection
Date: Sep 7, 2023

Visit Reason
The inspection was conducted as an annual survey to assess compliance with health and safety regulations at the nursing home.

Findings
No health deficiencies were found during the inspection.

Inspection Report — Jun 5, 2023

Complaint Investigation
Date: 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.

Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Residents Served: 64 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 — Jan 31, 2023

Renewal
Date: 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
Residents Served: 66 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 — Sep 15, 2022

Follow-Up
Date: 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.

Citations (5)
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
Residents Served: 69 Medication Pills: 6 Total Daily Staff: 105 Waking Staff: 79 Current Hospice Residents: 2 Residents with Mobility Need: 36 Residents Served in Dementia Care Unit: 26 Residents 60 Years or Older: 69

Inspection Report — Jan 5, 2022

Follow-Up
Date: 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.

Citations (2)
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
Residents Served: 68 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 — Oct 7, 2021

Renewal
Date: 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.

Citations (12)
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
Residents Served: 65 Secured Dementia Care Unit Residents Served: 26 Hospice Residents: 3 Total Daily Staff: 97 Waking Staff: 73 Residents with Mobility Need: 32

Inspection Report — Nov 23, 2020

Follow-Up
Date: Nov 23, 2020

Visit Reason
The inspection was a follow-up to verify the implementation of a previously submitted plan of correction related to incidents and safeguarding of residents' belongings.

Findings
The facility experienced several thefts over a four-month period causing mental anguish to residents. The home submitted incident reports and implemented a plan of correction including mandatory staff training and updated safeguarding procedures to prevent unauthorized access to resident apartments and improve protection of residents' money and valuables.

Citations (2)
42b Abuse: The facility had multiple thefts over four months affecting residents' mental well-being. Residents reported missing jewelry and money, and staff failed to prevent unauthorized access to apartments when residents were not present.
42x Safeguard: The facility failed to provide an accessible system for safeguarding residents' money and belongings during COVID-19 restrictions. Residents could not access safe deposit boxes due to pandemic-related limitations.
Report Facts
Inspection dates: 7 Residents served: 67 Secured Dementia Care Unit residents served: 25 Hospice current residents: 2 Residents 60 years or older: 67 Residents diagnosed with mental illness: 5 Residents with mobility need: 29 Staff total daily: 96 Staff waking: 72

Inspection Report — Nov 6, 2020

Complaint Investigation
Date: Nov 6, 2020

Visit Reason
The inspection was conducted as a complaint and incident investigation at Oakwood Court.

Findings
No regulatory citations or deficiencies were identified during the inspection.

Report Facts
Residents Served: 62 Residents Age 60 or Older: 62 Residents with Mobility Need: 26

Notice — Sep 15, 2020

Date: Sep 15, 2020

Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Oakwood Court' following receipt of the renewal application dated July 21, 2020. It also advises that an annual onsite 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 Department's requirement to conduct an annual inspection.

Report Facts

Inspection Report — Dec 18, 2019

Renewal
Date: Dec 18, 2019

Visit Reason
The inspection was conducted as a renewal inspection to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.

Findings
The facility was found to have multiple violations including medication administration in the dining room, lack of emergency telephone numbers, overdue fire extinguisher inspection, failure to follow prescriber's orders, and missing conspicuous posting of key-locking device directions. The submitted plan of correction was fully implemented as of May 13, 2020.

Citations (5)
42s - Privacy: Medications were given to residents in the dining room due to convenience of all residents being present in one location, violating privacy rights.
91 - Telephone Numbers: There were no emergency telephone numbers posted for the nearest hospital and fire department on or by the telephone in room #3.
131f - Fire Extinguisher Inspection: The fire extinguisher in the kitchen had not been inspected by a fire safety expert since February 2018.
187d - Follow Prescriber's Orders: Resident #1 received medication doses over three days instead of two; Resident #2 received incorrect dosing frequency; Resident #3 did not receive prescribed medication.
233c - Key-Locking Devices: Directions for operating the home's locking mechanism were not conspicuously posted near the door to the Secure Dementia Care Unit courtyard exit.
Report Facts
Residents Served: 72 Memory Care Unit Residents Served: 26 Hospice Current Residents: 5 Residents with Mobility Need: 41 Residents Age 60 or Older: 72 Total Daily Staff: 113 Waking Staff: 85

Employees mentioned
NameTitleContext
Jennifer MillerAdministratorNamed in facility information section
Mia JohnsonHuman Services Licensing SupervisorSigned letter approving plan of correction implementation
Wendy WodyniecPCHASigned plan of correction documents

Inspection Report — Aug 6, 2019

Complaint Investigation
Date: Aug 6, 2019

Visit Reason
The inspection was conducted as a complaint investigation related to violations of 55 Pa. Code Ch. 2600 for Personal Care Homes at Oakwood Court.

Complaint Details
The inspection was triggered by an incident complaint. Specific substantiation status is not stated.
Findings
Multiple violations were found including medication record discrepancies, failure to follow prescriber's orders, improper use of chemical restraints, and deficiencies in support plan documentation and revisions. Plans of correction were submitted addressing these issues with partial implementation progress noted.

Citations (7)
2600.187a Medication Record: The pharmacy label for resident #1's Dicyclomine Cap 10 mg stated 1 cap as needed twice a day, while the MAR indicated 1 cap by mouth daily.
2600.187d Follow Prescriber's Orders: Resident #2 was prescribed Bisacodyl Tablets 5 mg every other day at 8:00 PM, but medication was missed on 08/04/2019 at 8:00 PM.
2600.202 Prohibitions: Resident #2 was prescribed Diazepam 5 mg for anxiety, which was administered to control agitation, constituting improper use of chemical restraint.
2600.227h Support Plan Refuse Sign: Resident #1 participated in developing their support plan but did not sign it, and no notation of refusal was documented.
2600.234a Admission Support Plan: Resident #1's initial support plan was completed on 03/13/2019, after admission on 03/07/2019, exceeding the 72-hour requirement.
2600.234b Support Plan Needs Elements: Resident #1's support plan did not address aggressive behaviors or how the home plans to meet these needs.
2600.234d Support Plan Revision: Resident #2's support plan was not updated to reflect behavioral problems and physical altercations since admission.
Report Facts
Residents Served: 69 Residents Served in Dementia Unit: 24 Residents with Mobility Need: 24 Residents Age 60 or Older: 69 Residents Diagnosed with Mental Illness: 1

Employees mentioned
NameTitleContext
Jennifer MillerDirector of Personal CareNamed in multiple findings and plans of correction as responsible for corrective actions

Notice — Jul 3, 2019

Date: Jul 3, 2019

Visit Reason
The document is a renewal application approval and notification letter for the Personal Care Home license of Oakwood Court. It informs the facility that an onsite inspection will be conducted 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 outlines the requirement for a future annual inspection.

Report Facts

Inspection Report — Apr 17, 2019

Complaint Investigation
Date: Apr 17, 2019

Visit Reason
The inspection was an incident investigation conducted by the Department’s Bureau of Human Services Licensing on April 17, 2019, triggered by a reported resident-to-resident abuse at Oakwood Court.

Complaint Details
The visit was complaint-related due to an incident of resident-to-resident abuse witnessed on 4/6/2019. The abuse was not reported to the Area Agency on Aging as required.
Findings
Multiple violations of 55 Pa. Code Ch. 2600 were found, including failure to report resident abuse, incomplete medical evaluations, missing support plan copies, incomplete pre-admission screenings, and failure to use standardized forms. Plans of correction were partially implemented as of May 31, 2019.

Citations (5)
Resident abuse was witnessed on 4/6/2019 but was not reported to the Area Agency on Aging as required by regulation 15a.
Resident #1’s medical evaluation did not include health status or cognitive functioning as required by regulation 141a.
Resident #2 or their designated person was not provided a copy of the resident’s support plan as required by regulation 227j.
Resident #2’s written cognitive pre-admission screening was not completed prior to admission to the Secure Dementia Care Unit as required by regulation 231c.
Resident #2’s pre-admission screening, dated 10/29/2018, was not completed on the Department’s current standardized form as required by regulation 251c.
Report Facts
Residents Served: 69 Secure Dementia Care Unit Residents Served: 24 Current Hospice Residents: 2 Residents Age 60 or Older: 69 Residents with Mobility Need: 36

Employees mentioned
NameTitleContext
Jennifer MillerDirector of Personal CareNamed in multiple plans of correction related to violations.

Inspection Report — Jan 31, 2019

Renewal
Date: Jan 31, 2019

Visit Reason
The inspection was conducted as a renewal inspection of the Oakwood Court Personal Care Home to assess compliance with 55 Pa. Code Chapter 2600.

Findings
Multiple violations of 55 Pa. Code Chapter 2600 were identified, including failures in staff orientation, emergency procedures submission, fire safety inspections, transportation staff training, resident support plan signatures, preadmission screening, and conspicuous posting of locking device codes. Plans of correction were submitted and partially implemented as of April 2019.

Citations (8)
Regulation 55 Pa.Code §2600.65(a): Substitute staff did not receive orientation on fire safety, evacuation procedures, and use of fire extinguishers before their first day of work.
Regulation 55 Pa.Code §2600.65(b): Substitute staff did not receive orientation on resident rights, emergency medical plans, and mandatory abuse reporting within 40 scheduled working hours.
Regulation 55 Pa.Code §2600.107(d): The facility's written emergency procedures had never been submitted to the local municipal emergency management agency.
Regulation 55 Pa.Code §2600.132(b): The last fire safety inspection and drill by a fire safety expert was conducted on 12/01/2017, not annually as required.
Regulation 55 Pa.Code §2600.171(b)(4): Transportation staff had not completed required direct care staff person training and orientation before transporting residents.
Regulation 55 Pa.Code §2600.227(g): Residents who participate in developing their support plans did not sign the plans as required.
Regulation 55 Pa.Code §2600.231(c): Resident admitted to secured dementia unit did not have a preadmission screening completed in collaboration with a physician or geriatric assessment team.
Regulation 55 Pa.Code §2600.233(c): Directions for operating the home's locking mechanism were not conspicuously posted near the door to the secured dementia care unit.
Report Facts
Number of Residents Served: 46 Number of Residents Served in Secured Dementia Care Unit: 20 Number of Residents Age 60 or Older: 66 Number of Residents with Mobility Need: 20

Employees mentioned
NameTitleContext
Jennifer MillerPCHANamed as Legal Entity Representative who signed plans of correction.
David CarrionInspector conducting the violation report.

Notice — Jun 20, 2018

Date: Jun 20, 2018

Visit Reason
The document serves as a renewal notification and license issuance for Oakwood Court Personal Care Home following receipt of a renewal application.

Findings
No inspection findings are reported. The letter states that an onsite inspection will be conducted within the next twelve months as required by regulation.

Report Facts

Notice — Jul 7, 2017

Date: Jul 7, 2017

Visit Reason
The document serves as a license renewal approval for Oakwood Court Personal Care Home and notifies that an annual onsite inspection will be conducted within the next twelve months as required by state code.

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 — Jun 5, 2017

Renewal
Date: Jun 5, 2017

Visit Reason
The inspection was an annual licensing renewal inspection conducted by the Pennsylvania Department of Human Services for Oakwood Court Personal Care Home.

Findings
The inspection identified multiple violations related to staff training, trash receptacle lids, fire drill evacuation times, annual medical evaluations, medication storage and administration, and medication record keeping. Plans of correction were submitted and partially implemented with adequate progress noted.

Citations (7)
Regulation 55 Pa.Code §2600.65(f): The annual training for direct care staff did not include Safe management techniques in 2016.
Regulation 55 Pa.Code §2600.86(d): There was no lid on the green trash can located in the kitchen.
Regulation 55 Pa.Code §2600.132(d): The home's designated evacuation time from the fire safety expert was 5 minutes, but actual fire drill times were 8 minutes for Personal Care and 5 minutes 44 seconds for SDCU.
Regulation 55 Pa.Code §2600.141(b)(1): Resident #1 did not have a medical evaluation completed annually; last evaluation was on 02/10/17 and previous on 11/11/15.
Regulation 55 Pa.Code §2600.185(a): The home did not have Resident #2's medication, Bio-Freeze (PRN), available.
Regulation 55 Pa.Code §2600.187(a): Resident #3's medication administration record did not include staff initials for the 8:00 pm administration of Senna Tabs on 06/01/17.
Regulation 55 Pa.Code §2600.187(d): The home did not follow the prescriber's directions for Resident #2's Bio-Freeze medication, which was prescribed to be applied to the knees daily.
Report Facts
Number of Residents Served: 65 Staffing Hours: 65 Walking Staff: 49 Number of Deficiencies: 7

Employees mentioned
NameTitleContext
Kathy MoskowitzAdministratorNamed as the legal entity representative signing the plan of correction pages.
Tina WeaverDepartment representative conducting the inspection.

Inspection Report — Feb 21, 2017

Original Licensing
Date: Feb 21, 2017

Visit Reason
The inspection was an off-site licensing inspection conducted by the Pennsylvania Department of Human Services to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.

Findings
The inspection found multiple violations related to resident dignity, medication self-administration, support plan revisions, and documentation legibility. Plans of correction were submitted and partially implemented with adequate progress noted.

Citations (4)
55 Pa.Code §2600.42(c) - A resident was repeatedly called names by staff, violating dignity and respect requirements.
55 Pa.Code §2600.181(c) - Resident lacked documentation of physician or certified nurse practitioner assessment for self-administration of medications.
55 Pa.Code §2600.227(c) - The support plan was not revised within 30 days after assessment to reflect changes in resident needs.
55 Pa.Code §2600.261(b) - A doctor's order dated 2/28/17 was not legible in the resident's record.
Report Facts
Number of Residents Served: 64 Total Daily Staff: 64 Waking Staff: 48 Number of Residents Served in Secured Dementia Care Unit: 24 Number of Current Hospice Residents: 1 Number of Hospice Residents in past year: 6 Number of Residents 60 Years or Older: 64

Employees mentioned
NameTitleContext
Kathy MoskowitzAdministratorNamed as facility administrator on page 2.
Patricia AdamsHuman Services Licensing SupervisorSigned cover letter on page 1.

Inspection Report — Nov 30, 2016

Complaint Investigation
Date: Nov 30, 2016

Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident.

Complaint Details
The visit was complaint-related due to an incident involving medication errors. No substantiation status is explicitly stated.
Findings
Two violations related to medication administration were found. One involved failure to correctly identify a resident before medication administration, and the other involved administering medication prescribed for one resident to another.

Citations (2)
Regulation 55 Pa.Code §2600.182(c): Staff member A did not correctly identify resident #1 before administering medication on 11/10/16 at 4:30 pm.
Regulation 55 Pa.Code §2600.186(b): Resident #1 was administered Alprazolam 0.25mg prescribed for and belonging to Resident #2 on 11/10/16.
Report Facts
Medication dosage: 0.25

Employees mentioned
NameTitleContext
Kathy MoskowitzAdministrator, RN, MBA, PCHSigned plan of correction and legal entity representative
Tahesia ThomasInspector conducting the off-site inspection on 11/30/2016

Inspection Report — Jun 21, 2016

Renewal
Date: Jun 21, 2016

Visit Reason
The inspection was an annual licensing inspection conducted by the Department of Human Services on June 21, 2016, for renewal and provisional purposes at Oakwood Court.

Findings
Violations related to 55 Pa.Code Chapter 2600 were found, including deficiencies in staff training on falls and accident prevention and improper storage of poisonous materials in the secured dementia care unit. Plans of correction were submitted and partially implemented as of August 2016.

Citations (2)
55 Pa.Code §2600.65(g) training on falls and accident prevention was missed during the September 2014-August 2015 training year. Staff members A and B completed training in September 2015, and staff member C was assigned to complete it by July 31, 2016.
55 Pa.Code §2600.82(c) poisonous materials were unlocked and accessible to residents in the secured dementia care unit laundry room. Residents had not been assessed as capable of recognizing and using poisons safely.
Report Facts
Number of Residents Served: 70 Number of Residents Served in Secured Dementia Care Unit: 23 Total Daily Staff: 95 Waking Staff: 71

Employees mentioned
NameTitleContext
Erin N. TothDirector of Personal Care ServicesNamed in plan of correction for training and storage violations

Notice — May 17, 2016

Date: May 17, 2016

Visit Reason
The document serves as a license renewal approval for Oakwood Court Personal Care Home and notifies 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 confirms issuance of a regular license following the renewal application.

Report Facts

Notice — September 1, 2021

Date: September 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

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter.

3 CMS Surveys

CMS Survey — Sep 7, 2023

Sep 7, 2023

CMS Survey — Aug 22, 2024

Aug 22, 2024

CMS Survey — Sep 11, 2025

Sep 11, 2025

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