Inspection Reports for Juniper Village at Brookline – Wellspring Memory Care
610 WEST WHITEHALL ROAD,, STATE COLLEGE, PA, 16801
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
9% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
82% occupied
Based on a July 2024 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 31
Capacity: 38
Deficiencies: 0
Jul 10, 2024
Visit Reason
The inspection was conducted as a complaint investigation with partial and unannounced visits on 07/10/2024, 07/15/2024, and 07/24/2024 to the facility Juniper Village at Brookline - Wellspring Memory Care.
Findings
No regulatory citations or deficiencies were identified as a result of the inspection.
Complaint Details
The inspection was complaint-related as indicated by the reason 'Complaint' in the inspection information. No deficiencies or citations were found, implying the complaint was not substantiated.
Report Facts
Total Daily Staff: 62
Waking Staff: 47
License Capacity: 38
Residents Served: 31
Current Residents in Hospice: 4
Residents Age 60 or Older: 31
Residents with Mobility Need: 31
Inspection Report
Renewal
Census: 31
Capacity: 38
Deficiencies: 9
Jun 4, 2024
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 06/04/2024 to review compliance and licensing status of Juniper Village at Brookline - Wellspring Memory Care.
Findings
The inspection identified multiple deficiencies including lack of carbon monoxide detectors near fossil fuel devices, improper refund for a deceased resident, unverified educational qualifications of direct care staff, unlocked poisonous materials accessible to residents, lack of operable bedside lighting, improperly labeled leftover food, medication record discrepancies, failure to follow prescriber's orders, and incomplete resident support plans. All deficiencies had plans of correction accepted and were implemented by 08/26/2024.
Deficiencies (9)
| Description |
|---|
| Facility lacked carbon monoxide detectors near four natural gas furnaces as required by law. |
| Resident #1 was charged incorrectly after death; refund was insufficient. |
| Direct care staff member's foreign college diploma lacked documentation of equivalency to US high school diploma and no waiver was in place. |
| Unlocked cupboard containing poisonous materials accessible to residents. |
| Resident in room 101 did not have an operable lamp or other source of lighting at bedside. |
| Four bags of uncooked pork chops in kitchen refrigerator were not labeled with date opened or expiration. |
| Medication administration record for resident #3 showed a glucose reading not found on resident's glucometer. |
| Resident #3's blood glucose readings were not properly documented as per prescriber's orders. |
| Resident #2's support plan did not reflect specific needs and risks associated with bedside mobility device; Resident #4's plan did not include physician's order for thickened liquids. |
Report Facts
License Capacity: 38
Residents Served: 31
Refund Amount Charged: 1430
Refund Amount Issued: 369.03
Staffing: 62
Waking Staff: 47
Current Hospice Residents: 4
Glucose Reading: 97
Plan of Correction Completion Date: 2024
Inspection Report
Complaint Investigation
Census: 36
Capacity: 38
Deficiencies: 0
Jan 4, 2024
Visit Reason
The inspection was conducted as a complaint investigation at Juniper Village at Brookline - Wellspring Memory Care.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related; however, no deficiencies were found and no substantiation status was stated.
Report Facts
Total Daily Staff: 72
Waking Staff: 54
Resident Support Staff: 0
License Capacity: 38
Residents Served: 36
Residents 60 Years or Older: 36
Residents with Mobility Need: 36
Inspection Report
Renewal
Census: 34
Capacity: 38
Deficiencies: 4
May 23, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Juniper Village at Brookline - Wellspring Memory Care.
Findings
The inspection found deficiencies related to annual training topics for direct care staff, medication administration certification documentation, and labeling of over-the-counter medications. The submitted plan of correction was fully implemented and compliance was maintained.
Deficiencies (4)
| Description |
|---|
| Direct care staff persons A, B, and C did not receive training in medication self-administration during training year 2022. |
| Direct care staff persons A, B, and C did not receive training in resident rights during training year 2022. |
| Staff B completed medication observation #1 and #2 and #3 and #4 for the initial MedTech training; however, the trainer did not date the certification and indicate pass or fail. |
| On 5/25/23, bottles of over the counter medication were discovered in the med cart and were not labeled with a resident's name; medications belonged to resident #1. |
Report Facts
License Capacity: 38
Residents Served: 34
Current Residents in Hospice: 1
Total Daily Staff: 68
Waking Staff: 51
Inspection Report
Complaint Investigation
Census: 33
Capacity: 38
Deficiencies: 2
Feb 2, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation regarding an unwitnessed and unreported fall of Resident #1.
Findings
The facility was found to have initially refused access to certain internal investigation records but later provided required resident records. Resident #1 experienced an unwitnessed fall that was not reported timely by staff, and medical care was delayed until a mobile x-ray was performed, resulting in a diagnosis of a left hip fracture. The facility disputed some citations but implemented corrective actions including education and monitoring.
Complaint Details
The visit was complaint-related, investigating an incident involving Resident #1's unwitnessed fall and delayed medical care. The complaint was substantiated with findings of delayed reporting and medical intervention.
Deficiencies (2)
| Description |
|---|
| Refusal to provide access to internal investigation records regarding Resident #1's fall. |
| Failure to seek timely medical care for Resident #1 after an unwitnessed fall. |
Report Facts
License Capacity: 38
Residents Served: 33
Total Daily Staff: 66
Waking Staff: 50
Inspection Report
Routine
Deficiencies: 0
Mar 22, 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
Routine
Deficiencies: 0
Dec 22, 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: 38
Deficiencies: 0
Apr 30, 2021
Visit Reason
The document serves as a license renewal notification and certificate of compliance for Juniper Village at Brookline - Wellspring Memory Care, a Personal Care Home. It informs the facility that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
The Department has issued a regular license in response to the renewal application. The document states that if noncompliance is found during the upcoming inspection, enforcement action will be taken.
Report Facts
Maximum capacity: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 29
Capacity: 38
Deficiencies: 2
Apr 27, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Juniper Village at Brookline - Wellspring Memory Care.
Findings
The facility was found to have fully implemented the submitted plan of correction. Two specific deficiencies were noted and corrected: one related to missing physician license number on a resident's medical evaluation and another related to the format and posting of weekly menus.
Deficiencies (2)
| Description |
|---|
| Resident #1's medical evaluation did not include the professional license number of the physician who completed the physical exam. |
| The home's weekly menu did not include the month and date, only a week cycle number, and the upcoming week's menu was not posted in a public and conspicuous area. |
Report Facts
License Capacity: 38
Residents Served: 29
Total Daily Staff: 58
Waking Staff: 44
Current Hospice Residents: 2
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