Inspection Reports for
Kendal at Longwood
1109 EAST BALTIMORE PIKE,, KENNETT SQUARE, PA, 19348
Back to Facility Profile21 Reports
Inspection Report — Jul 8, 2026
Follow-Up
Date: Jul 8, 2026
Visit Reason
The inspection was a follow-up visit to verify the full implementation of a previously submitted plan of correction for the facility.
Findings
The plan of correction was determined to be fully implemented and compliance was maintained. Three deficiencies were noted related to fire safety approval, bathroom ventilation, and hot water temperature, all of which had corrective actions accepted and implemented.
Citations (3)
14a Fire Safety Approval: The home did not have a valid certificate of occupancy at the time of inspection. The correct permit was placed on the bulletin board and in personal care records for future reference.
86b Bathroom: The bathroom in room 604 lacked an operable window or ventilation fan. The exhaust fan was inoperable due to a collapsed flex duct, which was replaced and verified operational.
89b Hot Water Temperature: The hot water temperature at the bathroom sink in room 615 measured 127.5°F, exceeding the 120°F limit. The temperature was immediately adjusted and an independent mixing valve was installed to maintain proper temperature.
Report Facts
Residents Served: 55
Hot Water Temperature: 127.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Monitored corrective actions related to bathroom ventilation and hot water temperature |
Inspection Report — Jun 1, 2026
Renewal
Date: Jun 1, 2026
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 06/01/2026 and 06/02/2026 to review compliance with licensing requirements.
Findings
The facility had multiple deficiencies related to medication management, hot water temperature, and medication storage and labeling. All deficiencies had plans of correction accepted and were implemented by 08/04/2026.
Citations (10)
89b Hot Water Temperature: Hot water temperature in resident-accessible bathrooms exceeded 120°F, measuring 136.9°F and 142°F in two rooms.
181f Record of Medication: Resident 1's record lacked a current list of medications, including an unavailable medication.
183b Meds and Syringes Locked: Resident 1's medications were unlocked and accessible in a shared room with a resident unable to self-administer medications.
183d Prescription Current: Medication Lisinopril 5mg was in the medication cart but not on the current medication administration record.
183e Storing Medications: Several medications belonging to Resident 2 were punctured on blister pack spots.
184a Resident's Meds Labeled: Resident 3's Tramadol medication label lacked prescribed dosage and administration instructions.
184b Labeling OTC/CAM: Milk of Magnesia belonging to Resident 3 was not labeled with the resident's name.
185a Implement Storage Procedures: Resident 4's prescribed Acetaminophen as needed was not available in the home.
187b Date/Time of Medication Admin.: Resident 3's medication administration record lacked staff initials for several medications administered on 5/29/2026.
187d Follow Prescriber's Orders: Multiple residents were administered medications at incorrect times, not following prescriber directions.
Report Facts
Residents Served: 56
Staff Count: 62
Waking Staff: 47
Inspection Report — Feb 26, 2026
Follow-Up
Date: Feb 26, 2026
Visit Reason
The visit was a partial follow-up inspection to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were cited related to combustible storage and monthly fire drills, with corrective actions and training planned or underway.
Citations (2)
125a Combustible Storage: Spectrum adhesive labeled extremely flammable was stored in the boiler room near heat sources, violating storage requirements.
132a Monthly Fire Drill: Fire drills were held with staff advance knowledge and communication between locations, failing the unannounced fire drill requirement.
Report Facts
Residents Served: 61
Total Daily Staff: 67
Waking Staff: 50
Mobility Need: 6
Inspection Report — Aug 7, 2025
Monitoring
Date: Aug 7, 2025
Visit Reason
The inspection was a partial, unannounced monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/07/2025.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 42
Waking Staff: 32
Resident Support Staff: 0
Residents Served: 41
Residents Age 60 or Older: 41
Residents with Mobility Need: 1
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Current Hospice Residents: 0
Inspection Report — Jun 4, 2025
Renewal
Date: Jun 4, 2025
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for the facility.
Findings
The inspection found deficiencies related to food protection, refrigerator/freezer temperature monitoring, and annual medical evaluations. All cited deficiencies had submitted plans of correction that were fully implemented by the time of the follow-up.
Citations (3)
Uncovered tray of corn on the cobs and uncovered bag of corn dogs stored in the walk-in freezer in the main kitchen.
No thermometer in the ice cream freezer in the main kitchen.
Resident #1’s most recent medical evaluation was missing the resident's cognitive functioning assessment.
Report Facts
Residents Served: 43
Total Daily Staff: 44
Waking Staff: 33
Residents Age 60 or Older: 43
Residents with Mobility Need: 1
Inspection Report — Aug 26, 2024
Monitoring
Date: Aug 26, 2024
Visit Reason
The visit was an unannounced partial inspection conducted as a monitoring review of the facility.
Findings
The inspection identified several deficiencies including unlocked resident records, a direct care staff member lacking required qualifications, uncovered trash receptacles, missing window coverings in a resident bedroom, and unlabeled/undated food items in the kitchen. All deficiencies had plans of correction accepted and were implemented by 10/28/2024.
Citations (5)
Narcotics count book and two empty blister packs with resident information were unlocked, unattended, and accessible on top of medication cart #2 in the hallway.
Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Full, uncovered, unattended trash can in the main kitchen.
Window in resident bedroom does not have shades, blinds, or shutters.
Bag of potato fries, several plates of salad, and cookies in the main kitchen refrigerator were unlabeled and undated.
Report Facts
Residents Served: 47
Total Daily Staff: 47
Waking Staff: 35
Inspection Report — Jun 5, 2024
Renewal
Date: Jun 5, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Kendal at Longwood.
Findings
The inspection found multiple deficiencies including medication errors, record confidentiality breaches, sanitary condition issues, food storage and temperature violations, emergency procedure deficiencies, and incomplete resident records. The facility submitted and implemented a plan of correction for all cited deficiencies.
Citations (22)
The home shared resident 1's glucometer with resident 2 and did not report this medication error to the Department.
Staff left medication carts unlocked, unattended, and accessible with resident records visible on computer screens.
The entrance of the building lacked a prominently posted non-smoking sign as required by the Clean Air Act.
No signs stating video cameras were recording in common areas above the ATM and by the front door.
Telephone numbers of the local law enforcement agency were not posted in a conspicuous and public place in the home.
Staff list did not include all direct care or ancillary workers; multiple staff persons were on the schedule but not on the staff list.
Staff training record for onsite fire safety only listed May 2023 as the completion date.
Staff training plan did not include dates, times, and locations of scheduled training for each staff person for the upcoming year.
An uncovered urinal container nearly full was observed on a bedside table in a resident's bedroom.
A bucket of water and a large plexiglass piece were found outside the lounge on the first floor.
Freezer temperatures in the lounge kitchen and main kitchen were above required levels (4°F and 10°F respectively).
An ice cream container in the main kitchen freezer was opened and unsealed.
A bottle of lemon juice was open, half full, warm to the touch, and not refrigerated as required.
The home’s written emergency procedures did not include contact information for each resident’s designated person.
The fire extinguisher in the kitchen had not been inspected by a fire safety expert since April 2023.
Resident 4's medical evaluation did not include medical information pertinent to diagnosis and treatment in case of an emergency.
Resident 3's medication administration record did not match the contents of the medication storage box; resident had stopped certain medications without informing staff.
Lidocaine patches were observed unlocked in resident 5's bathroom cabinet but were not part of the resident's medication list.
OTC medications administered to resident 2 from stock medications were not labeled with the resident's name.
Medication error involving sharing of glucometer was not immediately reported to resident, designated person, and prescriber.
No documentation of the medication error involving sharing of glucometer was found in the resident's record.
Resident records, including resident 1's, did not include a photograph of the resident that is no more than 2 years old.
Report Facts
Residents Served: 45
Current Hospice Residents: 1
Residents 60 Years or Older: 45
Residents Diagnosed with Mental Illness: 2
Total Daily Staff: 45
Waking Staff: 34
Inspection Report — Feb 7, 2024
Complaint Investigation
Date: Feb 7, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 02/07/2024.
Complaint Details
The inspection was complaint-driven and included a follow-up to verify the plan of correction submission and implementation.
Findings
The inspection found multiple deficiencies related to medication administration practices, privacy violations, sanitary conditions, medication security, disposal of discontinued medications, and incomplete resident support plans. The facility submitted a plan of correction which was determined to be fully implemented by the follow-up date.
Citations (6)
A resident was administered medication in the common area with other residents present, violating privacy rights.
Medications were retrieved from a resident's trash can and administered, indicating unsanitary conditions.
Medication administration procedures were not properly followed, including transporting medication to resident rooms without privacy.
Prescription medications and syringes were left unlocked and unattended at the nurse's station.
Discontinued medications were found disposed of improperly in the common area trash can, not following approved destruction methods.
Resident support plans did not document the need for increased observation during medication administration.
Report Facts
Residents Served: 48
Total Daily Staff: 48
Waking Staff: 36
Residents Diagnosed with Mental Illness: 2
Residents 60 Years or Older: 48
Inspection Report — Nov 21, 2022
Renewal
Date: Nov 21, 2022
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements at Kendal at Longwood.
Findings
The facility was found to have several deficiencies related to health and safety laws, including missing or non-functional carbon monoxide detectors, lack of thermometers in refrigeration units, presence of unlabeled canned goods, overdue fire extinguisher inspection, and fire drills conducted only on Fridays. The submitted plan of correction was fully implemented and compliance was maintained.
Citations (5)
No carbon monoxide detectors in the main kitchen and The Café; detector in The Cumberland Kitchen present but not plugged in.
No thermometer in the ice cream freezer in the main kitchen.
Unlabeled, undated canned goods (Cannellini Beans and Sweet Orange Marmalade) in dry goods storage.
Fire extinguisher in the kitchen not inspected by a fire safety expert since April 2021.
Fire drills conducted only on Fridays, not on different days and times as required.
Report Facts
Residents Served: 45
Current Hospice Residents: 1
Residents 60 Years or Older: 44
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 1
Notice — Oct 1, 2021
Date: Oct 1, 2021
Visit Reason
The document serves as a certificate of compliance and a license renewal notice for Kendal at Longwood Personal Care Home, confirming the facility's authorized capacity and informing about the upcoming annual inspection.
Findings
The certificate confirms that Kendal at Longwood is authorized to operate as a Personal Care Home with a maximum capacity of 62 residents. The Department 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 license letter. |
Inspection Report — Jul 19, 2021
Follow-Up
Date: Jul 19, 2021
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. Several deficiencies related to trash receptacles, refrigerator/freezer temperatures, medication storage procedures, and medication record documentation were identified and addressed with corrective actions and staff education.
Citations (4)
Uncovered, unattended trash cans near the dishwashing station and kitchen entrance violating trash receptacle coverage requirements.
Freezer temperatures above required levels (10°F and 6°F) and refrigerator temperature at 46°F, exceeding food safety standards.
Inaccurate documentation of glucometer readings in the Medication Administration Record for resident #1.
Medication administration record discrepancies, including failure to document controlled substance administration and incorrect medication documentation.
Report Facts
Residents Served: 46
Staffing Hours: 46
Waking Staff: 35
Trash Cans Uncovered: 4
Freezer Temperature: 10
Freezer Temperature: 6
Refrigerator Temperature: 46
Glucometer Reading vs Documented: 7
Glucometer Reading vs Documented: 5
Glucometer Reading vs Documented: 7
Glucometer Reading vs Documented: 2
Notice — Sep 1, 2020
Date: Sep 1, 2020
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Kendal at Longwood' following receipt of the renewal application. It also 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 issuance of a regular license and outlines the requirement for an annual inspection to ensure compliance with applicable regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — Jan 7, 2020
Renewal
Date: Jan 7, 2020
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at Kendal at Longwood, Cumberland House.
Findings
The submitted plan of correction was found to be fully implemented. Several violations were identified related to trash receptacles, first aid kits, leftover food labeling, and support plan completion, all of which had corrective actions implemented.
Citations (4)
85d - Trash Receptacles: An uncovered, unattended recycling bin was found in the kitchenette across from the dining room on 1/7/19 at 11:05 am.
96a - First Aid Kit: The first aid kit on Bus #7 lacked scissors, a thermometer, adhesive tape, tweezers, and eye coverings.
103e - Left Overs: Two cups of unknown substances in the freezer and a bag of opened dates in dry storage were not labeled or dated.
227a - Support Plan 30 Days: Resident #1 and Resident #2 did not have their initial support plans completed within 30 days of admission.
Report Facts
Residents Served: 59
Current Hospice Residents: 1
Notice — Jun 27, 2019
Date: Jun 27, 2019
Visit Reason
This document serves as a renewal notification and license issuance for Kendal at Longwood Personal Care Home following the June 17, 2019 renewal application.
Findings
The Department of Human Services confirms receipt of the renewal application and states that an onsite annual inspection will be conducted within the next twelve months. No inspection findings are reported in this document.
Inspection Report — Apr 11, 2019
Renewal
Date: Apr 11, 2019
Visit Reason
The inspection was an unannounced annual renewal inspection conducted by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The inspection identified multiple violations related to facility maintenance, emergency preparedness, and documentation, including uncovered trash receptacles, missing emergency telephone numbers, lack of current rabies vaccination certificates for pets, incomplete resident photo records, and improper use of fire drill exit routes. Plans of correction were partially implemented with adequate progress noted.
Citations (5)
Regulation 2600.85d: The trash can in the home's kitchen had a large round hole in its lid, failing to prevent penetration of insects and rodents.
Regulation 2600.91: Emergency telephone numbers for the nearest hospital and fire department were not posted on or by the telephone in the home's kitchen and resident room #303.
Regulation 2600.109b: A cat present at the home did not have a current certificate of rabies vaccination from a licensed veterinarian.
Regulation 2600.132f: The home used all exits during fire drills held from March 2018 to August 2018, not rotating alternate exit routes as required.
Regulation 2600.252.3: Resident #1's record did not include a photo taken within the last two years; the existing photo was dated 01/2011.
Report Facts
Residents Served: 50
Staffing Hours - Total Daily Staff: 51
Staffing Hours - Waking Staff: 38
Residents Diagnosed with Mental Illness: 34
Residents Aged 60 or Older: 50
Residents with Mobility Need: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerri M. Ricketts | Personal Care Administrator | Named in multiple findings and plans of correction as responsible for compliance and corrective actions |
Notice — Jun 19, 2018
Date: Jun 19, 2018
Visit Reason
This document serves as a renewal notice and license approval for the Personal Care Home facility Kendal at Longwood, confirming the facility's authorized capacity and renewal application status.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Inspection Report — Feb 21, 2018
Complaint Investigation
Date: Feb 21, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving a staff member posting a photograph of a resident on social media without consent.
Complaint Details
The complaint was substantiated. A staff member posted unauthorized photographs of a resident on social media, violating dignity and privacy rights. The employee was suspended and terminated after investigation. Education and monitoring were implemented.
Findings
The investigation found violations related to dignity and respect, privacy of self and possessions, and incomplete staff training on Resident Rights. The staff member involved was suspended and terminated following the investigation. Education and ongoing monitoring were implemented to prevent recurrence.
Citations (3)
55 Pa.Code §2600.42(c) - A resident was treated without dignity and respect when a staff member posted a photograph of the resident on Snapchat with an inappropriate caption.
55 Pa.Code §2600.42(s) - A resident's right to privacy was violated when a staff member posted a photograph of the resident on social media without knowledge or permission.
55 Pa.Code §2600.65(g) - Staff members A and B did not complete the required annual personal care Resident Rights training during the 2017 training year.
Report Facts
Number of Residents Served: 57
Total Daily Staff: 58
Waking Staff: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerri M. Ricketts | Personal Care Administrator | Named as legal entity representative and signer on violation reports |
| Sandra Wooters | Department Representative | Conducted on-site inspection |
Inspection Report — Aug 3, 2017
Renewal
Date: Aug 3, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Department of Human Services for the Personal Care Home facility Kendal at Longwood.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including deficiencies in policies for reportable incidents, staff orientation, resident rights training, fire safety training, food storage, emergency water supply, medical evaluations, and medication procedures. Plans of correction were submitted for each violation.
Citations (9)
55 Pa.Code §2600.16(b): The home's written policy on reportable incidents does not specify who is responsible for investigating incidents or how incidents will be recorded, stored, and tracked to determine trends.
55 Pa.Code §2600.65(a): Staff person A did not receive orientation on evacuation procedures, smoking safety, fire extinguishers, smoke detectors, and emergency services on their first day of work.
55 Pa.Code §2600.65(b): Direct care staff persons A and B received resident rights training based on Nursing Home rights instead of Personal Care Home rights.
55 Pa.Code §2600.65(f): Annual training for direct care staff C, D, and E in 2016 did not include training on mental illness despite serving residents with mental illness diagnoses.
55 Pa.Code §2600.65(g): Direct care persons C, D, and E did not receive resident rights training and persons E, F, G, and H did not complete fire safety training during 2016.
55 Pa.Code §2600.103(e): Open, unlabeled, and undated bags of veal patties and bread sticks were found in the walk-in freezer.
55 Pa.Code §2600.107(c): On 08/03/17, the home had 51 residents but only 48 gallons of emergency drinking water stored, less than the required one-day supply.
55 Pa.Code §2600.141(b)(1): Resident #1's most recent medical evaluation was completed 23 days late, outside the grace period for annual evaluations.
55 Pa.Code §2600.185(b): The home's procedures for safe use of medications do not include a process to investigate and account for missing medications.
Report Facts
Number of Residents Served: 51
Number of Residents 60 Years or Older: 51
Number of Residents with Mental Illness: 23
Number of Hospice Residents in Past Year: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerri M. Ricketts | Personal Care Administrator / Personal Care Manager / PCA | Named in multiple findings and plans of correction throughout the report. |
| Dean Gray | Inspector | Listed as department representative on-site during inspection. |
| Sandra Wooters | Inspector | Listed as department representative on-site during inspection. |
| Joe Deckman | Maintenance Supervisor | Named in fire safety training plan of correction on page 8. |
Notice — Jun 19, 2017
Date: Jun 19, 2017
Visit Reason
The document serves as a renewal approval for the Personal Care Home license for Kendal at Longwood. It notifies the facility that the Department will conduct an annual onsite inspection within the next twelve months as required by law.
Findings
No inspection findings are reported in this document. It is an administrative notice confirming license renewal and outlining future inspection requirements.
Report Facts
Inspection Report — Aug 8, 2016
Annual Inspection
Date: Aug 8, 2016
Visit Reason
The inspection was conducted as an annual licensing inspection of the Kendal at Longwood personal care facility.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the compliance letter for the annual licensing inspection. |
Notice — Jun 17, 2016
Date: Jun 17, 2016
Visit Reason
The document serves as a renewal notice and certificate of compliance for Kendal at Longwood Personal Care Home, confirming the renewal application and outlining the requirement for an annual onsite inspection 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
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