Inspection Reports for KeystoneCare Home Health and Hospice
8765 Stenton Ave, Wyndmoor, PA 19038, PA, 19038
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Inspection Report
Renewal
Census: 3
Capacity: 20
Deficiencies: 1
Jun 2, 2023
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and licensing status.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. A deficiency was noted regarding incomplete fire drill records, specifically missing exit routes used during drills on several dates, which was subsequently corrected.
Deficiencies (1)
| Description |
|---|
| The fire drill record for the drills conducted on 1/16/23, 2/15/23, 3/16/23, and 4/13/23 did not include the exit routes used. |
Report Facts
License Capacity: 20
Residents Served: 3
Total Daily Staff: 6
Waking Staff: 5
Current Residents: 3
Inspection Report
Complaint Investigation
Census: 4
Capacity: 20
Deficiencies: 0
Nov 1, 2022
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 11/01/2022 and an off-site review on 11/04/2022.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 20
Residents Served: 4
Resident Support Staff: 0
Total Daily Staff: 8
Waking Staff: 6
Inspection Report
Renewal
Census: 7
Capacity: 20
Deficiencies: 3
Apr 29, 2022
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Keystone Hospice.
Findings
The inspection found delays in Department access due to COVID testing requirements, surface issues including carpet damage and bleach stains, and an outdated emergency management agency submission. Plans of correction were submitted and accepted for all deficiencies.
Deficiencies (3)
| Description |
|---|
| Delay in Department access due to refusal to take rapid COVID test immediately. |
| Carpet in the home had tape covering frayed areas and bleach marks on the carpet upstairs. |
| The home's written emergency procedures had not been updated since 2/14/20 and the required letter to the local emergency management agency was not sent for 2021. |
Report Facts
License Capacity: 20
Residents Served: 7
Total Daily Staff: 14
Waking Staff: 11
Notice
Capacity: 20
Deficiencies: 0
Jun 9, 2021
Visit Reason
This document serves as a renewal notification and license issuance for Keystone Hospice to operate a Personal Care Home. It also informs the facility that an annual 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 is a license renewal notice and certificate of compliance confirming the facility's authorization to operate.
Report Facts
Maximum licensed capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 4
Capacity: 20
Deficiencies: 5
Apr 20, 2021
Visit Reason
The inspection was conducted as a renewal review of Keystone Hospice to assess compliance with licensing requirements.
Findings
The inspection identified several deficiencies including outdated food items in the kitchen, medication record inaccuracies, and failure to follow prescriber's orders for Resident #1. A waiver was requested for the lack of a current weekly activity calendar due to the pandemic.
Deficiencies (5)
| Description |
|---|
| Outdated or undated food items found in the main kitchen refrigerator. |
| Medication cart contained prescriptions that were not current or properly documented. |
| Medication records for Resident #1 lacked required information including diagnoses. |
| Failure to follow prescriber's orders for medication administration for Resident #1. |
| No current weekly activity calendar posted in a conspicuous place in the home. |
Report Facts
License Capacity: 20
Residents Served: 4
Total Daily Staff: 8
Waking Staff: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shawn Parker | Signed the letter confirming plan of correction implementation | |
| Executive Chef | Responsible for refrigerator inspection and monitoring food compliance | |
| RN, Director of Quality Assurance | Responsible for auditing medication carts twice weekly and monitoring compliance | |
| RN, Clinical Educator | Conducted training on medication administration and protocol |
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