Inspection Reports for Kirkland Village
1 Kirkland Village Cir, Bethlehem, PA 18017, United States, PA, 18017
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Census Over Time
Census
Capacity
Inspection Report
Census: 30
Capacity: 64
Deficiencies: 0
May 20, 2025
Visit Reason
The inspection was conducted as a licensing inspection due to an incident, with an unannounced partial inspection type.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 30
License Capacity: 64
Current Hospice Residents: 2
Residents Age 60 or Older: 30
Residents with Mobility Need: 1
Inspection Report
Renewal
Census: 30
Capacity: 64
Deficiencies: 2
Mar 27, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the Kirkland Village facility to assess compliance with licensing requirements.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were noted related to fire safety inspection and medication administration course completion, both of which had corrective actions accepted and implemented.
Deficiencies (2)
| Description |
|---|
| The most recent fire safety inspection and fire drill conducted by a fire safety expert was conducted on 12/20/24; the previous one was conducted on 7/20/23, indicating a lapse in annual inspection timing. |
| The annual practicum for staff person A only included one of the required two medication administration record reviews and one of the medication administration observations. |
Report Facts
License Capacity: 64
Residents Served: 30
Total Daily Staff: 30
Waking Staff: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Environmental Services | Named in fire safety inspection deficiency and plan of correction | |
| PC Administrator | Involved in re-education and auditing related to fire safety and medication administration deficiencies | |
| Medication Administration Trainer | Completed additional medication administration record review and observation for staff person A |
Inspection Report
Census: 29
Capacity: 64
Deficiencies: 0
Jan 8, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 0
Total Daily Staff: 29
Waking Staff: 22
Residents Served: 29
License Capacity: 64
Current Hospice Residents: 0
Residents Age 60 or Older: 29
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 0
Residents with Physical Disability: 0
Inspection Report
Census: 30
Capacity: 64
Deficiencies: 0
Jul 17, 2024
Visit Reason
The inspection was conducted as a licensing inspection with a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 30
License Capacity: 64
Current Residents in Hospice: 3
Total Daily Staff: 30
Waking Staff: 23
Inspection Report
Census: 24
Capacity: 64
Deficiencies: 0
Nov 16, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 24
License Capacity: 64
Current Residents in Hospice: 3
Inspection Report
Follow-Up
Census: 32
Capacity: 64
Deficiencies: 1
Jul 18, 2022
Visit Reason
The visit was a follow-up review conducted on 07/18/2022 to verify that the submitted plan of correction was fully implemented following a prior incident-related inspection.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The deficiency involved an incomplete preadmission screening form missing a determination about the resident's ability to safely use and avoid poisonous materials.
Deficiencies (1)
| Description |
|---|
| Resident #1's preadmission screening form did not include a determination under Section II that the resident can safely use and avoid poisonous materials; the yes or no boxes were left blank. |
Report Facts
License Capacity: 64
Residents Served: 32
Current Hospice Residents: 3
Resident Support Staff: 1
Total Daily Staff: 34
Waking Staff: 26
Residents 60 Years or Older: 32
Residents with Mobility Need: 1
Inspection Report
Follow-Up
Census: 32
Capacity: 64
Deficiencies: 4
May 19, 2022
Visit Reason
The visit was a partial, unannounced inspection conducted due to an incident, with follow-up on a previously submitted plan of correction.
Findings
The inspection identified medication management deficiencies including discontinued medications remaining in carts, incorrect medication labeling, transcription errors in medication records, and failure to follow prescriber's orders. The facility submitted and implemented a plan of correction addressing these issues.
Deficiencies (4)
| Description |
|---|
| Resident #1's discontinued medication was still present in the medication cart at the time of inspection. |
| Resident #2's medication label did not match the directions on the medication record. |
| Resident #1's medication order was transcribed incorrectly onto the medication record. |
| Resident #1 was administered medication outside the prescribed dates due to transcription error. |
Report Facts
License Capacity: 64
Residents Served: 32
Resident Support Staff: 33
Total Daily Staff: 33
Waking Staff: 25
Inspection Report
Renewal
Census: 33
Capacity: 64
Deficiencies: 4
Jan 25, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found deficiencies related to incomplete medical evaluation documentation, medication record discrepancies, and incomplete support plans for residents. Plans of correction were accepted and fully implemented.
Deficiencies (4)
| Description |
|---|
| The documentation of medical evaluation (DME) forms for resident #1 were missing height, weight, and pulse information. |
| Resident #2 had a medication order discrepancy where the pharmacy label did not match the physician's order regarding systolic blood pressure thresholds. |
| Resident #3's support plan was not updated to reflect 1:1 private duty aide care on all shifts. |
| Resident #3's support plan was not signed by the resident or the staff person who completed the plan. |
Report Facts
License Capacity: 64
Residents Served: 33
Current Residents in Hospice: 1
Total Daily Staff: 34
Waking Staff: 26
Notice
Capacity: 64
Deficiencies: 0
Jan 22, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Kirkland Village Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported; the document confirms issuance of a regular license following the renewal application and outlines the Department's obligation to conduct an annual inspection.
Report Facts
Maximum capacity: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
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