Inspection Reports for
Kirkland Village

No regulatory citations or deficiencies were identified as a result of this inspection.

The facility had several deficiencies related to sanitation and medication storage, including uncovered trash receptacles, uncovered food containers, and improperly stored medications. All deficiencies were addressed with corrective actions and plans of correction were fully implemented by the follow-up date.

No health deficiencies were found during the survey.

No regulatory citations or deficiencies were identified during the inspection.

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.

The waiver outlines training requirements for direct care staff administering GLP-1 agonist injections, including completion of a Department-approved medication administration course, in-person training by licensed health professionals, and annual training hours related to GLP-1 medications and diabetes management. The facility must have policies for administration, documentation, monitoring, and a clinical contact available at all times.

No regulatory citations or deficiencies were identified as a result of this inspection.

The visit was complaint-related, triggered by allegations of failure to notify responsible parties of significant weight loss, failure to implement physician's orders, inadequate nutritional monitoring, and failure to follow infection control protocols. Substantiation status is not explicitly stated.

The facility was found to have multiple deficiencies including failure to notify a resident's responsible party of significant weight loss, failure to implement physician's orders for daily weights, inadequate monitoring and assessment of significant weight changes, and failure to implement required COVID-19 droplet precautions and PPE use for infected residents.

No regulatory citations or deficiencies were identified as a result of this inspection.

No regulatory citations or deficiencies were identified as a result of this inspection.

The visit was complaint-related, investigating issues including untimely MDS assessments, inadequate wound care, lack of fall prevention measures, and incomplete clinical documentation. The deficiencies were substantiated based on clinical record reviews, interviews, and observations.

The facility was found to have multiple deficiencies including failure to complete timely quarterly assessments for one resident, failure to assess and treat wounds for another resident, failure to implement fall prevention interventions for a resident at risk, and failure to maintain accurate and complete clinical records for two residents. All deficiencies were cited with minimal harm or potential for actual harm affecting few residents.

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.

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.

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.

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.

The inspection found deficiencies related to food storage and labeling, menu posting, and medication storage and documentation. The facility submitted and fully implemented a plan of correction addressing these issues.

No regulatory citations were identified as a result of the inspections conducted on multiple dates between April 15, 2020 and June 25, 2020.

The facility was found to have a verified incident where a contracted caregiver stole $2000 from a resident by forging a check. The submitted plan of correction was determined to be fully implemented.

The submitted plan of correction was found to be fully implemented. Two deficiencies were cited related to prescription medication administration training and medication record discrepancies.

No inspection findings are reported in this document. It serves as a license renewal confirmation and reminder of upcoming inspection requirements.

The waiver request was reviewed and denied as not needed because the staff person has the academic equivalent of a high school diploma. The facility is advised to keep the documentation on file.

Multiple violations were found related to posting of licensing inspection summaries, staff training in medication self-administration, completion of annual medical evaluations, transportation staff training, first aid kit contents, medication storage and administration, and medication record keeping. Plans of correction were submitted and partially implemented as of January 2019.

The inspection identified multiple violations related to fire safety documentation, medication labeling, and evacuation procedures. Plans of correction were submitted addressing fire drill logs, fire evacuation documentation, medication storage and labeling, and resident medication administration accuracy.

No inspection findings are reported in this document. It is a license renewal notice and certificate of compliance.

The inspection was triggered by a complaint. The report does not specify substantiation status.

Violations were found related to contract fee schedules and discharge/transfer conditions for residents. The facility failed to provide proper contracts and notices for residents admitted for respite stays.

The visit was complaint-related due to an incident where Resident #1 missed three methadone doses. The complaint was substantiated as the violation was confirmed during inspection.

The facility failed to follow proper procedures for safe medication storage and administration, specifically missing doses of methadone due to staff not performing a required two-person count. Corrective actions were implemented including staff re-education and new documentation forms.

Multiple violations were found related to resident safety, medical evaluations, medication administration, and documentation. The facility submitted plans of correction with partial implementation progress noted as of January 4, 2018.

The Department advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2600. No inspection findings are reported in this document.

The inspection identified multiple violations related to staff orientation, training on resident rights, medication administration, and medication storage. Plans of correction were submitted addressing these issues with partial implementation progress noted.

No inspection findings are reported in this document. It serves as a license renewal certificate and notification letter confirming the facility's renewal and the Department's intent to conduct an annual inspection within the next year.