Deficiencies (last 4 years)
Deficiencies (over 4 years)
7.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
39% occupied
Based on a August 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 26
Capacity: 66
Deficiencies: 7
Aug 7, 2024
Visit Reason
The inspection was conducted as a full, unannounced review for renewal, complaint, and incident purposes at Normandie Ridge.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, lack of payment responsibility specification in contracts, incidents of resident abuse, incomplete criminal background checks, failure to follow prescriber's medication orders, missing signage for key-locking devices, and incomplete resident death records. Plans of correction were accepted and fully implemented by the facility.
Deficiencies (7)
| Description |
|---|
| Resident-home contract was not signed by the resident nor by the administrator or designee. |
| Resident-home contracts did not specify the party responsible for payment. |
| Resident #5 physically abused Resident #6 and Resident #7 on multiple occasions. |
| Criminal background check for Staff Member A was incomplete with no follow-up for final disposition. |
| Resident #3 was administered medication despite blood sugar levels below prescribed threshold. |
| Directions for operating key-locking devices were not conspicuously posted near Secure Dementia Care Unit exits and exterior gate. |
| Resident #4's record did not include a copy of the official death certificate. |
Report Facts
License Capacity: 66
Residents Served: 26
SDCU Capacity: 18
Residents Served in SDCU: 17
Hospice Residents: 1
Residents Age 60 or Older: 26
Residents with Intellectual Disability: 1
Residents with Mobility Need: 18
Total Daily Staff: 44
Waking Staff: 33
Inspection Report
Follow-Up
Census: 27
Capacity: 66
Deficiencies: 1
Sep 28, 2023
Visit Reason
The visit was a partial, unannounced inspection conducted due to an incident at the facility.
Findings
The inspection found a violation related to abuse where a staff member verbally abused residents and refused care. The staff member was placed on administrative leave and subsequently terminated. A plan of correction including staff training and monitoring was implemented.
Deficiencies (1)
| Description |
|---|
| Staff Member A verbally abused Resident 1 and refused to provide care, and was observed arguing with Resident 2 and telling them to be quiet. |
Report Facts
License Capacity: 66
Residents Served: 27
Residents Served: 9
Capacity: 18
Residents Served: 18
Total Daily Staff: 29
Waking Staff: 22
Inspection Report
Renewal
Census: 26
Capacity: 66
Deficiencies: 9
Mar 8, 2023
Visit Reason
The inspection was conducted as a full, unannounced renewal inspection with an incident review on 03/08/2023 and 03/09/2023.
Findings
The inspection identified multiple deficiencies including medication errors, treatment of residents, facility maintenance issues such as water leaks and soap dispenser labeling, emergency procedure submission delays, exit door accessibility issues, fire drill record deficiencies, and medication storage violations. Plans of correction were accepted and implemented with follow-up audits and staff education scheduled.
Deficiencies (9)
| Description |
|---|
| Medication errors occurred resulting in residents not receiving prescribed medications and delayed reporting of these errors to the Department and prescribers. |
| A staff member verbally belittled a resident, affecting the resident's demeanor. |
| Ceiling tile between resident rooms was wet due to an active water leak. |
| An unlabeled, used bar of soap was observed next to a bathroom sink shared by two residents. |
| Written emergency procedures were not submitted annually to the local emergency management agency as required. |
| Exit doors in the Secured Dementia Care Unit require a key fob or key to open, restricting resident access. |
| Fire drill records for multiple dates did not include required details such as exit routes used and number of residents evacuated. |
| Residents in the Secured Dementia Care Unit participated in separate fire drills from other residents, contrary to requirements. |
| A container of cough drops was unlocked and accessible in a resident's bedroom; the resident was not assessed to self-administer medications. |
Report Facts
License Capacity: 66
Residents Served: 26
Memory Care Capacity: 18
Memory Care Residents Served: 17
Current Hospice Residents: 1
Total Daily Staff: 48
Waking Staff: 36
Inspection Report
Follow-Up
Census: 23
Capacity: 66
Deficiencies: 4
Nov 8, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident involving alleged resident abuse and to review the submitted plan of correction.
Findings
The facility was found to have delayed reporting suspected verbal abuse of a resident by a staff member, delayed notification of suspension of the staff member to the Department, and delayed notification to the resident's designated person. The alleged staff member was suspended and later terminated following investigation. The facility implemented staff education and new reporting tools to prevent future delays.
Complaint Details
The visit was triggered by an incident involving allegations of verbal abuse of Resident 1 by Staff Member A. The complaint was substantiated as the facility confirmed abuse occurred and took corrective actions including suspension and termination of the staff member.
Deficiencies (4)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident as required by regulations. |
| Failure to immediately submit a plan of supervision or notice of suspension of the affected staff person to the Department. |
| Failure to immediately notify the resident and the resident's designated person of a report of suspected abuse or neglect. |
| Resident was verbally abused by a staff member over a period of months, causing emotional distress. |
Report Facts
License Capacity: 66
Residents Served: 23
Memory Care Capacity: 18
Memory Care Residents Served: 17
Residents with Mobility Need: 21
Residents 60 Years or Older: 23
Inspection Report
Renewal
Census: 22
Capacity: 66
Deficiencies: 9
Mar 8, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies including missing signatures on resident contracts, improper storage and locking of poisonous materials, exposed electrical outlet hazards, presence of discontinued medications, inaccurate medication storage procedures, incomplete medication administration reviews for staff, incomplete preadmission screening forms, and unsecured resident records. All deficiencies had plans of correction implemented.
Deficiencies (9)
| Description |
|---|
| Resident-home contract was not signed by the designated person/payor. |
| Poisonous materials (flammable air fresheners) were stored in the kitchenette in the secured dementia care unit. |
| Poisonous materials were unlocked, unattended, and accessible to residents in the secured dementia care unit. |
| Exposed electrical outlet due to missing socket cover in the kitchenette/community room of the personal care section. |
| Discontinued medication belonging to a former resident was found in the medication cart. |
| Medication storage device for a resident was not accurately calibrated to the correct date and time. |
| Two staff persons had not completed required medication administration reviews within one year but continued to distribute medications. |
| Preadmission screening form for a resident was incomplete with missing diagnoses, sensory needs assessment, and status regarding poisonous materials. |
| Administrator's office was unlocked and unattended with at least 15 boxes of resident files accessible. |
Report Facts
License Capacity: 66
Residents Served: 22
Secured Dementia Care Unit Capacity: 18
Residents Served in SDCU: 16
Total Daily Staff: 44
Waking Staff: 33
Number of Resident Files Accessible: 15
Notice
Capacity: 66
Deficiencies: 0
Aug 23, 2021
Visit Reason
The document serves as a renewal license issuance for Normandie Ridge Personal Care Home following receipt of the renewal application dated August 6, 2021, and 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 the issuance of a regular license and outlines the requirement for an annual inspection to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 66
Secure Dementia Care Unit capacity: 18
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