Inspection Reports for
Oakbridge Terrace at Granite Farms Estates
1343 W. BALTIMORE PIKE, MEDIA, PA, 19063
Back to Facility Profile21 Reports
Inspection Report — Jul 29, 2026
Date: Jul 29, 2026
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 45
Special Care Unit Residents Served: 13
Residents Age 60 or Older: 44
Residents with Mobility Need: 13
Resident Support Staff: 58
Waking Staff: 44
Inspection Report — Apr 16, 2026
Monitoring
Date: Apr 16, 2026
Visit Reason
The inspection was an unannounced partial monitoring visit to review compliance with licensing requirements and follow up on previous plans of correction.
Findings
The facility was found to have multiple deficiencies including incomplete staff training records, unlocked poisonous materials accessible to residents, incomplete medical evaluations, improper medication storage, failure to follow prescriber’s orders, and insufficient dementia-related staff training. Plans of correction were accepted and implemented by June 8, 2026.
Citations (6)
65l Record of training: The residence's record of direct care staff training for medication administration to cart audits does not include the content of the training.
82c Locked poisons: Poisonous materials including disinfectants and mouthwash were unlocked and accessible to residents, including those in memory care who have not been assessed as capable of safely using poisons.
141a Medical evaluation: Medical evaluations for certain residents did not include information on whether the assisted living facility can meet the needs of the resident; these sections were blank.
183e Storing medications: Several medications belonging to residents were punctured in multiple spots, compromising proper storage conditions.
187d Follow prescriber’s orders: Residents were administered prescribed injections later than the prescribed time on multiple occasions.
236a Staff training: A direct care staff person working in the special care unit completed only 5.5 hours of initial dementia care training within the first 30 days of hire instead of the required 8 hours.
Report Facts
Residents Served: 43
Special Care Unit Residents Served: 12
Inspection Report — Jan 5, 2026
Renewal
Date: Jan 5, 2026
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to verify compliance with licensing requirements and regulations.
Findings
The inspection identified multiple deficiencies including failure to post required notices, issues with medication storage and administration, incomplete medical evaluations, fire safety violations including fire drill deficiencies, and staff training gaps. Plans of correction were accepted and many were implemented by the time of the report.
Citations (31)
The assisted living and special care units did not have the current license inspection summary and Chapter 2800 regulations posted in a conspicuous place.
The residence failed to immediately develop and implement a supervision or suspension plan for a staff person involved in an alleged resident abuse incident without Department clearance.
Telephone numbers for the Department, ombudsman, law enforcement, and complaint hotline were not posted in the special care unit.
Poisonous materials were found unlocked and accessible to residents in the special care unit without all residents assessed as capable of safe use.
Emergency telephone numbers including nearest hospital and fire department were not posted by the telephone in room 108.
A refrigerator/freezer in the assisted living unit kitchenette was not in working order.
Residents #2 and #3 did not have access to a source of light that can be turned on/off at bedside.
No thermometer was present in the refrigerator in the second floor kitchenette of the assisted living unit.
An open and unsealed container of Creamy Italian dressing was found in the special care unit kitchenette.
The residence lacked a system to safeguard resident laundry; several unlabeled clothing items were found in the special care unit laundry room.
The administrator was not familiar with the emergency preparedness plan for the local municipality.
The residence had not reviewed, updated, or submitted written emergency procedures to the local emergency management agency since 10/22/24.
The residence lacked documentation of written notification to the local fire department regarding the residence's address, unit locations, and evacuation assistance needs.
An unannounced fire drill was not held during August 2025 for either the assisted living or special care units.
Fire drill records for both units lacked documentation of exit routes used and problems encountered for multiple months in 2025.
The assisted living unit exceeded the maximum safe evacuation time of 13 minutes during a fire drill on 10/30/25, taking 24 minutes and 33 seconds.
During a fire drill on 09/26/25, none of the 13 residents in the special care unit evacuated but sheltered in place.
A fire drill during sleeping hours had not been conducted since 02/17/25 on the assisted living side.
Resident #4's medical evaluation did not include dietary needs despite requiring a special diet.
Resident #5 self-administers medication but their record did not include a current list of medications.
Non-active prescriptions were found in the medication cart for residents #6 and #7.
Tears and holes were observed in medication slots for resident #6's Cranberry extract tablets.
Resident #6's glucometer was not calibrated to the correct time.
Resident #6 was administered insulin Lispro at times inconsistent with prescriber orders on multiple dates.
Support plans for residents #7 and #8 lacked required documentation for bedside mobility devices in use.
Resident #6 participated in developing their support plan but did not sign and date it.
The residence lacked written approval from authorities for magnetic locking devices preventing immediate egress in the special care unit.
The residence did not have a manufacturer statement verifying magnetic locks release upon fire alarm activation, power failure, or lock override.
Resident #6 was admitted to the special care unit but the initial support plan was not completed within required timeframes.
A direct care staff person working in the special care unit completed only 1.85 hours of required initial dementia-related training within 30 days of hire.
A direct care staff person in the special care unit did not complete required training topics including assistance with ADLs and creating a safe environment.
Report Facts
Residents Served: 51
Special Care Unit Residents Served: 15
Residents Age 60 or Older: 51
Residents with Mobility Need: 15
Residents in Special Care Unit who Sheltered in Place: 13
Fire drill evacuation time: 24.55
Inspection Report — Jul 31, 2025
Follow-Up
Date: Jul 31, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident, with a follow-up type of Plan of Correction (POC) submission to verify correction of previous deficiencies.
Findings
The report found multiple deficiencies related to medication administration, including unqualified staff administering medications, improper storage and handling of medications, and failure to properly manage discontinued medications. The submitted plan of correction was accepted and fully implemented by the follow-up date.
Citations (4)
Staff persons who were not medical professionals and had not completed the Department's medication administration training administered medications.
Medication was found in the residence's Director of Assisted Living Office that was not ordered for the resident.
Medications of residents who permanently left the residence were not sent with the resident or a responsible person.
Staff took possession of resident medications directly from the resident without a delivery manifest, violating medication policy.
Report Facts
Residents Served: 59
Special Care Unit Residents Served: 11
Total Daily Staff: 71
Waking Staff: 53
Inspection Report — Feb 21, 2024
Renewal
Date: Feb 21, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.
Findings
The facility was found to have multiple deficiencies including failure to post the current license conspicuously, hazardous bedside mobility devices, hot water temperatures exceeding 120°F, lack of operable bedside lamps, medication labeling errors, improper medication storage and documentation, and failure to follow prescriber’s orders. All deficiencies had corrective plans accepted and were implemented by 12/09/2024.
Citations (7)
The residence's current license, dated 5/7/23, was not posted in a conspicuous and public place in the residence.
Bedside mobility device openings were not covered, posing a possible hazardous condition for the resident.
Hot water temperature in resident rooms measured above 120°F, with readings of 133.5°F, 126.5°F, and 138°F.
Resident did not have access to a source of light that can be turned on/off at bedside.
Medication container labels did not reflect changes in directions for administration for two residents' medications.
Resident blood glucose readings were not documented on the Medication Administration Record and glucometer was not calibrated to the correct time.
Resident medication was not administered as prescribed and glucometer did not register a reading at a prescribed time.
Report Facts
Residents Served: 31
Staffing Hours: 31
Waking Staff: 23
Hot Water Temperature: 133.5
Hot Water Temperature: 126.5
Hot Water Temperature: 138
Inspection Report — Dec 12, 2023
Monitoring
Date: Dec 12, 2023
Visit Reason
The inspection was a monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to assess compliance at the facility.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection conducted on 12/12/2023.
Report Facts
Residents Served: 30
Special Care Unit Residents Served: 0
Residents Age 60 or Older: 30
Inspection Report — Sep 13, 2023
Follow-Up
Date: Sep 13, 2023
Visit Reason
Follow-up inspection to verify the implementation of a previously submitted plan of correction for Oakbridge Terrace at Granite Farms Estates.
Findings
The facility demonstrated full implementation of the plan of correction with all cited deficiencies addressed and corrective actions completed by April 10, 2024. The inspection identified multiple deficiencies related to resident rights posting, privacy signage, equipment and furnishing in resident rooms, emergency procedures, fire safety documentation, and outdoor exercise area safety, all of which were corrected.
Citations (23)
41c Rights poster: The Department's poster of resident rights was not posted in a conspicuous and public place in the memory care unit.
42s Privacy - self/possessions: Video recording signage was missing at the memory care unit entrance and exit.
90a Landline telephone: The memory care unit did not have a working landline telephone accessible in emergencies.
91 Telephone Numbers: Emergency telephone numbers were not posted by telephones in the memory care unit.
96a First aid kit: The first aid kit in the memory care unit lacked a thermometer.
101j1 Bed/Fire retardant mattress: The bed frame in room 4 did not have a mattress.
101j2 Chair: Room 2004 did not have a chair available.
101j3 Bed linens/pillows/blankets: Rooms 2001 and 2004 lacked bed linens, pillows, or blankets on the bed.
101j4 Bedroom - storage area: Room 04 did not have a chest of drawers for clothing storage.
101j5 Bedside table/shelf: Room 2004 lacked a bedside table or shelf.
101j7 Lighting/operable lamp: Room 2004 had no operable lamp or source of lighting at the bedside.
102f Towel/washcloth/soap: Rooms 2001 and 2004 lacked individual towels, washcloths, or soaps.
102h Toilet paper: Toilet paper was not provided for toilets in rooms 2001 and 2004.
102i Soap dispenser: No soap dispenser or bar soap was within reach of bathroom sinks in rooms 2001 and 2004.
123b Emerg. procedures posted: Emergency procedures were not posted in a conspicuous and public place in the memory care unit.
123d Mobility need – FS area: The residence lacked a fire-safe area specified in writing within the past year by a fire safety expert.
130g Proceds - inop. smoke det.: Emergency procedures did not indicate actions when smoke detectors or fire alarms are inoperable.
132b Safety inspection/fire drill: Documentation of an annual fire safety inspection by a fire safety expert was missing.
162c Menus - posted: Weekly menus were not posted in a conspicuous and public place in the memory care unit.
171b5 Transportation-first aid kit: The Lincoln Town Car used for resident transport lacked a first aid kit.
221c Post activity calendar: The residence did not have a current weekly activity calendar posted in a public and conspicuous place in the memory care unit.
232a Exercise – indoor/outdoor: The outdoor patio for dementia unit residents had hazardous fencing with spikes and sharp points.
233c Key-locking devices: Directions for operating locking mechanisms were not conspicuously posted near entrance and exit doors in the special care unit.
Report Facts
Residents served: 27
Staffing: 27
Waking Staff: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed approval letter for revised license capacity |
Inspection Report — Nov 14, 2022
Renewal
Date: Nov 14, 2022
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for the facility.
Findings
The inspection found multiple deficiencies including missing eye coverings in the first aid kit, lack of operable bedside lamps for residents, unsealed food containers, missing documentation of fire department notification, and medication discrepancies including discontinued and mislabeled medications. All deficiencies had plans of correction submitted and were implemented by 01/31/2023.
Citations (6)
The first aid kit located in the nursing station on the 2nd floor did not include eye coverings.
Resident #2 does not have access to a source of light that can be turned on/off at bedside.
The 3 gallon ice cream containers in the freezer were opened and unsealed.
The residence does not have documentation of written notification to the local fire department of the address, location of living units and bedrooms, and assistance needed to evacuate in an emergency.
A medication prescribed for resident #3 was discontinued last month but still found in the secured cabinet.
The pharmacy label for resident #3's medication states give 1 packet by mouth twice daily, but the medication review report states give 1 packet by mouth one time a day.
Report Facts
Residents Served: 28
Current Residents in Hospice: 1
Residents 60 Years or Older: 28
Residents Diagnosed with Mental Illness: 1
Inspection Report — Aug 3, 2021
Renewal
Date: Aug 3, 2021
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at Oakbridge Terrace at Granite Farms Estates.
Findings
The report identified multiple deficiencies including incomplete criminal background checks, insufficient staff training in emergency medical plans and dementia care, presence of non-current medications in a resident's cabinet, and use of correction fluid on resident medical records. Plans of correction were accepted for all deficiencies with scheduled audits and education.
Citations (5)
Criminal background check not completed for staff person A.
Staff person A did not complete required training in emergency medical plan, reporting of incidents, safe management techniques, and core competencies.
Staff person A received only 2 hours of dementia-specific training within 30 days of hire instead of the required 4 hours.
Non-current medication found in resident #1's medication cabinet not listed on medication administration record.
Correction fluid was used on resident #2's medical evaluation record.
Report Facts
Residents Served: 30
Total Daily Staff: 30
Waking Staff: 23
Current Hospice Residents: 1
Residents Age 60 or Older: 30
Scheduled Work Hours Completed by Staff Person A: 40
Inspection Report — Feb 18, 2020
Renewal
Date: Feb 18, 2020
Visit Reason
This document is a renewal license issued to Oakbridge Terrace at Granite Farms Estates to operate as an Assisted Living facility. The Department advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It primarily serves as a certificate of compliance and renewal license issuance.
Report Facts
Inspection Report — Oct 31, 2019
Renewal
Date: Oct 31, 2019
Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services on October 31, 2019, to review compliance and verify the submitted plan of correction was fully implemented.
Findings
The facility had multiple violations related to quality management, sanitary conditions, trash management, maintenance hazards, emergency telephone postings, food safety, dryer lint removal, unobstructed egress, menu postings, and medication labeling. All cited deficiencies had plans of correction that were fully implemented as of December 18, 2019.
Citations (13)
26a Quality management plan: The residence had not established or implemented a quality management plan.
85a Sanitary conditions: A drip tray on the water dispenser had brown moldy substance accumulated.
85e Trash outside: The dumpster lid was open and the dumpster was half full of garbage.
88a Floors, walls, ceilings, windows, doors: An extension cord was lying across a path creating a tripping hazard.
91 Telephone Numbers: No emergency telephone numbers were posted on or near phones on the 1st or 2nd floor.
100a Exterior – free of hazards: A broken wooden piece was laying on the ground in front of the entrance.
103c Food protected: An uncovered tray of cookies was found on the counter in the kitchenette.
103f Fridge/Freezer Temps: No thermometer was in the ice cream freezer in the main kitchen.
103g Storing food: Opened containers of mashed potatoes and lentils were unsealed in the dry food storage area.
105g Dryer lint removal: Approximately 1/4 inch lint accumulation was found in the lint trap of a dryer on the 2nd floor.
121a Unobstructed egress: The courtyard gate could not be opened by electronic key card or code, blocking egress.
162c Menus - posted: Weekly menus were not posted in a conspicuous and public place in the residence.
184a Labeling: Prescription medication labels did not match medication administration records or physician orders for two residents.
Report Facts
Residents Served: 32
Staffing Hours: 32
Waking Staff: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kate Brusco | Director of Assisted Living | Named in multiple plans of correction and signature on report pages |
Notice — Jun 7, 2019
Date: Jun 7, 2019
Visit Reason
This document serves as a renewal notification for the assisted living facility Oakbridge Terrace at Granite Farms Estates, 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 in this document. It is an administrative notice regarding licensing renewal and future inspection requirements.
Report Facts
Inspection Report — Dec 18, 2018
Renewal
Date: Dec 18, 2018
Visit Reason
The inspection was a renewal visit conducted by the Department's Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2800 for the assisted living residence.
Findings
Multiple violations of the Pennsylvania Assisted Living Residence regulations were found, including failure to submit emergency procedures, inadequate fire drill exit route usage, incomplete medical evaluations, medication errors, and deficiencies in resident assessments and support plans. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (6)
Regulation 2800.107(d): The home did not submit its emergency procedures to the local emergency management agency in 2017 or 2018.
Regulation 2800.132(f): The home used the same exit routes for fire drills since February 2018, not alternating as required.
Regulation 2800.141(a)(2): Resident #1's initial medical evaluation lacked answers to immunizations and tuberculosis testing sections.
Regulation 2800.187(d): Resident #2 had an order for insulin injections but only received 4 units instead of the prescribed 6 units on 12/08/2018.
Regulation 2800.224(a): Resident #1's initial assessment was completed by a support plan coordinator, not an RN or LPN under RN supervision as required.
Regulation 2800.227(b): Resident #4's annual support plan was completed and reviewed by an LPN without RN co-signature or supervision.
Report Facts
Number of Residents Served: 31
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Brusco | RN Director of Assisted Living | Named as administrator and signer of plans of correction related to multiple deficiencies. |
Inspection Report — Aug 9, 2018
Routine
Date: Aug 9, 2018
Visit Reason
The Department's Bureau of Human Services Licensing conducted an inspection of Oakbridge Terrace at Granite Farms Estates on August 9, 2018.
Findings
No regulatory violations related to Code Ch. 2800 (Assisted Living Residence) were identified during this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Adams | Regional Licensing Director | Signed the inspection report letter. |
Inspection Report — Mar 19, 2018
Routine
Date: Mar 19, 2018
Visit Reason
The Department's Bureau of Human Services Licensing representatives conducted an inspection of Oakbridge Terrace at Granite Farms Estates on March 19, 2018.
Findings
No regulatory violations related to Assisted Living Residence under Pa. Code Ch. 2800 were identified as a result of this inspection.
Inspection Report — Feb 9, 2018
Renewal
Date: Feb 9, 2018
Visit Reason
The document is a renewal application and license issuance for the assisted living facility Oakbridge Terrace at Granite Farms Estates. The Department will conduct an onsite annual inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and states that an annual inspection will be conducted within twelve months.
Inspection Report — May 10, 2017
Original Licensing
Date: May 10, 2017
Visit Reason
The inspection was conducted as a licensing inspection for Oakbridge Terrace at Granite Farms Estates to assess compliance with 55 Pa.Code Chapter 2800 relating to Assisted Living Residences.
Findings
Several violations were found related to fire safety approval, first aid kit and defibrillator availability, exterior grounds maintenance, stairway obstructions, fire department notification, and security gate access. Plans of correction were submitted and partially implemented to address these issues.
Citations (6)
Regulation 2800.14(c): The building was structurally altered after initial safety approval without obtaining a new fire safety approval from the fire safety authority.
Regulation 2800.95(a): The new home did not have a first aid kit and an automatic external defibrillator device available.
Regulation 2800.100(a): The center courtyard was an active construction site with large mechanical equipment and construction materials observed.
Regulation 2800.121(a): The first floor center stair tower had construction materials and five-gallon buckets of paint by the exit doors.
Regulation 2800.124: The home did not notify the local fire department of the residence address and new locations of living units and bedrooms.
Regulation 2800.233(d): The small enclosed courtyard gate requires an electronic or magnetic system for residents with wander guards, which was not installed.
Report Facts
Number of Residents Served: 35
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 2
Notice — Feb 15, 2017
Date: Feb 15, 2017
Visit Reason
This document serves as a renewal notification and license issuance for the assisted living facility Oakbridge Terrace at Granite Farms Estates. It informs the facility of the Department's requirement to conduct 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
Inspection Report — Mar 7, 2016
Renewal
Date: Mar 7, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing renewal inspections on March 7 and 8, 2016 for Oakbridge Terrace at Granite Farms Estates.
Findings
Violations of 55 Pa.Code Ch. 2800 related to Assisted Living Residences were found and specified in the enclosed License Inspection Summary. Plans of correction were submitted addressing medication administration and initial resident assessments.
Citations (2)
Regulation 1874 requires the residence to follow prescriber directions. Resident #1 was prescribed Warfarin 3.5 mg daily, but only 3 mg doses were given on 2/3/16 and 2/7/16.
Regulation 22482 requires a written initial assessment within 30 days prior to admission. Resident #2's initial assessment was dated 5/13/15, after admission on 5/15/15.
Report Facts
Number of Residents Served: 37
Number of Current Hospice Residents: 0
Number of Hospice Residents in past year: 1
Notice — Feb 19, 2016
Date: Feb 19, 2016
Visit Reason
The document serves as a renewal approval notice and certificate of compliance for Oakbridge Terrace at Granite Farms Estates to operate as an Assisted Living facility.
Findings
The Department has approved the renewal application and issued a regular license. An onsite annual inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2800.
Report Facts
Inspection Report — April 15, 2021
Renewal
Date: April 15, 2021
Visit Reason
The document is a renewal license issued in response to the facility's renewal application to operate the Assisted Living Home pursuant to Title 55, PA Code, Chapter 2800.
Findings
A regular license is being issued following the renewal application. 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 | Signed the renewal license letter |
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