Inspection Reports for
Oakbridge Terrace at Normandy Farms Estates
9000 TWIN SILO DRIVE, BLUE BELL, PA, 19422
Back to Facility Profile16 Reports
Inspection Report — Aug 28, 2025
Complaint Investigation
Date: Aug 28, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation at Oakbridge Terrace at Normandy Farms Estates.
Complaint Details
The visit was complaint-related and incident-driven. The facility disputed the abuse/neglect violation citing assumptions by the surveyor and provided statements supporting their care and supervision practices. The dispute was documented but the violation was accepted.
Findings
The inspection found failures in timely incident reporting and inadequate supervision leading to resident falls and injuries. The facility implemented corrective actions including staff training and enhanced monitoring of exit doors to prevent resident elopement.
Citations (2)
16c Incident reporting: The residence failed to report a resident fall resulting in pain and hospitalization to the Department within the required 24-hour timeframe.
42b Abuse/Neglect: A resident with severe vascular dementia was found injured outside on the patio due to inadequate supervision and failure to secure exit doors properly.
Report Facts
Residents Served: 48
Special Care Unit Residents Served: 11
Total Daily Staff: 59
Waking Staff: 44
Inspection Report — Jul 16, 2025
Renewal
Date: Jul 16, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Oakbridge Terrace at Normandy Farms Estates.
Findings
The inspection found multiple deficiencies related to medication management, storage of combustible materials, and refrigerator temperature monitoring. All deficiencies had plans of correction submitted and were determined to be fully implemented by the follow-up dates.
Citations (8)
No thermometer in the refrigerator in the Cranberry Wing kitchenette.
Flammable aerosol cleaners were found unlocked and accessible to residents in the memory care unit.
Resident #1's medication record did not include a current list of medications for self-administration.
Resident #2's OTC medications were unlocked, unattended, and accessible in the resident's room.
Resident #1 had discontinued medication (Metoprolol succ ER 100 mg) present in the residence.
Resident #2 had expired Fluticasone Propionate Nasal spray in the room.
Resident #3 was administered the wrong dose of Lisinopril medication on 07/16/25 and 07/17/25.
Resident #4 was administered insulin despite blood glucose being below the prescribed threshold.
Report Facts
Residents Served: 46
Special Care Unit Residents Served: 11
Staffing Hours: 58
Waking Staff: 44
Deficiencies Cited: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DAL | Designated Agent for Licensing | Named in multiple medication error findings and follow-up actions. |
Inspection Report — Jan 3, 2025
Complaint Investigation
Date: Jan 3, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to a complaint and incident.
Complaint Details
The inspection was complaint-related and incident-related; no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 44
Special Care Unit Residents Served: 9
Resident Mobility Need: 12
Residents Age 60 or Older: 44
Residents with Physical Disability: 1
Total Daily Staff: 56
Waking Staff: 42
Inspection Report — Jul 6, 2023
Renewal
Date: Jul 6, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with licensing requirements.
Findings
Two deficiencies were identified: one related to sanitary conditions involving punctured medication blister packs taped inside, and another related to evacuation procedures where not all residents evacuated during a fire drill. Both deficiencies had plans of correction accepted and were implemented by early September 2023.
Citations (2)
Resident #1 had two blister packs with punctured slots and medication taped inside.
During the fire drill on 7/29/22, 39 of 41 residents evacuated; one did not due to COVID-19 and one slept through the drill.
Report Facts
Residents served: 34
Residents evacuated: 39
Residents present during fire drill: 41
Staff total daily: 39
Staff waking: 29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Assisted Living | Named in relation to medication blister pack deficiency and fire drill corrective actions | |
| Director of Physical Plant Services | Named in relation to fire drill corrective actions and audits |
Inspection Report — Mar 2, 2022
Renewal
Date: Mar 2, 2022
Visit Reason
The inspection was an unannounced renewal inspection conducted on 03/02/2022 to review the facility's compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including sanitary conditions, uncovered trash cans, missing antiseptic in first aid kits, lack of operable bedside lamps for some residents, clogged bathroom sink, uncovered food storage, expired medications on the medication cart, and uncalibrated glucometer. Plans of correction were accepted and implemented for all deficiencies.
Citations (8)
Soda/ice machine in the main kitchen contained a brown substance that appeared to be mold.
Two trash cans were observed uncovered in the main kitchen.
The first aid kit located in Blueberry's medical station does not include antiseptic.
Resident #1 and Resident #2 do not have access to a source of light that can be turned on/off at bedside.
Room 34's bathroom sink is clogged and water has accumulated.
Two trays of salmon were left uncovered and stored in the fridge.
Expired medication for Resident #3 was observed on the medication cart.
Resident #4's glucometer was not calibrated for the entire month of February.
Report Facts
Residents Served: 43
Memory Care Residents Served: 6
Hospice Residents: 1
Total Daily Staff: 49
Waking Staff: 37
Inspection Report — Jun 23, 2021
Date: Jun 23, 2021
Visit Reason
The inspection was conducted as a licensing inspection triggered by an incident, with an unannounced partial inspection type.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 45
Special Care Unit Residents Served: 5
Residents Age 60 or Older: 45
Residents with Mobility Need: 6
Current Hospice Residents: 1
Total Daily Staff: 51
Waking Staff: 38
Inspection Report — Mar 18, 2021
Renewal
Date: Mar 18, 2021
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements at Oakbridge Terrace at Normandy Farms Estates.
Findings
The inspection identified multiple deficiencies related to staff training, medical evaluations, medication administration, and emergency procedure submissions. Plans of correction were accepted and implemented, including staff education, audits, and submission of required documents.
Citations (8)
Staff person A did not receive orientation on fire safety topics prior to or during the first work day.
Staff person A did not complete training on resident rights, emergency medical plan, abuse reporting, safe management techniques, and core competency training within 40 scheduled working hours.
Staff person A received only 2.75 hours of the required dementia-specific training within 30 days of hire.
The residence’s written emergency procedures had not been submitted to the local emergency management agency since 2017.
Medical evaluations for residents #1, #2, #3, and #4 lacked documentation of tuberculin skin test administered within 15 days after admission.
Blood sugar readings for resident #6 were inaccurately recorded on the medication administration record compared to glucometer readings.
Medication administration records for residents #3, #5, and #6 did not list administration times for medications.
Resident #5 received incorrect insulin doses on multiple occasions not consistent with doctor's orders.
Report Facts
Residents Served: 42
Special Care Unit Residents Served: 7
Total Daily Staff: 49
Waking Staff: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Harry McConnell | Executive Director | Emailed Emergency Preparedness Plan to local emergency management agency. |
Notice — Oct 21, 2020
Date: Oct 21, 2020
Visit Reason
The document serves as a renewal notification for the assisted living facility license and informs that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
Notice — Apr 18, 2019
Date: Apr 18, 2019
Visit Reason
This document serves as a renewal approval for the assisted living facility license at Oakbridge Terrace at Normandy Farms Estates and notifies the recipient of the requirement for 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 and states that the Department will conduct an annual inspection within twelve months.
Report Facts
Inspection Report — Jan 10, 2019
Renewal
Date: Jan 10, 2019
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services Bureau of Human Services Licensing for Oakbridge Terrace at Normandy Farm Estates.
Findings
Multiple violations of 55 Pa. Code Chapter 2800 related to assisted living residence regulations were found, including missing posted licenses, incomplete staff training, improper use of exit routes during fire drills, medication management issues, and missing directions for key-locking devices.
Citations (7)
55 Pa. Code §2800.3(d): The home did not have the current license, a copy of the current license inspection summary, and a copy of the chapter posted in the assisted living residence.
Regulation 2800.64(a): Staff member A, an administrator, did not complete an orientation program approved and administered by the Department.
Regulation 2800.65(e): Staff member B, an ancillary staff person hired on 12/06/2018, did not complete required orientation training within 40 scheduled working hours.
Regulation 2800.69: Staff member B did not receive at least 4 hours of dementia-specific training within 30 days of hire.
Regulation 2800.132(f): The residence used the same exit routes for fire drills for 6 consecutive months from August 2018 through December 2018.
Regulation 2800.186(a): On 01-10-19, the glucometer for resident #1 was not calibrated with the correct date or time, and resident #2's prescribed medication was not available in the home.
Regulation 2800.233(c): The key-locking device leading to the Secure Dementia Unit did not have directions for its operation posted.
Report Facts
Number of Residents Served: 54
Number of Residents Served in Secured Dementia Care Unit: 9
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 2
Residents Age 60 or Older: 54
Residents with Mental Illness: 30
Residents with Mobility Need: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheryl Eustace | Director of Assisted Living | Named as legal entity representative and involved in plan of correction for multiple deficiencies. |
| Staff member A | Administrator | Did not complete required orientation program as noted in deficiency. |
| Staff member B | Ancillary staff person | Did not complete required orientation training and dementia-specific training within required timeframes. |
Notice — Apr 18, 2018
Date: Apr 18, 2018
Visit Reason
This document serves as a renewal notification for the assisted living home license for Oakbridge Terrace at Normandy Farms Estates, confirming the renewal application and outlining the requirement for 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 and states that an inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jun 2, 2017
Renewal
Date: Jun 2, 2017
Visit Reason
The document reports the results of the Department of Human Services' annual licensing inspection conducted on June 2, 2017, for Oakbridge Terrace at Normandy Farms Estates.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2800 relating to Assisted Living Residences during the annual licensing inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the inspection report letter |
Notice — Apr 12, 2017
Date: Apr 12, 2017
Visit Reason
This document serves as a renewal approval for the assisted living home license and notifies the facility of the requirement for 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 — May 10, 2016
Annual Inspection
Date: May 10, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for the facility.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2800 relating to Assisted Living Residences during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the report confirming compliance after the annual licensing inspection. |
Inspection Report — Apr 15, 2016
Renewal
Date: Apr 15, 2016
Visit Reason
The document is a renewal application and license issuance for Oakbridge Terrace at Normandy Farms Estates Assisted Living Home. The Department notifies that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Report — December 19, 2019
December 19, 2019
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