Inspection Reports for Plush Mills
501 Plush Mill Rd, Wallingford, PA 19086, United States, PA, 19086
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Inspection Report
Follow-Up
Census: 63
Capacity: 63
Deficiencies: 1
Jun 18, 2025
Visit Reason
The inspection visit was conducted due to a change in legal entity and to review the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. A combustible storage violation was identified and immediately corrected during the inspection.
Deficiencies (1)
| Description |
|---|
| A sheet of cardboard, roughly four square-feet in size, was wedged to the boiler-room wall behind the hot water heater safety switch, which is a combustible storage violation. |
Report Facts
Residents Served: 63
Current Residents: 6
Total Daily Staff: 101
Waking Staff: 76
Inspection Report
Renewal
Census: 58
Capacity: 79
Deficiencies: 5
Sep 15, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the Plush Mills facility to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including sanitary conditions related to shared glucometers, hot water temperatures exceeding 120°F in resident rooms, medication storage and documentation errors, and failure to follow prescriber's orders for medication administration and blood sugar monitoring. Plans of correction were submitted and determined to be fully implemented.
Deficiencies (5)
| Description |
|---|
| Evidence of shared glucometers was observed with glucose readings of resident #2 found on resident #1's glucometer. |
| Hot water temperature in resident rooms 226 and 229 exceeded 120°F, measured at 122.5°F and 123.6°F respectively. |
| Discrepancies in glucometer readings and documentation for residents #1 and #2, with multiple glucose readings missing or inaccurately recorded. |
| Medication administered to resident #1 was not initialed on the MAR on two occasions. |
| Resident #2 did not have the prescribed number of blood sugar readings completed on two days; resident #3 missed a prescribed medication dose. |
Report Facts
License Capacity: 79
Residents Served: 58
Current Hospice Residents: 6
Total Daily Staff: 84
Waking Staff: 63
Residents with Mobility Need: 26
Hot Water Temperature: 122.5
Hot Water Temperature: 123.6
Inspection Report
Follow-Up
Census: 61
Capacity: 79
Deficiencies: 1
May 19, 2022
Visit Reason
The inspection visit on 05/19/2022 was conducted as a complaint investigation to review compliance and the submitted plan of correction.
Findings
The facility was found to have a medication administration violation where a staff member failed to administer medications to a resident as required. The submitted plan of correction was reviewed and determined to be fully implemented.
Complaint Details
The visit was complaint-related. The violation involved failure to administer medications to a resident. The plan of correction was accepted and fully implemented.
Deficiencies (1)
| Description |
|---|
| Staff person did not administer resident #1's medications and left medication in the resident's apartment without administration. |
Report Facts
License Capacity: 79
Residents Served: 61
Staffing Hours - Total Daily Staff: 78
Staffing Hours - Waking Staff: 59
Residents with Mobility Need: 17
Residents Age 60 or Older: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director/Director of Wellness | Named in relation to plan of correction submission and communication | |
| Director of Nursing | Responsible for ensuring compliance with medication administration | |
| Assistant Director of Nursing | Responsible for ensuring compliance with medication administration | |
| Charge Nurses | Responsible for ensuring compliance with medication administration | |
| Med Techs | Responsible for medication administration and training |
Inspection Report
Renewal
Census: 53
Capacity: 79
Deficiencies: 2
Jun 24, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Plush Mills facility to assess compliance with licensing requirements.
Findings
The inspection identified deficiencies related to medication storage procedures and documentation of medication administration times. The facility submitted a plan of correction which was determined to be fully implemented.
Deficiencies (2)
| Description |
|---|
| A small round white pill was found loose in medication cart 2 in the third drawer on the second floor, indicating failure to implement safe storage procedures for medications. |
| Resident 1’s Medication Administration Record had omissions and did not include the initials of the staff person administering medications for specified dates and times. |
Report Facts
License Capacity: 79
Residents Served: 53
Total Daily Staff: 76
Waking Staff: 57
Current Hospice Residents: 4
Residents with Mobility Need: 23
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