Inspection Reports for Stoneridge Poplar Run

450 EAST LINCOLN AVENUE,, MYERSTOWN, PA, 17067

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2021
2022
2023
2025

Census

Latest occupancy rate 81% occupied

Based on a February 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

18 24 30 36 42 Nov 2021 Jan 2023 Mar 2023 Feb 2025

Inspection Report

Renewal
Census: 29 Capacity: 36 Deficiencies: 10 Date: Feb 4, 2025

Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Stoneridge Poplar Run.

Findings
The inspection found multiple deficiencies including delays in providing requested records, incomplete staff training, unlabeled poisonous materials, incomplete medical evaluations, medication management issues, and lack of a current activity calendar. Plans of correction were accepted or directed with specified completion dates.

Deficiencies (10)
Delayed provision of staff records and fire safety documentation.
Staff persons C and D did not complete required training on emergency medical plan and reporting incidents within 40 hours.
Staff person B did not receive required fire safety training during 2024.
Poisonous materials (unlabeled spray bottle) found in unlocked salon.
Resident #1 and #3 medical evaluations missing required information such as temperature, special health, dietary needs, and immunization history.
Medications for Residents #2 and #5 found without current orders.
OTC medication for Resident #4 not labeled with resident's name.
Medications for Resident #4 not available as prescribed; discrepancies in blood sugar readings and documentation.
Medication record for Residents #1 and #4 missing prescribed medications or incorrect documentation.
No current weekly activity calendar posted in a conspicuous and public place; posted calendar dated January 2025.
Report Facts
License Capacity: 36 Residents Served: 29 Staffing Hours: 32 Waking Staff: 24 Deficiencies cited: 10

Inspection Report

Census: 23 Capacity: 36 Deficiencies: 0 Date: Mar 14, 2023

Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 03/14/2023.

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

Report Facts
Total Daily Staff: 23 Waking Staff: 17 Resident Support Staff: 0 License Capacity: 36 Residents Served: 23 Residents 60 Years or Older: 23 Residents Diagnosed with Mental Illness: 1 Residents Receiving Supplemental Security Income: 0 Residents Diagnosed with Intellectual Disability: 0 Residents with Mobility Need: 0 Residents with Physical Disability: 0 Current Hospice Residents: 0

Inspection Report

Renewal
Census: 24 Capacity: 36 Deficiencies: 14 Date: Jan 24, 2023

Visit Reason
The inspection was an unannounced full renewal inspection conducted on 01/24/2023 to review compliance with licensing regulations and verify the implementation of the submitted plan of correction.

Findings
The facility was found to have multiple deficiencies including failure to timely report and document suspected resident abuse, incomplete resident contracts and assessments, medication labeling and storage issues, and lack of implementation of a quality management plan. Plans of correction were accepted and implemented with follow-up audits and staff retraining scheduled.

Deficiencies (14)
Failure to immediately report suspected resident abuse and submit the mandatory abuse form timely.
Failure to report an incident of alleged abuse to the Department within 24 hours.
Resident-home contract was not signed by the resident.
Quality management plan not implemented; no quality management review since December 2021.
Resident's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.
Resident did not have a medical evaluation completed within required timeframe.
Pharmacy labels for medications did not include prescribed dosage; insulin pens not labeled with opening date or staff initials.
Medications prescribed to resident were not available; unauthorized medications found in resident's bathroom without physician orders or self-administration assessment.
Resident not educated on right to refuse medication if medication error is suspected.
Preadmission screening form did not include determination that resident's needs can be met by the home.
Initial assessment not completed within 15 days of admission.
Annual assessment not completed timely.
Initial support plan not completed within 30 days of admission.
Support plan not revised within 30 days upon completion of annual assessment.
Report Facts
License Capacity: 36 Residents Served: 24 Staffing Hours: 24 Waking Staff: 18 Hospice Residents: 1

Inspection Report

Routine
Deficiencies: 0 Date: Jan 6, 2022

Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

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

Inspection Report

Renewal
Census: 25 Capacity: 36 Deficiencies: 4 Date: Nov 18, 2021

Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.

Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies were identified related to first aid kit contents, expired medications, storage procedures, and support plan revisions, all of which were corrected with documented plans of correction.

Deficiencies (4)
The first aid kit in the home does not include tweezers and eye coverings as required.
Expired medications were found in medication carts for Residents #1, #2, and #3.
The home failed to develop and implement procedures for safe storage, access, security, distribution and use of medications and medical equipment by trained staff persons.
Resident #2's support plan did not mention the need for an enabler bar or education related to its use.
Report Facts
License Capacity: 36 Residents Served: 25 Total Daily Staff: 26 Waking Staff: 20 Current Hospice Residents: 1

Notice

Capacity: 36 Deficiencies: 0 Date: Aug 25, 2021

Visit Reason
The document serves as a renewal notification and license issuance for Stoneridge Poplar Run Personal Care Home, confirming receipt of the renewal application and advising that an annual inspection will be conducted within the next twelve months.

Findings
No inspection findings are reported in this document; it is a license renewal notice confirming the facility's compliance and informing about the upcoming annual inspection requirement.

Report Facts
Maximum capacity: 36

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy SecretarySigned the renewal notification letter.

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