Inspection Reports for Sunrise of North Wales

The inspection was an unannounced monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing to assess compliance at the facility.

No regulatory citations or deficiencies were identified during this inspection.

The inspection was conducted as a complaint and incident investigation regarding alleged resident abuse and failure to report suspected abuse.

The facility failed to immediately report suspected abuse involving residents, including an incident where one resident pushed another down steps and a subsequent physical altercation between residents. The facility updated resident service plans and implemented corrective actions including staff education and monitoring.

The complaint involved allegations of resident abuse where one resident was pushed down steps by another and a subsequent fight occurred between residents. The facility did not report the initial allegations promptly. The complaint was substantiated by the investigation.

The inspection was conducted as a renewal, complaint, and provisional review of the Personal Care Home facility Sunrise of North Wales.

The facility was found to be in compliance overall, with several deficiencies noted including sanitary conditions, infestation, furniture and equipment repair, lighting, lint removal, and medication storage. Plans of correction were submitted and accepted or not accepted with follow-up and monitoring planned.

The inspection visit was conducted as a follow-up to verify that the previously submitted plan of correction was fully implemented.

The submitted plan of correction regarding a hazardous condition caused by an improperly mounted TV in the memory care unit was found to be fully implemented and the facility was in compliance at the time of the follow-up inspection.

The inspection was conducted as a renewal inspection of the facility license for Sunrise of North Wales.

The inspection identified multiple deficiencies related to sanitary conditions, infestation, surfaces, furniture and equipment, fire drills, medication records, medication storage, and medication labeling. All deficiencies had plans of correction accepted and were implemented by the report date.

The inspection visit was a partial, unannounced follow-up triggered by a complaint and incident to verify the implementation of a previously submitted plan of correction.

The facility was found to have fully implemented the submitted plan of correction related to resident abuse, medication storage and administration procedures, and additional resident assessments. Continued compliance and monitoring were emphasized.

The visit was complaint-related, triggered by incidents involving resident wandering and abuse, medication administration errors, and failure to reassess residents after condition changes. The complaint was substantiated as deficiencies were identified and addressed.

The inspection visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident involving resident supervision in the secured dementia care unit.

The submitted plan of correction was determined to be fully implemented, with measures taken to prevent resident elopement from the secured dementia care unit, including increased supervision, signage, staff education, and environmental adjustments.

The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on August 19 and 20, 2024, and November 14, 2024, to assess compliance with Pennsylvania Personal Care Homes regulations.

Multiple violations were found including failure to timely report incidents, breaches of resident confidentiality, abuse and neglect concerns, improper handling of tips, incomplete criminal background checks, unsecured poisonous materials, denied resident access to bedrooms, inadequate bedding and lighting, unsanitary conditions, improper food storage, unlocked medications, and combustible materials stored near heat sources. Plans of correction were accepted with various implementation and monitoring dates.

The inspection was complaint-driven, triggered by allegations including incident reporting failures, abuse, neglect, financial exploitation, and regulatory noncompliance. The complaint investigation included multiple unannounced partial inspections and follow-ups.

The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on August 19-20, 2024, and a follow-up monitoring inspection on November 14, 2024.

Multiple violations were found including failure to report incidents timely, record confidentiality breaches, abuse and neglect allegations, criminal background check deficiencies, unsecured poisonous materials, access restrictions to bedrooms, inadequate bedding and lighting, sanitary condition issues, improper food storage, unlocked medications, and combustible storage violations. Plans of correction were submitted with ongoing monitoring.

The inspection was complaint-driven based on allegations including staff accepting tips, resident neglect related to delayed response to call pendants, resident elopement, and other regulatory violations. The complaint was substantiated with multiple findings.

The inspection visit was conducted as a complaint and incident investigation at the facility.

The investigation found that a staff member slapped a resident on the left cheek, violating abuse and safe management techniques regulations. The staff member was placed on administrative leave, terminated, and the facility implemented corrective actions including staff education and ongoing monitoring.

The visit was complaint-related involving an incident where a staff member physically abused a resident. The abuse was substantiated, and the staff member was terminated. The facility reported the abuse to the OAPS Hotline and implemented a plan of correction.

The inspection was a monitoring visit conducted to review the submitted plan of correction and verify its implementation.

The submitted plan of correction related to unobstructed egress was found to be fully implemented. The facility corrected inaccurate signage on exit doors to ensure immediate egress without delay.

The inspection was conducted as a renewal and complaint investigation to review compliance with licensing requirements and to verify the submitted plan of correction.

The facility was found to have multiple deficiencies including lack of a current boiler certificate, delayed annual training completion, unsecured poisonous materials, missing exit door signage, lack of toilet paper in a resident bathroom, unlabeled soap bars, unsealed food storage, missing exit door codes, lack of approval for delayed egress locking devices, and incomplete evacuation during a fire drill. Plans of correction were accepted and implemented for all deficiencies.

The inspection included a complaint investigation component, but the report does not explicitly state substantiation status.

The inspection was conducted as a complaint and incident investigation at the facility.

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

The inspection was complaint-related and the follow-up type was noted as not required.

The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on 05/01/2023, 05/03/2023, and 05/04/2023 to review compliance and the submitted plan of correction.

The report details violations related to staff mistreatment of a resident, including verbal abuse and failure to report the incident timely. The facility implemented a plan of correction involving staff training, administrative leave for the offending staff, and ongoing monitoring to ensure compliance with resident dignity, respect, and privacy.

The visit was complaint-related involving substantiated verbal abuse by staff toward a resident, failure to report the incident timely, and violations of resident dignity, respect, and privacy.

The inspection was conducted as a complaint and incident investigation at the facility.

Two deficiencies were identified related to the resident support plan: failure to document how a resident's diagnosed Major Depressive Disorder would be met, and failure to document a resident's inability to sign the support plan. Both deficiencies had corrective plans implemented and monitored.

The inspection was complaint-driven and incident-related. The report does not explicitly state substantiation status.

The inspection was conducted as a renewal and incident review of the facility on 11/15/2022 and 11/16/2022.

The inspection identified multiple deficiencies related to staff qualifications, orientation and training, indoor temperature, resident room conditions, food storage, pet vaccination, fire drill documentation, and annual medical evaluations. Plans of correction were accepted and implemented by 12/28/2022.

The inspection was conducted as a complaint investigation related to allegations of resident abuse and other regulatory compliance issues at the facility.

The investigation found multiple violations including failure to immediately report suspected abuse, failure to implement supervision plans timely, delayed reporting to the department, physical and verbal abuse of a resident by a staff member, and deficiencies in staff qualifications and training. Corrective actions including staff education, administrative leave, and improved reporting procedures were implemented.

The complaint involved allegations that staff person A physically and verbally abused resident 1, and that staff persons B and C failed to report the abuse timely. The home also failed to report the incidents to the Department within required timeframes. The investigation substantiated the allegations and found additional deficiencies in staff qualifications and training.

The inspection visit occurred due to a complaint and incident investigation at the facility.

The inspection found deficiencies related to support plan signatures where a resident participated in the development of their support plan but did not sign it, and the facility failed to document the resident's refusal or inability to sign. A plan of correction was submitted and fully implemented.

The visit was complaint-related, triggered by a complaint and incident. The submitted plan of correction was accepted and fully implemented as of 12/06/2022.

The inspection was a monitoring visit conducted on 02/25/2022 to assess ongoing compliance with Department statutes and regulations at the Sunrise of North Wales facility.

Multiple deficiencies were identified including unlocked poisonous materials accessible to residents, unlabeled towels and washcloths in shared bathrooms, unlabeled soap bars, unlabeled prescription medication containers, and medication administration documentation errors. Plans of correction were accepted for all deficiencies with monitoring and audits planned to ensure compliance.

The inspection was a monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to assess compliance with licensing requirements at the Sunrise of North Wales facility.

Multiple deficiencies were identified including missing staff orientation documentation, unsecured poisonous materials accessible to residents, fire hazards due to plastic mattress coverings, and medication administration errors such as improper documentation, failure to follow prescriber orders, and improper medication storage and labeling. Plans of correction were accepted for all deficiencies with monitoring to ensure effectiveness.

The inspection was conducted due to a change in legal entity and included a full announced review of the facility on 09/10/2021.

The inspection identified deficiencies related to sanitary conditions, first aid kit contents, and medication administration practices. Plans of correction were submitted and accepted, with monitoring and re-education implemented to ensure compliance.