Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Census: 108
Capacity: 130
Deficiencies: 6
Jun 12, 2025
Visit Reason
The inspection visit was a partial, unannounced follow-up review triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to medication administration documentation, positive interventions, prohibitions on restraints, preadmission screening, and support plans for residents in the secured dementia care unit. Continued compliance is required.
Deficiencies (6)
| Description |
|---|
| Failure to record date and time of medication administration by staff members. |
| Lack of implementation of positive interventions to modify or eliminate combative behavior of a resident. |
| Use of prohibited physical restraint techniques resulting in resident injury. |
| Failure to complete written cognitive preadmission screening within required timeframe for secured dementia care unit admission. |
| Failure to complete initial support plan within 72 hours of admission to secured dementia care unit. |
| Support plan did not address resident aggression towards others. |
Report Facts
License Capacity: 130
Residents Served: 108
Secured Dementia Care Unit Capacity: 31
Secured Dementia Care Unit Residents Served: 26
Current Hospice Residents: 8
Residents Age 60 or Older: 107
Residents with Mobility Need: 55
Total Daily Staff: 163
Waking Staff: 122
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff member C | Named in medication administration documentation deficiency and received counseling. | |
| Staff member D | Named in medication administration documentation deficiency and received counseling. | |
| Staff member E | Involved in incident with resident; removed from schedule pending investigation and received education on positive interventions and prohibitions. | |
| Executive Director | Provided education and quality assurance oversight related to deficiencies. | |
| Director of Wellness | Responsible for audits and education related to medication administration and support plans. | |
| Director of Memory Care | Involved in staff training and audits related to positive interventions and support plans. |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 130
Deficiencies: 0
May 5, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 130
Residents Served: 106
Secured Dementia Care Unit Capacity: 31
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 8
Residents Age 60 or Older: 80
Residents with Mental Illness: 1
Residents with Mobility Need: 54
Inspection Report
Renewal
Census: 94
Capacity: 130
Deficiencies: 8
Oct 23, 2024
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at THE BRIDGES AT WARWICK.
Findings
The facility was found to have multiple deficiencies related to staff training, resident personal equipment, medication storage and administration, support plan documentation, medical evaluations, and key-locking device signage. All deficiencies had plans of correction accepted and were implemented by 01/09/2025.
Deficiencies (8)
| Description |
|---|
| Direct care staff persons did not receive required training on meeting the needs of residents as described in preadmission screening and support plans during training year 2023. |
| The home's staff training plan did not include the required topic on meeting the needs of residents as described in preadmission screening and support plans. |
| Resident bedside mobility devices were not secured to the bed frame. |
| Medications were not stored according to manufacturer’s instructions, including unopened medication not refrigerated and opened medication without an open date. |
| Medications prescribed as needed were not available in the home; multiple instances of missing blood sugar readings documented incorrectly in medication administration records. |
| Resident support plans were missing completed sections for understanding instructions, managing finances, supervision assessment, and medication self-administration. |
| Resident medical evaluation was completed after admission to the secured dementia care unit and contained incorrect dates. |
| The Secure Dementia Care Unit courtyard exit had incorrect code signage and did not operate with the posted code. |
Report Facts
License Capacity: 130
Residents Served: 94
Secured Dementia Care Unit Capacity: 31
Secured Dementia Care Unit Residents Served: 26
Current Hospice Residents: 14
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 50
Residents Age 60 or Older: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bill Snow | Addressee of the inspection report | |
| Executive Director | Executive Director | Named in multiple findings related to training, audits, and quality assurance |
| Director of Wellness | Director of Wellness | Named in findings related to training, audits, medication storage, and corrective actions |
| Memory Care Director | Memory Care Director | Named in training and corrective actions related to secured dementia care unit |
| Director of Engineering | Director of Engineering | Named in training and corrective actions related to key-locking devices and mobility devices |
| Business Office Director | Business Office Director | Named in audit responsibilities for staff training compliance |
Inspection Report
Census: 76
Capacity: 130
Deficiencies: 0
Apr 11, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 04/11/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
License Capacity: 130
Residents Served: 76
Secured Dementia Care Unit Capacity: 31
Secured Dementia Care Unit Residents Served: 19
Hospice Residents: 10
Residents Age 60 or Older: 76
Residents with Mobility Need: 37
Total Daily Staff: 113
Waking Staff: 85
Inspection Report
Renewal
Census: 72
Capacity: 130
Deficiencies: 19
Nov 27, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with licensing regulations.
Findings
The inspection identified multiple deficiencies related to resident confidentiality, privacy, criminal background checks, staff training, resident personal equipment, emergency procedures, medication storage and management, medical evaluations, support plans, and documentation. The facility submitted plans of correction which were accepted and partially implemented by the time of the report.
Deficiencies (19)
| Description |
|---|
| Personal Care medication carts and Memory Care medication cart laptop monitors were unlocked, unattended, and accessible. |
| Video cameras pointed towards residents rooms throughout the facility. |
| Staff members had criminal background checks completed after their hire dates. |
| Direct care staff person did not receive required annual training in multiple areas including medication self-administration and fire safety. |
| Resident's bedside mobility device was loose and not securely attached to the bed. |
| No bed linens on resident's bed; soiled linens thrown in corner. |
| Home's written emergency procedures did not include contact information for each resident’s designated person. |
| Resident medical evaluations missing required information such as body positioning, emergency medical information, and medication lists. |
| First aid kits in vehicles used for resident transport were missing required items or absent. |
| Loose pills found on medication carts; damaged medication packaging observed. |
| Expired medications found in vehicle first aid kits; improper medication disposal by staff. |
| Discrepancies in narcotic medication counts and documentation. |
| Medications prescribed to residents were not available in the home. |
| Resident preadmission screening forms missing required information or not completed timely. |
| Resident assessments and support plans were incomplete or not updated to reflect current needs and diets. |
| Residents did not sign their support plans despite participation in their development. |
| Resident admitted to Secure Dementia Care Unit without a written cognitive preadmission screening. |
| Directions for operating key-locking devices were not conspicuously posted near exits. |
| Resident support plan for dementia care unit admission was not completed timely and lacked dementia status update. |
Report Facts
License Capacity: 130
Residents Served: 72
Memory Care Capacity: 30
Memory Care Residents Served: 17
Hospice Current Residents: 10
Residents Age 60 or Older: 71
Residents with Mobility Need: 41
Total Daily Staff: 113
Waking Staff: 85
Inspection Report
Monitoring
Census: 70
Capacity: 130
Deficiencies: 0
Apr 18, 2023
Visit Reason
The inspection was a partial, unannounced monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 04/18/2023.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 70
License Capacity: 130
Secured Dementia Care Unit Capacity: 31
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 7
Residents Age 60 or Older: 70
Residents with Mobility Need: 30
Resident Support Staff: 0
Total Daily Staff: 100
Waking Staff: 75
Inspection Report
Complaint Investigation
Census: 65
Capacity: 130
Deficiencies: 10
Jan 10, 2023
Visit Reason
The inspection was conducted due to an incident (complaint) at the facility, as indicated by the 'Reason: Incident' and unannounced partial inspection on 01/10/2023 and 01/19/2023.
Findings
Multiple deficiencies were found including neglect and improper treatment of a resident found on the floor without assessment, staff lacking required qualifications and training, medication errors including administration mistakes, missing medications, expired medications, and failure to document or report medication errors properly.
Complaint Details
The inspection was triggered by an incident involving neglect and mistreatment of resident #1, including failure to assess after a fall and improper medication administration. Multiple medication errors and staff qualification issues were also investigated.
Deficiencies (10)
| Description |
|---|
| Resident #1 was found on the floor and staff failed to assess for injury or assist appropriately, violating neglect and abuse policies. |
| Resident #1 was treated without dignity and respect when staff administered medication while resident was sitting on the floor and made inappropriate comments. |
| Direct care staff person B lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| Direct care staff person A provided unsupervised ADL services without completing required Department-approved training and competency test. |
| Discontinued and expired medications were found in the medication cart belonging to resident #2. |
| Resident #2's prescribed as-needed medication was not available in the home. |
| Medication administration records did not include diagnosis or purpose for medications for residents #1 and #2. |
| Prescriber orders were not followed correctly, including wrong medication administration times, missed doses, and unavailable medications. |
| Medication errors were not reported to residents, designated persons, or prescribers as required. |
| Documentation of medication errors and prescriber responses were missing in resident records. |
Report Facts
License Capacity: 130
Residents Served: 65
Secured Dementia Care Unit Capacity: 31
Secured Dementia Care Unit Residents Served: 12
Current Hospice Residents: 3
Residents with Mobility Need: 29
Total Daily Staff: 94
Waking Staff: 71
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 27, 2022
Visit Reason
The document reports on the Pennsylvania Department of Human Services, Bureau of Human Service Licensing review of the facility conducted on 07/27/2022, 07/28/2022, and 08/01/2022 to determine the status of the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Report Facts
Inspection dates: 07/27/2022, 07/28/2022, 08/01/2022
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 13, 2022
Visit Reason
The document is a follow-up review by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to determine if the submitted plan of correction for the facility was fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Report Facts
Inspection review dates: Review conducted on 07/13/2022 and 07/20/2022
Inspection Report
Plan of Correction
Deficiencies: 0
Mar 29, 2022
Visit Reason
The document is a follow-up review of the submitted plan of correction for the facility conducted by the Pennsylvania Department of Human Services on 03/29/2022.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Inspection Report
Complaint Investigation
Census: 55
Capacity: 130
Deficiencies: 8
Mar 11, 2022
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 03/11/2022.
Findings
Multiple deficiencies were found including unsanitary conditions in bathrooms, uncovered thermostat with exposed wires, lack of bedside tables and operable lamps for certain residents, absence of toilet paper in a bathroom, lint accumulation in dryers, and a discontinued medication present without a current order. Plans of correction were accepted and implemented with training and audits scheduled to maintain compliance.
Complaint Details
The inspection was complaint-driven as indicated by the reason 'Complaint' and the unannounced partial inspection on 03/11/2022.
Deficiencies (8)
| Description |
|---|
| No toilet paper in bathroom across from activities room; no paper towels in bathroom by nurse station and bathroom across from activities room; toilet soiled and unsanitary in bathroom by nurse station; dusty PTAC heating unit vents in bedrooms 134, 139, 141, and 142. |
| Uncovered thermostat with exposed wires in resident #1's bedroom (room #130), posing a potential safety hazard. |
| No hot or cold running water in the bathroom across from the activities room at 9:30am. |
| No bedside table or shelf for residents #2, #3, and #4 in bedrooms 128, 141, and 146. |
| Residents #2, #3, and #4 do not have access to a source of light that can be turned on/off at bedside. |
| No toilet paper in the bathroom across from activities room on 03-11-2022. |
| Two dryers on the secured dementia care unit (SDCU) had lint in the lint trap at time of inspection. |
| A bottle of Loperamide 2mg was observed with resident #5's medications but was discontinued and lacked a current order. |
Report Facts
License Capacity: 130
Residents Served: 55
Residents Served in Secured Dementia Care Unit: 20
Staffing Hours - Total Daily Staff: 86
Staffing Hours - Waking Staff: 65
Residents with Mobility Need: 31
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Physical Disability: 1
Notice
Capacity: 130
Deficiencies: 0
Sep 1, 2021
Visit Reason
The document serves as a renewal notification and license issuance for The Bridges at Warwick Personal Care Home following receipt of the renewal application dated July 20, 2021.
Findings
The Department issued a regular license in response to the renewal application and advised that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 130
Secure Dementia Care Unit capacity: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie J. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 66
Capacity: 130
Deficiencies: 9
Apr 15, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies including failure to post current license and emergency procedures, missing resident contract signatures and signed statements, unsecured poisonous materials, lack of emergency telephone numbers, missing thermometer in freezer, and absence of posted weekly menus. Plans of correction were accepted and implemented with completion dates mostly by 05/30/2021.
Deficiencies (9)
| Description |
|---|
| The home did not have a copy of their current license inspection summary or a copy of the Personal Care Homes regulation book posted in a conspicuous and public place. |
| Resident #1 did not sign the home's contract and the home did not document that resident #1 was unable to sign or refused to sign. |
| Resident #1's record did not contain a statement signed by the resident acknowledging receipt of a copy of the resident rights and complaint procedures and the home did not document that resident #1 was unable to sign or refused to sign. |
| Poisonous materials (Crest toothpaste and Listerine mouthwash) with poison control warning were observed unlocked on the bathroom counter in a bedroom on the secured dementia care unit. |
| No emergency telephone numbers including nearest hospital and fire department were posted on or by the telephone in a resident bedroom. |
| No thermometer was present in the ice cream freezer in the kitchen. |
| The home's emergency procedures were not posted in a conspicuous and public place in the home. |
| The home did not have a weekly menu posted in a conspicuous and public place in the secured dementia care unit. |
| The home did not document that resident #1 was educated on the right to refuse medication if the resident believes there may be a medication error. |
Report Facts
License Capacity: 130
Residents Served: 66
Secured Dementia Care Unit Capacity: 31
Secured Dementia Care Unit Residents Served: 22
Current Hospice Residents: 7
Residents Age 60 or Older: 66
Residents with Mobility Need: 29
Total Daily Staff: 95
Waking Staff: 71
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