Inspection Reports for
The Inne at Riddle Village
1048 WEST BALTIMORE PIKE,, MEDIA, PA, 19063
Back to Facility Profile15 Reports
Inspection Report — Oct 8, 2024
Renewal
Date: Oct 8, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility license by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 10/08/2024 and 10/09/2024.
Findings
The facility was found to have multiple deficiencies related to staff training requirements, including incomplete orientation within 40 hours, insufficient annual training hours, missing training topics, incomplete training records, and inadequate staff training plans. Additionally, deficiencies were noted in physical accommodations for residents and incomplete documentation in resident support plans. The submitted plan of correction was accepted and fully implemented by 12/03/2024.
Citations (9)
Staff person A did not complete required orientation training topics within 40 scheduled working hours.
Direct care staff person B received only 15 minutes of documented annual training in 2023; training hours for staff C and D were undocumented.
Direct care staff person B did not receive required training in multiple annual training topics including medication self-administration, resident needs, dementia care, infection control, personal care, safe management, and mental illness care during 2023.
Direct care staff persons C and D did not receive training on meeting resident needs as described in preadmission screening and support plans during 2023.
Staff person B did not receive training in fire safety, emergency preparedness, resident rights, falls and accident prevention during 2023; staff C and D did not receive training in falls and accident prevention.
The home's record of direct care staff training does not include the training source or length of each course.
The home's staff training plan does not include the dates, times, and locations of scheduled training for each staff person for the upcoming year.
The home has not developed procedures to ensure periodic assessment and proper use of Bedside Mobility Devices for residents.
Resident support plans lacked documentation of medical diagnoses, appropriate medications, risks and safe use of assistive devices, and comprehensive care plans for medical and behavioral needs.
Report Facts
Residents Served: 48
Total Daily Staff: 96
Waking Staff: 72
Current Residents in Hospice: 0
Inspection Report — Jul 24, 2023
Renewal
Date: Jul 24, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility license, unannounced, on 07/24/2023.
Findings
The inspection found several deficiencies related to criminal background checks, staff training on resident rights and abuse reporting, medication storage, and glucose monitoring procedures. All deficiencies had plans of correction submitted and were reported as fully implemented by 10/10/2023.
Citations (4)
Criminal background check for a staff person was not completed timely after hire.
Staff person did not complete required training on resident rights, emergency medical plan, abuse reporting, and incident reporting within 40 scheduled work hours.
Loose pills were found in medication cart drawers during medication audit.
Glucometer date was incorrect and glucose reading documentation was missing from the device.
Report Facts
Residents Served: 38
Total Daily Staff: 43
Waking Staff: 32
Loose Pills Found: 8
Glucose Reading: 196
Inspection Report — Aug 15, 2022
Renewal
Date: Aug 15, 2022
Visit Reason
The inspection was a renewal visit conducted on 08/15/2022 to review the facility's compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including water-damaged ceiling tiles in bathrooms and bedrooms, failure to submit written emergency procedures to the local emergency management agency, incomplete annual fire safety inspection, failure to evacuate residents to a designated meeting place during fire drills, incomplete medical evaluations for residents, and incomplete preadmission screening forms.
Citations (6)
Water stained and damaged ceiling tiles in resident bathrooms and bedrooms.
Written emergency procedures were not submitted annually to the local emergency management agency.
Annual fire safety inspection by a fire safety expert was not completed as required.
Residents did not evacuate to a designated meeting place during multiple fire drills.
Medical evaluations for Resident #1 and Resident #2 were not completed within required timeframes.
Resident #1's preadmission screening form did not include a determination that the resident's needs could be met by the home.
Report Facts
Residents Served: 37
Total Daily Staff: 37
Waking Staff: 28
Residents Evacuated: 39
Fire Drill Times: 5
Fire Drill Times: 3
Fire Drill Times: 2
Fire Drill Times: 6
Notice — Sep 7, 2021
Date: Sep 7, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for the Personal Care Home 'Inne at Riddle Village, The' following receipt of the renewal application dated August 11, 2021.
Findings
The Department confirms receipt of the renewal application and states that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report — Jul 22, 2021
Renewal
Date: Jul 22, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 07/22/2021 and 07/23/2021 to assess compliance with licensing requirements at The Inne at Riddle Village.
Findings
Multiple deficiencies were identified including issues with resident refunds, emergency telephone postings, outdated food, emergency management agency submissions, menu postings, medication labeling, medication storage, medication administration timing, following prescriber's orders, and staff medication administration training. Plans of correction were accepted for all violations.
Citations (11)
Resident refund invoice was issued more than 30 days after resident's discharge.
No emergency telephone numbers posted by telephones in the 3rd floor personal care kitchen and resident room 325.
Outdated food items found in the walk-in refrigerator in the main kitchen.
Written emergency procedures not submitted annually to the local emergency management agency since 1/24/2020.
Weekly menus for 7/24/21 to 7/31/21 were not posted in a conspicuous public place.
Medication label for Resident #1 was incorrect regarding dosage and administration frequency.
Medication prescribed for Resident #2 was not available in the home on 7/23/21.
Medication for Resident #2 was documented as given at 8:00am but was actually given at 10:50am and not recorded properly.
Medication prescribed for Resident #1 was not administered on 7/4/21 as ordered.
Medication prescribed for Resident #1 was not administered on 7/22/21 because it was not available in the home.
Staff persons administered medications without successfully completing the Department-approved medication administration annual practicum.
Report Facts
Residents Served: 34
Total Daily Staff: 46
Waking Staff: 35
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 12
Residents with Physical Disability: 1
Notice — Oct 7, 2020
Date: Oct 7, 2020
Visit Reason
The document serves as a renewal license issuance and notification that the Department will conduct an annual inspection 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
Inspection Report — Jan 28, 2020
Renewal
Date: Jan 28, 2020
Visit Reason
The inspection was a full, unannounced renewal inspection of the facility conducted by the Pennsylvania Department of Human Services on January 28, 2020.
Findings
The inspection identified multiple violations including incomplete criminal background checks, uncovered trash receptacles, inoperable bedside lamps, accumulation of lint in dryers, non-operable fire extinguishers, failure to evacuate during fire drills, incomplete medication documentation, and incomplete resident record content. Plans of correction were submitted and fully implemented as of April 20, 2020.
Citations (9)
2600.51 Criminal History Checks - Staff member A was hired before their criminal history check was completed on 11/11/2019.
2600.85.d Trash Receptacles - Two trash cans in the kitchen lacked lids, allowing potential penetration of insects and rodents.
2600.97 Elevators/Lifting Devices - The home's elevator certificate expired in 7/2018 and the current certificate did not reflect the correct expiration date of 7/2020.
2600.101.j Lighting/Operable Lamp - Resident bedroom #205 had two bedside lamps, but neither was operable.
2600.105.g Lint Removal and Duct Cleaning - There was an accumulation of 1/4 inch of lint in the dryer and two industrial dryers contained at least 1/4 inch of lint in the basement.
2600.131.a Fire Extinguisher - Multiple fire extinguishers were not operable and indicated low pressure on the 1st floor and 3rd floor stair towers.
2600.132.h Designated Meeting Place - Residents did not evacuate during a fire drill on the 3rd floor and stayed in their rooms during the alarm.
2600.185.a Implement Storage Procedures - The glucometer reading for Resident #2 was 172 but was documented as 167 in the Medication Administration Record.
2600.252 Record Content - Resident #3, #4, and #5 records lacked hair or eye color documentation; Resident #6's record also lacked hair color documentation.
Report Facts
Residents Served: 37
Total Daily Staff: 74
Waking Staff: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kisha Lester-Dennis | Personal Care Administrator | Named as administrator and signer of plans of correction |
Notice — Aug 14, 2019
Date: Aug 14, 2019
Visit Reason
The document serves as a renewal notification for the Personal Care Home license of Inne at Riddle Village, The, and informs about 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 — Apr 16, 2019
Annual Inspection
Date: Apr 16, 2019
Visit Reason
The inspection was an annual licensing inspection conducted by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2600 for Personal Care Homes.
Findings
Two violations were found: water damaged ceiling tiles in the first floor bathroom and a refrigerator temperature above the required 40°F. Both issues were promptly corrected and plans of correction were fully implemented.
Citations (2)
2600.88.a Floors, walls, ceilings, windows, doors and other surfaces must be clean, in good repair and free of hazards. Two stained, water damaged ceiling tiles were observed in the first floor bathroom next to the laundry room.
2600.103.f Food requiring refrigeration shall be stored at or below 40°F. The temperature in the walk-in refrigerator was 45 degrees Fahrenheit at 2 PM on the inspection day.
Report Facts
Residents Served: 38
Current Hospice Residents: 2
Residents Age 60 or Older: 38
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kisha L. Dennis | Administrator | Named in relation to the plan of correction and signature on violation reports |
Inspection Report — Aug 21, 2018
Renewal
Date: Aug 21, 2018
Visit Reason
The document is a renewal application and license issuance for the Personal Care Home 'Inne at Riddle Village, The'. The Department notifies that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and certificate issuance confirming the facility's authorized capacity and regulatory compliance requirements.
Report Facts
Inspection Report — Sep 6, 2017
Renewal
Date: Sep 6, 2017
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for Personal Care Homes, specifically a renewal inspection for the facility.
Findings
Multiple violations related to sanitary conditions, food safety, medication administration, and controlled substance documentation were found. The facility implemented corrective actions including staff retraining, equipment replacement, and monitoring to address these issues.
Citations (5)
55 Pa.Code §2600.85(a): Sanitary conditions were not maintained as a shared glucometer was used for two residents, risking contamination.
55 Pa.Code §2600.103(i): Outdated or dented food cans were found in the kitchen pantry, including pudding, olives, and cucumber chips.
55 Pa.Code §2600.185(a): Procedures for safe use of medical equipment were not followed when a staff member shared a glucometer between residents.
55 Pa.Code §2600.185(b): Documentation and control procedures for controlled substances were not followed; medication was not signed out of the narcotic record book.
55 Pa.Code §2600.188(b): A medication error occurred involving shared use of a glucometer between residents; the error was not reported to DHS.
Report Facts
Number of Residents Served: 42
Staffing Hours - Resident Support: 42
Staffing Hours - Total Daily Staff: 84
Staffing Hours - Waking Staff: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kisha L. Dennis | PCA | Signed as Legal Entity Representative on violation reports and plans of correction |
Inspection Report — Apr 3, 2017
Renewal
Date: Apr 3, 2017
Visit Reason
The inspection was a renewal visit conducted on April 3, 2017, to assess compliance with licensing requirements for the Inne at Riddle Village personal care home.
Findings
Multiple violations related to sanitary conditions, medication storage and administration, and resident assessments were found. Plans of correction were partially implemented with inadequate progress noted.
Citations (4)
55 Pa.Code §2600.85(a) - Sanitary conditions were not maintained as glucometer readings did not match resident records and monitors lacked history of resident readings.
55 Pa.Code §2600.186(a) - The home failed to develop and implement procedures for safe storage, access, security, and use of medications and medical equipment; the glucometer for Resident #2 was not calibrated correctly.
55 Pa.Code §2600.187(d) - The home did not follow prescriber directions; Resident #2's blood sugar checks were not documented on the glucometer as ordered.
55 Pa.Code §2600.226(o) - The resident support plan did not address the need for a bed rail for Resident #3, and the resident was not assessed for a bed rail after one was placed.
Report Facts
Number of Residents Served: 44
Total Daily Staff: 44
Walking Staff: 33
Total Daily Staff: 46
Walking Staff: 35
Number of Residents Served: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kisha L. Dennis | Administrator | Named in relation to violations and plans of correction |
| Natasha Braswell | Department representative on May 10, 2017 inspection | |
| Dean Gray | Department representative on April 3, 2017 inspection | |
| Taheela Thomas | Department representative on April 3, 2017 inspection |
Notice — Mar 9, 2017
Date: Mar 9, 2017
Visit Reason
The document serves as a renewal approval notice for the Personal Care Home license at Inne at Riddle Village, confirming receipt of 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 is a licensing certificate and renewal approval letter without compliance or deficiency details.
Report Facts
Inspection Report — May 13, 2016
Annual Inspection
Date: May 13, 2016
Visit Reason
The Department of Human Services conducted an annual licensing inspection of the facility on May 13, 2016.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Inspection Report — May 6, 2016
Renewal
Date: May 6, 2016
Visit Reason
The document is a renewal license issued in response to the March 7, 2016 renewal application to operate the Personal Care Home 'Inne at Riddle Village'. The Department will conduct an onsite inspection within the next twelve months as required by law.
Findings
No inspection findings are reported in this document. It serves as a license renewal certificate and notification of upcoming annual inspection requirements.
Viewing
Loading inspection reports...
