Inspection Reports for The Willows of Living Branches
2343 BETHLEHEM PIKE,, HATFIELD, PA, 19440
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
8.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
77% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
56% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Monitoring
Census: 45
Capacity: 80
Deficiencies: 0
Apr 17, 2025
Visit Reason
The inspection was conducted as a monitoring visit to the facility on 04/17/2025 to assess compliance with licensing requirements.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 45
License Capacity: 80
Current Hospice Residents: 1
Resident Support Staff: 0
Total Daily Staff: 83
Waking Staff: 62
Residents Age 60 or Older: 45
Residents with Mobility Need: 38
Inspection Report
Renewal
Census: 52
Capacity: 80
Deficiencies: 6
Jan 11, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of THE WILLOWS OF LIVING BRANCHES facility on 01/11/2024.
Findings
The submitted plan of correction was determined to be fully implemented. Several deficiencies related to record confidentiality, sanitary conditions, medication administration, prescription currency, storage procedures, and documentation of medication administration times were identified and addressed with corrective actions.
Deficiencies (6)
| Description |
|---|
| The narcotics logbook was unlocked, unattended, and accessible on the medication cart near the dining hall. |
| Staff Person A used bare, ungloved fingers to administer medication to residents and failed to sanitize hands between administrations. |
| Staff Person B administered medication incorrectly by using a standing order and failed to follow proper medication administration procedures. |
| Discontinued earwax removal drops were found in the medication cart despite being discontinued months earlier. |
| Discrepancy in narcotics pill count: actual count was 39 but log documented 40 with no explanation. |
| Medication administration record for Resident 5 did not include initials of staff who administered medication as required. |
Report Facts
License Capacity: 80
Residents Served: 52
Current Hospice Residents: 2
Residents Diagnosed with Mental Illness: 32
Residents Aged 60 or Older: 52
Residents Diagnosed with Intellectual Disability: 1
Inspection Report
Renewal
Census: 42
Capacity: 80
Deficiencies: 9
Aug 9, 2022
Visit Reason
The inspection was conducted as a renewal inspection of THE WILLOWS OF LIVING BRANCHES facility on 08/09/2022.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, missing signed statements acknowledging receipt of resident rights, incomplete staff orientation training, uncovered trash receptacles, unlabeled and undated food items, resident education gaps on medication refusal rights, incomplete preadmission screening forms, delayed resident assessments, and improper refrigerator temperatures. Plans of correction were accepted and implemented with specified completion dates.
Deficiencies (9)
| Description |
|---|
| The resident-home contract for resident #1 was not signed by the resident. |
| Resident #1's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures. |
| Staff person A did not complete training on the emergency medical plan within 40 scheduled work hours. |
| Two uncovered, unattended trash cans were found in the kitchen. |
| Multiple food items in kitchen refrigerators, freezer, and dry storage were not labeled or dated. |
| Resident #1 was not educated on the right to question or refuse medication if a medication error is suspected. |
| Resident #1’s preadmission screening form did not include a determination that the resident's needs can be met by the home. |
| Resident #2’s initial assessment was not completed within 15 days of admission. |
| The temperature in the kitchen reach-in service refrigerator was 48.7°F, exceeding the required maximum of 40°F. |
Report Facts
License Capacity: 80
Residents Served: 42
Total Daily Staff: 44
Waking Staff: 33
Current Hospice Residents: 1
Residents Diagnosed with Mental Illness: 25
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 2
Notice
Capacity: 80
Deficiencies: 0
Jul 21, 2021
Visit Reason
The document serves as a renewal notification for the operation of The Willows of Living Branches Personal Care Home and informs that an onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
The document confirms issuance of a regular license following the renewal application and states that the Department will conduct an inspection within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum licensed capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 34
Capacity: 80
Deficiencies: 9
Jul 8, 2021
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for THE WILLOWS OF LIVING BRANCHES.
Findings
The inspection identified multiple deficiencies including failure to post the current license, untimely incident reporting, lack of influenza posters, delays in resident refund processing, missing emergency telephone numbers, staff unaware of first aid kit location, improper freezer temperature, lint accumulation in dryer, and obstructed egress routes. Plans of correction were submitted and accepted with completion dates ranging from July to November 2021, and all corrections were documented as implemented by October 29, 2022.
Deficiencies (9)
| Description |
|---|
| The home's current license was not posted in a conspicuous and public place. |
| Incident reports were not dated or reported to the Department within 24 hours as required. |
| The home did not have an influenza poster posted anywhere as required by the Influenza Awareness Act. |
| Refund checks for discharged residents were not sent within the required 30-day timeframe. |
| Emergency telephone numbers were not posted on or by the telephone located in room 13. |
| Staff person did not know the location of the first aid kit. |
| The temperature in the freezer was 8 degrees Fahrenheit, above the required 0°F or below. |
| There was an approximate 2 inch accumulation of lint in the lint trap of the 2nd floor laundry dryer. |
| A welded galvanized steel chain and plants/shrubs were obstructing the exit to the staircase on the second floor. |
Report Facts
License Capacity: 80
Residents Served: 34
Current Hospice Residents: 1
Total Daily Staff: 34
Waking Staff: 26
Freezer Temperature: 8
Lint Accumulation: 2
Inspection Report
Renewal
Census: 34
Capacity: 80
Deficiencies: 9
Jul 8, 2021
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 07/08/2021 and 07/09/2021 to assess compliance with licensing requirements for THE WILLOWS OF LIVING BRANCHES.
Findings
The inspection identified multiple deficiencies including failure to post the current license, delayed incident reporting, lack of influenza posters, delayed resident refund checks, missing emergency telephone numbers, staff unaware of first aid kit location, improper freezer temperature, lint accumulation in dryer, and obstructed egress routes. Plans of correction were accepted for all deficiencies with specified completion dates.
Deficiencies (9)
| Description |
|---|
| The home's current license, dated 08/19/21, was not posted in a conspicuous and public place. |
| Incident reports were not timely reported to the Department, including an unwitnessed fall and a resident complaint. |
| The home did not have an influenza poster posted anywhere on 07/08/21 as required by the Influenza Awareness Act. |
| Resident refund checks were not sent within 30 days of discharge for three residents. |
| No emergency telephone numbers including nearest hospital and fire department were posted on or by the telephone in room 13. |
| Staff person did not know the location of the first aid kit. |
| Freezer temperature was 8 degrees Fahrenheit, exceeding the required maximum of 0°F. |
| Approximately 2 inch accumulation of lint in the lint trap of the 2nd floor laundry dryer. |
| A welded galvanized steel chain and plants/shrubs were obstructing the exit to the staircase on the second floor. |
Report Facts
License Capacity: 80
Residents Served: 34
Total Daily Staff: 34
Waking Staff: 26
Freezer Temperature: 8
Lint Accumulation: 2
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