Inspection Reports for Truewood by Merrill, Glen Riddle
263 Glen Riddle Rd, Glen Riddle, PA 19063, PA, 19063
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Inspection Report
Follow-Up
Census: 86
Capacity: 153
Deficiencies: 2
Jun 3, 2025
Visit Reason
The inspection was a partial, unannounced incident review conducted on 06/03/2025 to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have implemented the submitted plan of correction fully. Two deficiencies were noted: incomplete handrails on an exterior ramp and missing inspection stickers on several fire extinguishers, both of which had corrective actions planned and implemented by 08/05/2025.
Deficiencies (2)
| Description |
|---|
| The pathway and ramp outside Fire Tower H has a handrail covering only a portion of the pathway and ramp, requiring extension from the door to the driveway. |
| Approximately five fire extinguishers did not have an inspection sticker following the annual fire extinguisher inspection. |
Report Facts
License Capacity: 153
Residents Served: 86
Secured Dementia Care Unit Capacity: 41
Residents Served in Dementia Care Unit: 23
Current Hospice Residents: 4
Residents Age 60 or Older: 86
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Total Daily Staff: 116
Waking Staff: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chad Stone | Regional Director of Maintenance | Contacted Berks Ridge Construction to provide quote for handrail correction |
Inspection Report
Census: 84
Capacity: 153
Deficiencies: 0
Apr 29, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 153
Residents Served: 84
Memory Care Unit Capacity: 43
Memory Care Unit Residents Served: 22
Current Hospice Residents: 6
Residents Age 60 or Older: 84
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Resident Support Staff: 0
Total Daily Staff: 113
Waking Staff: 85
Inspection Report
Renewal
Census: 87
Capacity: 153
Deficiencies: 8
Apr 2, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license, with an unannounced full inspection on 04/02/2025 and exit conference on 04/03/2025.
Findings
Multiple deficiencies were identified related to sanitary conditions, surfaces, medical evaluation documentation, medication self-administration, medication records, storage procedures, and following prescriber's orders. The facility submitted plans of correction which were accepted and later determined to be fully implemented.
Deficiencies (8)
| Description |
|---|
| Uncovered garbage cans full of garbage in an unlocked trash room. |
| Open attic door with bags of insulation materials placed precariously near the opening. |
| Resident #1's medical evaluation did not indicate the resident's ability to self-administer medications. |
| Resident #1 was unable to identify which pills were which or the purpose/diagnosis for each despite self-administering medications. |
| Resident #1's medication record did not include a current list of medications, missing several prescriptions. |
| Blood sugar readings for Resident #2 were not documented in a timely manner or missing from the medication administration record. |
| Medication administration records for Residents #2, #3, and #4 did not indicate diagnoses or purposes for prescribed medications. |
| Resident #2 had glucometer readings taken outside prescribed times. |
Report Facts
License Capacity: 153
Residents Served: 87
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 6
Residents Age 60 or Older: 95
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 90
Capacity: 153
Deficiencies: 17
May 15, 2024
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements and regulations at the facility.
Findings
The inspection identified multiple deficiencies including lack of posted smoking signage, sanitary issues in kitchen areas, maintenance problems such as a clogged sink, incomplete first aid kits, improper food storage, labeling issues with resident laundry, expired pet vaccination, incomplete medical evaluations, missing signage for key-locking devices, and medication storage concerns. All deficiencies had plans of correction accepted and were reported as implemented by July 22, 2024.
Deficiencies (17)
| Description |
|---|
| No smoking signage posted around the home despite allowing smoking in designated areas. |
| Crumbs, spills, food particles, and debris found in memory care kitchen refrigerator and gas grill covered with old food and grime. |
| Bathroom sink in Resident 1's room was clogged and would not drain. |
| First aid kit in personal care nurse station missing a breathing shield. |
| Multiple 5-gallon emergency water bottles stored on the floor in the shed outside the building. |
| Temperature in ice cream freezer was 2°F (above required 0°F). |
| Opened left-over jar requiring refrigeration found in dry food storage. |
| A bag of toasted pearl couscous in dry food storage was opened and unsealed. |
| Two white laundry baskets full of clothes in laundry room were not labeled with residents' names or room numbers. |
| Cat present in facility without current rabies vaccination certificate; certificate expired on 5/8/24. |
| Resident 2's medical evaluation did not include body positioning and movement information despite mobility needs. |
| Three extinguished cigarette butts noted on cigarette receptacle posing possible fire hazard. |
| Weekly menus for upcoming weeks not displayed in a conspicuous and public place in the home. |
| First aid kit in bus used to transport residents missing a breathing shield. |
| Tape found covering puncture foil on blister pack of medication for Resident 2; blister pack for Resident 3 punctured with medication present. |
| Resident 4's written cognitive preadmission screening was not completed within required timeframe prior to admission to secured dementia care unit. |
| Directions for operating key-locking devices not conspicuously posted near main door from Secure Dementia Care Unit to personal care area. |
Report Facts
License Capacity: 153
Residents Served: 90
Secured Dementia Care Unit Capacity: 41
Residents Served in Secured Dementia Care Unit: 24
Current Hospice Residents: 7
Residents Age 60 or Older: 90
Residents Diagnosed with Mental Illness: 5
Residents with Mobility Need: 24
Residents with Physical Disability: 1
Staffing Hours - Total Daily Staff: 114
Staffing Hours - Waking Staff: 86
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| General Manager | Named in multiple findings including oversight of smoking signage, first aid kit corrections, and key-locking device signage. | |
| Executive Chef | Responsible for cleaning kitchen equipment, in-servicing dietary staff, and ensuring food storage compliance. | |
| Guest Services Director | Involved in monitoring smoking signage, laundry labeling, medication storage training, and menu posting. | |
| Resident Care Director | Responsible for medical evaluation reviews, medication audits, and first aid kit maintenance. | |
| Garden House Director | Oversight of secured dementia care unit compliance, refrigerator inspections, and signage postings. | |
| Maintenance Director | Responsible for correcting storage violations and maintenance issues. | |
| Activities Director | Responsible for checking first aid kit contents in bus. | |
| Community Relations Director | In-serviced on medical evaluation compliance. |
Inspection Report
Renewal
Census: 96
Capacity: 153
Deficiencies: 20
Mar 6, 2023
Visit Reason
The inspection was conducted as a renewal and incident review of the facility to ensure compliance with licensing regulations.
Findings
The inspection identified multiple deficiencies including inadequate staff training, infestation issues, improper food storage, incomplete medical evaluations, medication record discrepancies, and incomplete resident support plans. Plans of correction were submitted and fully implemented by July 11, 2023.
Deficiencies (20)
| Description |
|---|
| Direct care staff person A does not have at least 12 hours of annual training related to her/his job duties. |
| Direct care staff person A did not receive training in medication self-administration, resident needs, dementia care, infection control, and safe management techniques. |
| Staff person A did not receive training in emergency preparedness, resident rights, Older Adult Protective Services Act, falls and accident prevention. |
| Staff persons A and B did not have a complete record of training including trainer, date, source, content, length, and certificates. |
| Ants were observed crawling on the sink and wall in resident 1's bedroom. |
| Full, uncovered, unattended trash can in the kitchen. |
| Dumpster station outside the building was open with trash and debris scattered. |
| Uncovered, undated jars of beverages stored in the main kitchen fridge. |
| Food and water stored on the floor in kitchen and outside the facility. |
| No thermometer in the ice cream freezer in the main kitchen. |
| Resident medical evaluations missing critical information such as emergency diagnosis, dietary needs, immunization history, medication regimen, and mobility assessment. |
| Wooden rocking chair and table present in the home's designated smoking area. |
| Menus for current and following weeks not posted in a public and conspicuous place. |
| Discrepancy in narcotics count for Resident 6 medication. |
| Medication administration training record for staff person B missing trainer signature, date, and completion documentation. |
| Resident 3's preadmission screening form did not include determination that needs can be met by the home. |
| Resident 2's most recent assessment was outdated, completed over a year prior. |
| Resident support plans did not document how dietary needs will be met for residents 1, 4, and 5. |
| Resident 2 participated in support plan development but did not sign the support plan. |
| Resident 4's initial support plan was not completed within 72 hours of admission to the secured dementia care unit. |
Report Facts
Residents Served: 96
License Capacity: 153
Residents Served in Secured Dementia Care Unit: 25
Capacity of Secured Dementia Care Unit: 41
Current Hospice Residents: 7
Residents Age 60 or Older: 92
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 84
Capacity: 153
Deficiencies: 0
Nov 21, 2022
Visit Reason
The inspection was conducted as a complaint investigation with multiple unannounced off-site inspection dates between 11/21/2022 and 12/07/2022.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related as explicitly stated under Inspection Information with Reason: Complaint. No deficiencies or citations were found.
Report Facts
Inspection Dates: 9
Residents Served: 84
License Capacity: 153
Memory Care Capacity: 41
Memory Care Residents Served: 27
Inspection Report
Follow-Up
Census: 84
Capacity: 153
Deficiencies: 4
Apr 19, 2022
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
The inspection found incidents of resident abuse involving staff, failure to implement positive interventions for aggressive behavior, incomplete support plan revisions, and failure to provide a formal 30-day written discharge notice. A plan of correction was submitted and accepted, with training and supervision measures implemented.
Complaint Details
The visit was triggered by an incident complaint involving resident abuse and aggressive behavior.
Deficiencies (4)
| Description |
|---|
| Resident #1 pushed resident #2 to the floor unprovoked, resulting in hospitalization of resident #2. Staff person B used inappropriate verbal cues and force while assisting resident #3 to bed. |
| Failure to implement positive interventions to modify or eliminate aggressive behavior displayed by residents. |
| Support plan for resident #1 was not updated to reflect aggressive behavior incidents with other residents. |
| The home discharged resident #1 due to need for higher level of care but did not provide a formal written 30-day notice. |
Report Facts
License Capacity: 153
Residents Served: 84
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 30
Total Daily Staff: 120
Waking Staff: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person B | Named in abuse finding for improper behavior and forced sleep management; placed on suspension and completed multiple trainings. |
Inspection Report
Renewal
Census: 76
Capacity: 153
Deficiencies: 7
Sep 1, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility Truewood by Merrill, Glen Riddle, to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including failure to report an incident within 24 hours, missing criminal background check documentation for a staff member, unlocked poisonous materials accessible to residents, unsanitary restroom conditions, unlocked medications accessible to a resident not assessed capable of self-administration, expired medications not removed from medication carts, and incomplete medical evaluation documentation for a resident admitted to the secured dementia care unit. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (7)
| Description |
|---|
| Failure to report an incident involving a resident's head injury to the department within 24 hours. |
| Staff member hired without a completed criminal background check prior to or by first day of work. |
| Unlocked poisonous materials accessible in resident #2's room in the secured dementia care unit. |
| Unsanitary conditions in memory care common area restroom including feces on floor, overflowing toilet, and used cloth towel on toilet tank lid. |
| Medication prescribed for resident #2 was unlocked, unattended, and accessible in the medicine cabinet; resident not assessed capable of self-administration. |
| Expired medications prescribed to residents #3 and #4 were present in the memory care unit medication cart and not removed or destroyed after expiration. |
| Resident #5 admitted to secured dementia care unit without medical evaluation completed within 60 days prior to admission. |
Report Facts
License Capacity: 153
Residents Served: 76
Secured Dementia Care Unit Capacity: 41
Residents Served in Secured Dementia Care Unit: 31
Hospice Residents: 14
Residents with Mental Illness: 3
Residents with Mobility Need: 37
Residents 60 Years or Older: 76
Waking Staff: 85
Total Daily Staff: 113
Inspection Report
Follow-Up
Census: 74
Capacity: 153
Deficiencies: 3
Aug 4, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident, to verify the implementation of a previously submitted plan of correction.
Findings
The facility had deficiencies related to inadequate staff training on suicide prevention and failure to implement positive interventions for a resident with a history of suicide attempts. The submitted plan of correction was accepted and fully implemented, including staff training, care plan updates, and development of a geriatric psychiatry partnership.
Deficiencies (3)
| Description |
|---|
| The home admitted a resident with a history of suicide and the staff were not trained on how to meet the resident's needs. |
| The home did not implement positive interventions to modify or eliminate a behavior related to a resident's suicide attempt. |
| The resident's support plan did not document how the need for suicide prevention would be met. |
Report Facts
License Capacity: 153
Residents Served: 74
Staffing Hours - Resident Support Staff: 111
Staffing Hours - Waking Staff: 83
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 39
Residents Diagnosed with Mental Illness: 5
Residents with Mobility Need: 37
Residents with Physical Disability: 1
Residents 60 Years or Older: 74
Notice
Capacity: 153
Deficiencies: 0
Apr 5, 2021
Visit Reason
The document serves to notify the facility of a new license issuance due to a recent change in the facility's name from The Residence at Glen Riddle to Truewood by Merrill, Glen Riddle.
Findings
The license remains valid with the same expiration date, and the certificate of compliance confirms the facility's authorized capacity and service type as a Personal Care Home with a Secure Dementia Care Unit.
Report Facts
Maximum capacity: 153
Secure Dementia Care Unit capacity: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Buchenauer | Deputy Secretary | Signed the license issuance notice and certificate of compliance |
Inspection Report
Re-Inspection
Census: 74
Capacity: 153
Deficiencies: 7
Dec 9, 2020
Visit Reason
The inspection was conducted due to a change in legal entity and as a partial inspection of the newly licensed facility, with a re-inspection planned within 3 months of the license effective date.
Findings
The facility was found to be in substantial but not complete compliance with 55 Pa.Code Chapter 2600. Several deficiencies were cited including improper storage of poisonous materials, inoperable lighting, lack of bedside tables and operable lamps, improper refrigerator/freezer temperatures, blocked egress routes, and smoking in non-designated areas. Plans of correction were accepted and implemented with specified completion dates.
Deficiencies (7)
| Description |
|---|
| Resident Room 171 had a mouth rinse antiseptic bottle on the bathroom counter that should have been locked. |
| Resident room 232 did not have operable lighting in the bathroom. |
| Resident Room 178 did not have a bedside table. |
| Resident Room 178 did not have an operable lamp or lighting that could be reached from bedside. |
| Walk-in kitchen freezer temperature was 19°F and refrigerator temperature was 46°F, both above required limits. |
| Blocked egress observed in fire towers F and G with unsafe exit conditions. |
| Memory care patio was not a designated smoking area but had 5 cigarette butts present. |
Report Facts
License Capacity: 153
Residents Served: 74
Memory Care Capacity: 41
Memory Care Residents Served: 32
Cigarette Butts Found: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Grech | Administrator | Named as facility administrator in the inspection summary. |
| Jamie Buchenauer | Deputy Secretary | Signed the licensing letter and certificate. |
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