Deficiencies (last 5 years)
Deficiencies (over 5 years)
15.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
236% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
46% occupied
Based on a March 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Dec 3, 2025
Visit Reason
The inspection was conducted to investigate a complaint regarding incomplete documentation related to pressure ulcer treatments for one of three residents reviewed.
Findings
The facility failed to ensure complete documentation of wound treatments for Resident R1 on multiple dates, including October 17, October 28, November 23, and December 1, 2025, despite having a policy outlining required documentation elements.
Complaint Details
Complaint investigation related to incomplete wound care documentation for Resident R1; substantiation status not explicitly stated.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Incomplete documentation related to pressure ulcer treatments for Resident R1 on multiple dates. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Dates with missing wound treatment documentation: 4
Inspection Report
Annual Inspection
Deficiencies: 6
Sep 11, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with regulatory requirements including confidentiality of resident information, notification of resident transfers, medication administration standards, food safety, garbage disposal, and maintenance of resident inventory records.
Findings
The facility was found deficient in multiple areas including failure to maintain confidentiality during medication administration, failure to provide written notification of resident transfers, improper medication administration timing, inadequate food storage and safety practices, improper garbage disposal, and failure to maintain accurate inventory records for residents' personal belongings.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to provide confidentiality of residents' personal health information during medication administration for two residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide written notice to residents or their representatives regarding transfers and reasons for moves. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to administer medications according to professional standards for one resident, administering medication while resident was eating. | Level of Harm - Minimal harm or potential for actual harm |
| Did not ensure food was stored, prepared, distributed, and served in accordance with professional standards; included undated and expired food items. | Level of Harm - Minimal harm or potential for actual harm |
| Did not ensure garbage and refuse were disposed of properly; observed uncovered trashcans with foul odor and leaking liquid in receiving area. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain complete and accurate inventory records for residents' personal clothing items, resulting in missing items and reimbursement. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents affected: 2
Residents affected: 3
Residents affected: 1
Food items undated or expired: 10
Missing clothing items: 35
Reimbursement amount: 500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee E4 | Licensed Nurse | Observed administering medication without maintaining confidentiality |
| Employee E3 | Unit Manager | Interviewed regarding medication administration timing and pharmacy consultation |
| Employee E8 | Food Service Director | Interviewed and confirmed food safety and garbage disposal deficiencies |
| Employee E9 | Social Worker | Interviewed regarding missing clothing grievance |
| Employee E10 | Lead Housekeeping Aide | Reported missing clothing items and laundry process |
| Employee E2 | Administrator | Confirmed inventory sheet deficiencies and reimbursement agreement |
| Employee E1 | Director of Nursing | Confirmed inventory sheet deficiencies and reimbursement agreement |
Inspection Report
Complaint Investigation
Deficiencies: 3
Apr 29, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding a fall incident involving Resident R1 during a mechanical lift transfer, which resulted in injury and hospitalization.
Findings
The facility failed to ensure Resident R1 was free from neglect by not having sufficient staff during a mechanical lift transfer, resulting in a fall causing multiple skin tears, bruising, severe pain, and hospitalization. The facility also failed to ensure safe transfer techniques and adequate supervision to prevent accidents. Additionally, the facility did not complete performance evaluations for Nurse Aide Employee E3.
Complaint Details
The complaint investigation revealed that Resident R1 fell during a mechanical lift transfer on April 23, 2025, when Nurse Aide Employee E3 used the lift alone contrary to facility policy requiring two staff. The sling broke during transfer, causing the resident to fall and sustain multiple injuries. The resident was hospitalized. The investigation found no evidence the sling was defective. Employee E3 did not have a performance evaluation for 2024 or 2025.
Severity Breakdown
Level of Harm - Actual harm: 2
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure Resident R1 was free from neglect by not having two staff assist during mechanical lift transfer, resulting in fall and injury. | Level of Harm - Actual harm |
| Failure to ensure resident's environment remained free of accident hazards and failure to use safe transfer techniques during mechanical lift transfer. | Level of Harm - Actual harm |
| Failure to complete performance review of Nurse Aide Employee E3 at least once every 12 months. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents reviewed: 5
Skin tear measurement: 14.5
Skin tear measurement: 4
Skin tear measurement: 2
Skin tear measurement: 1
Pain level: 8
Pain level: 10
BIMS score: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee E3 | Nurse Aide | Used mechanical lift alone causing resident fall and injury; lacked performance evaluations for 2024 and 2025 |
| Employee E2 | Director of Nursing | Confirmed facility policy requiring two staff for mechanical lifts and confirmed injury occurred when Employee E3 transferred resident alone |
| Employee E4 | Nurse Aide | Examined sling used during transfer and reported it was not broken or defective |
| Employee E5 | Licensed Practical Nurse | Observed and documented Resident R1's skin damage after fall |
Inspection Report
Complaint Investigation
Deficiencies: 4
Apr 7, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to re-admit a resident after hospitalization and therapeutic leave, and concerns about care planning, laboratory services, and professional consultation.
Findings
The facility failed to re-admit a resident after hospitalization despite the resident being medically stable, did not develop a person-centered care plan for behaviors and medication refusal, failed to obtain recommended laboratory tests, and did not ensure a recommended endocrinology consultation was addressed.
Complaint Details
The complaint investigation focused on the facility's refusal to re-admit a resident after hospitalization despite the resident being medically stable and off restraints, failure to develop a person-centered care plan for the resident's behaviors and medication refusal, failure to obtain recommended laboratory tests including urine analysis, and failure to address a recommendation for endocrinology consultation.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Level of Harm - Minimal harm or potential for actual harm |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Level of Harm - Minimal harm or potential for actual harm |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Level of Harm - Minimal harm or potential for actual harm |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents reviewed: 5
Residents reviewed: 2
Hours off restraints: 60
Date of survey completion: Apr 7, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Named in relation to refusal to re-admit resident and concerns about medical stability | |
| Nursing Home Administrator | Named in relation to refusal to re-admit resident | |
| Unit Manager | Confirmed lack of person-centered care plan and lab test follow-up | |
| Psychiatric Nurse Practitioner | Made recommendations for lab tests and endocrinology consultation | |
| Hospital Social Worker | Communicated with facility regarding resident's discharge and return | |
| Facility Admission Director | Communicated with hospital social worker regarding resident's return and re-admission |
Inspection Report
Renewal
Census: 23
Capacity: 50
Deficiencies: 3
Mar 31, 2025
Visit Reason
The inspection was conducted as a renewal visit to evaluate compliance with licensing requirements for Wesley Enhanced Living Pennypack Park.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies were identified related to staff training, menu posting, and medication storage procedures, all of which were corrected or had plans of correction accepted and implemented.
Deficiencies (3)
| Description |
|---|
| Direct care staff did not receive training on meeting the needs of residents as described in the preadmission screening form, assessment tool, medical evaluation and support plan, and on personal care service needs of the resident during training year 2024. |
| Menus posted on the dining-room wall were not dated, preventing residents from identifying the current week's menu. |
| The glucometer for a resident was calibrated one hour slow, causing incorrect logging of readings. |
Report Facts
License Capacity: 50
Residents Served: 23
Total Daily Staff: 23
Waking Staff: 17
Inspection Report
Routine
Deficiencies: 13
Oct 24, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, infection control, medication management, and facility operations at Wesley Enhanced Living Pennypack Park.
Findings
The facility was found deficient in multiple areas including failure to revise care plans, inadequate supervision to prevent elopement, failure to follow physician orders for catheter care, inadequate nutritional assessment and monitoring, failure to administer oxygen as ordered, lack of documentation for gradual dose reduction of psychotropic medication, unsafe medication storage, failure to provide timely dental care, inaccurate physician orders for oxygen therapy, failure to maintain effective infection control practices, lack of resident education on influenza vaccines, malfunctioning kitchen dish machines, and ineffective pest control program.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 13
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to revise the care plan for activities of daily living for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide adequate supervision to prevent elopement of one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure physician orders were followed related to an indwelling urinary catheter for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to assess and monitor nutritional status of one resident to maintain acceptable parameters. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to administer oxygen as ordered by the physician for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide documentation of clinical rationale for continued administration of antipsychotic medication and failed to attempt gradual dose reduction for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure all drugs and biologicals were safely stored; medications were left unattended on bedside table for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide routine and 24-hour emergency dental care as needed for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Physician orders for oxygen therapy were inaccurate for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain an effective infection control program related to Transmission Based Precautions for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide education related to influenza vaccines prior to administration for six residents. | Level of Harm - Minimal harm or potential for actual harm |
| Essential mechanical equipment for food and nutrition services was not fully operational and safe, including dish machines not reaching required sanitizing temperatures. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain an effective pest control program; evidence of mice and structural issues allowing pest entry. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents reviewed: 31
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee E9 | Registered Nurse | Confirmed failure to follow catheter orders and inaccurate oxygen orders; observed not wearing PPE during catheter exam; confirmed medications left unattended |
| Employee E2 | Director of Nursing | Confirmed failure to update care plan, inaccurate oxygen orders, lack of influenza vaccine education |
| Employee E3 | Director of Dietary Services | Confirmed dish machine equipment malfunction |
| Employee E10 | Registered Nurse | Confirmed lack of timely dental services |
| Employee E15 | Social Worker | Confirmed lack of timely dental services |
| Employee E8 | Unit Manager | Confirmed oxygen level setting during observation |
| Employee E4 | Registered Dietitian | Confirmed lack of nutritional assessment documentation |
| Employee E5 | Registered Nurse | Confirmed lack of nutritional assessment documentation |
| Employee E7 | Nursing Aide | Confirmed lack of nutritional assessment documentation |
Inspection Report
Renewal
Census: 30
Capacity: 50
Deficiencies: 2
Jul 18, 2024
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented with no other violations noted during the audit. The facility demonstrated compliance with medication administration documentation and support plan medical/dental documentation requirements.
Deficiencies (2)
| Description |
|---|
| Resident #1’s July 2024 medication administration record did not include the initials of the staff person who administered Atorvastatin Calcium 10mg on 07/08/24 at 9pm. |
| Resident #1's assessment did not list psychological diagnoses indicated in the medical evaluation dated 03/14/24, including mild cognitive impairment and major depressive disorder. |
Report Facts
License Capacity: 50
Residents Served: 30
Total Daily Staff: 31
Waking Staff: 23
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 1
Inspection Report
Complaint Investigation
Deficiencies: 1
Jan 8, 2024
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to permit the readmission of a hospitalized resident (Resident 106) without providing evidence that the facility was unable to meet the resident's needs.
Findings
The facility failed to permit the readmission of Resident 106 after hospitalization despite the hospital being ready to discharge the resident back and no medical diagnosis for admission. The facility did not evaluate the resident's current treatment plan or response while hospitalized and refused readmission based on prior aggressive behavior without reviewing hospital referral paperwork.
Complaint Details
The complaint investigation found that the facility refused to readmit Resident 106 after hospitalization despite hospital readiness for discharge and no medical diagnosis for admission. The facility did not review referral paperwork and based refusal on prior aggressive behavior. The admissions director confirmed these facts during interview.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to permit the readmission of a hospitalized resident without providing evidence that the facility was not able to meet the resident's needs. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents affected: 3
Residents with behavioral health needs: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Admissions Director | Employee E18 confirmed the facility refused to readmit Resident 106 after hospital evaluation |
Inspection Report
Complaint Investigation
Deficiencies: 7
Jan 8, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to permit readmission of a hospitalized resident, inadequate care planning, insufficient personal hygiene and grooming assistance, inadequate supervision to prevent accidents, failure to maintain nutritional status, failure to ensure monthly pharmacist medication reviews, and improper use of psychotropic medications.
Findings
The facility was found deficient in multiple areas including failure to readmit a hospitalized resident without proper evaluation, failure to develop comprehensive care plans for residents, inadequate personal hygiene care due to staffing issues, insufficient supervision leading to frequent unwitnessed falls, failure to timely address significant weight loss in a resident, failure to ensure monthly pharmacist medication regimen reviews, and failure to limit PRN psychotropic medication use to 14 days without documented rationale.
Complaint Details
The complaint investigation focused on issues including refusal to readmit a hospitalized resident, inadequate care planning, insufficient personal hygiene care, inadequate supervision leading to falls, failure to monitor nutritional status, failure to conduct pharmacist medication reviews, and improper psychotropic medication use. The facility was substantiated to have deficiencies in all these areas.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to permit readmission of a hospitalized resident without evidence the facility could not meet the resident's needs. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to develop comprehensive person-centered care plans related to respiratory care, pain management, and falls for four residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide adequate personal hygiene and grooming related to incontinence care and meal administration for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide adequate supervision to prevent accident hazards for one resident with frequent unwitnessed falls. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure timely notification of physician for significant weight loss in one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure licensed pharmacist performed monthly medication regimen reviews for two residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to limit PRN psychotropic medication use to 14 days without documented rationale for continued use for one resident. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents reviewed: 24
Falls: 15
Weight loss: 7.6
Medication regimen reviews missing: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee E18 | Admissions Director | Confirmed facility refused to readmit Resident R106 after hospital evaluation |
| Employee E17 | Licensed Nurse / Charge Nurse | Confirmed Resident R76 had pain related to arthritis and no comprehensive care plan was developed; also involved in staffing and assignment issues |
| Employee E9 | Unit Manager | Confirmed no comprehensive care plan was developed related to pain management for Resident R76 |
| Employee E13 | Licensed Nurse | Aware of Resident R83's fall risk and care plan; confirmed frequent unwitnessed falls |
| Employee E19 | Nurse Aide | Left shift early on October 9, 2023, leading to lack of care for Resident R91 |
| Employee E20 | Licensed Nurse | Assigned to care for Resident R91; unaware of nurse aide leaving early |
| Employee E21 | Unit Clerk | Informed about nurse aide leaving early and instructed to notify management |
| Employee E5 | Dietitian | Aware of Resident R20's weight loss and planned to address it |
| Employee E1 | Nursing Home Administrator | Requested medication regimen reviews for Residents R62 and R3 |
| Employee E7 | Medical Records | Confirmed missing medication regimen reviews for Residents R62 and R3 |
Inspection Report
Complaint Investigation
Deficiencies: 2
Dec 20, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report an alleged incident of neglect involving a resident's fall and failure to notify a physician timely of a change in condition.
Findings
The facility failed to report an alleged incident of neglect related to a resident's fall to the State Agency as required and failed to notify the physician timely about the resident's change in condition, resulting in delayed care for a right hip dislocation.
Complaint Details
The complaint investigation revealed that the facility failed to report a fall incident involving Resident R1 to the State Agency and failed to notify the physician timely about the resident's worsening condition, which was later diagnosed as a right hip dislocation.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Level of Harm - Minimal harm or potential for actual harm |
| Failure to provide appropriate treatment and care according to orders, resident’s preferences and goals by failing to notify a physician timely of a change in condition. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents Affected: 7
Residents Affected: Few
Pain level: 5
Pain level: 8
Date of fall: 29
Date of x-ray: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee E5 | Licensed Practical Nurse | Named in findings related to failure to report fall and delay in notifying physician |
| Employee E6 | Nursing Assistant | Witness statement regarding resident fall and reporting |
| Employee E3 | Licensed Nurse | Assisted resident during toileting and named in fall incident description |
| Employee E7 | Licensed Nurse | Resident's nurse who documented pain and fall report |
| Employee E2 | Director of Nursing | Interviewed regarding timeliness of reporting and confirmed findings |
Inspection Report
Renewal
Census: 26
Capacity: 50
Deficiencies: 6
Jul 25, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The report found that the submitted plan of correction was fully implemented. Several deficiencies were identified related to quality management plan content, staff training, emergency procedure submissions, and medication storage procedures, all of which had corrective plans accepted and implemented by the facility.
Deficiencies (6)
| Description |
|---|
| The home's quality management reviews did not cover the periodic review and evaluation of complaint procedures, staff person trainings, and resident/family councils. |
| Direct care staff person A did not receive training during training year 2022 in medication self-administration and meeting the needs of residents as described in the preadmission screening form, assessment tool, medical evaluation and support plan. |
| Staff person A did not receive training during training year 2022 in emergency preparedness procedures and resident rights. |
| The home's record of its annual training review, dated December 2022, does not include the specific date of training, who provided the training, or the length of training. |
| The home’s written emergency procedures have not been submitted to a local emergency management agency since 11/21/2019. |
| Discrepancies between the log kept by the home of resident #1's glucometer readings and the glucometer's history display, including mismatched blood sugar readings on multiple dates. |
Report Facts
License Capacity: 50
Residents Served: 26
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 3
Inspection Report
Follow-Up
Census: 28
Capacity: 50
Deficiencies: 2
Mar 9, 2023
Visit Reason
The visit was a follow-up inspection to verify that the submitted plan of correction was fully implemented following an incident-related partial inspection.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. Specific deficiencies related to glucometer calibration and resident support plan documentation were addressed and corrected.
Deficiencies (2)
| Description |
|---|
| The glucometer for Resident #1 was not calibrated to the correct date and time. |
| Resident #1's support plan did not document the need for assistance with turning and positioning due to a rod in the resident's neck. |
Report Facts
License Capacity: 50
Residents Served: 28
Total Daily Staff: 30
Waking Staff: 23
Inspection Report
Monitoring
Census: 28
Capacity: 50
Deficiencies: 0
Aug 8, 2022
Visit Reason
The inspection was a monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/08/2022.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Report Facts
Total Daily Staff: 30
Waking Staff: 23
Resident Support Staff: 0
Residents Served: 28
License Capacity: 50
Current Hospice Residents: 2
Residents 60 Years or Older: 28
Residents with Mobility Need: 2
Inspection Report
Renewal
Census: 26
Capacity: 50
Deficiencies: 7
Aug 2, 2022
Visit Reason
The inspection was an unannounced renewal inspection of Wesley Enhanced Living Pennypack Park to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including outdated food labeling, incomplete medical evaluations, medication administration errors, improper storage procedures, delayed resident assessments and support plans, and unqualified direct care staff. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (7)
| Description |
|---|
| Outdated or unlabeled opened food items in dry storage area. |
| Resident medical evaluations missing answers for ability to self-administer medications and body positioning/movement. |
| Medication prescribed for a resident was not on the medication administration record. |
| Glucometer for a resident was not calibrated for correct date and time, causing inaccurate blood glucose logs. |
| Resident initial assessment was not completed within 15 days of admission. |
| Resident support plan was not completed within 30 days of admission. |
| Direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
Report Facts
License Capacity: 50
Residents Served: 26
Current Hospice Residents: 2
Resident Mobility Need: 3
Residents with Physical Disability: 1
Staffing Hours - Resident Support Staff: 56
Staffing Hours - Total Daily Staff: 85
Staffing Hours - Waking Staff: 64
Inspection Report
Monitoring
Census: 30
Capacity: 50
Deficiencies: 2
May 13, 2022
Visit Reason
The visit was an unannounced partial inspection conducted as a monitoring review of the facility.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were noted: a strong urine odor related to sanitary conditions and a non-functioning flush toilet, both of which were corrected and verified as implemented.
Deficiencies (2)
| Description |
|---|
| Strong urine odor in resident's area indicating sanitary conditions were not maintained. |
| Resident's bedroom did not have a functioning flush toilet at the time of inspection. |
Report Facts
Residents Served: 30
License Capacity: 50
Total Daily Staff: 32
Waking Staff: 24
Inspection Report
Renewal
Census: 28
Capacity: 50
Deficiencies: 10
Sep 8, 2021
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 09/08/2021 to review compliance with licensing requirements.
Findings
The facility had multiple deficiencies including failure to post current license and inspection report, missing resident contract signatures, lack of signed statements acknowledging receipt of resident rights, unverified staff qualifications, inadequate bathroom ventilation, missing bedroom chairs, improper freezer temperatures, outdated emergency procedure submissions, and failure to post emergency procedures. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (10)
| Description |
|---|
| The home did not have their current license or previous inspection report posted in a conspicuous and public place. |
| Resident #1 and Resident #2 did not sign the resident-home contract nor was there documentation of inability or refusal to sign. |
| Resident #1 and Resident #2's records did not contain a signed statement acknowledging receipt of resident rights and complaint procedures. |
| The home did not provide documentation or verify that direct care staff person A's non US Secondary School education met the educational requirement. |
| The bathroom in bedroom #M217 does not have a window or ventilation fan. |
| Resident #1 does not have a chair in their bedroom. |
| Freezer (A) temperature exceeded 0°F on multiple dates including 9/8/21 when it was 9°F. |
| The home’s written emergency procedures have not been submitted to the emergency management agency since 2019. |
| The home’s emergency procedures are not posted in a conspicuous and public place in the home. |
| The home did not document that Resident #1 and Resident #2 were educated on the right to refuse medication if they believed there may be a medication error. |
Report Facts
License Capacity: 50
Residents Served: 28
Total Daily Staff: 31
Waking Staff: 23
Freezer Temperature Exceedances: 7
Inspection Report
Renewal
Census: 28
Capacity: 50
Deficiencies: 10
Sep 8, 2021
Visit Reason
The inspection was a renewal inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 09/08/2021 to assess compliance with licensing requirements at Wesley Enhanced Living Pennypack Park.
Findings
The inspection identified multiple deficiencies including failure to post current license and inspection report, missing resident contract signatures, lack of signed statements acknowledging receipt of resident rights, unverified qualifications of direct care staff, inadequate bathroom ventilation, missing bedroom chairs for a resident, improper freezer temperatures, outdated emergency procedure submissions, and failure to post emergency procedures. Plans of correction were accepted for all deficiencies.
Deficiencies (10)
| Description |
|---|
| The home did not have their current license or previous inspection report posted in a conspicuous and public place. |
| Resident #1 and Resident #2 did not sign the resident-home contract nor was there documentation of inability or refusal to sign. |
| Resident #1 and Resident #2's records did not contain a signed statement acknowledging receipt of resident rights and complaint procedures. |
| Direct care staff person A's non US Secondary School education was not documented or verified to meet educational requirements. |
| The bathroom in bedroom #M217 does not have a window or ventilation fan. |
| Resident #1 did not have a chair in their bedroom. |
| Freezer (A) temperature exceeded 0°F on multiple dates including 9/8/21 when it was 9°F. |
| The home’s written emergency procedures had not been submitted to the emergency management agency since 2019. |
| The home’s emergency procedures were not posted in a conspicuous and public place in the home. |
| Resident #1 and Resident #2 were not documented as educated on their right to refuse medication if they believed there was a medication error. |
Report Facts
License Capacity: 50
Residents Served: 28
Total Daily Staff: 31
Waking Staff: 23
Freezer Temperature: 9
Freezer Temperature Exceedances: 7
Notice
Capacity: 50
Deficiencies: 0
Jun 2, 2021
Visit Reason
This document serves as a certificate of compliance and notification of license renewal for Wesley Enhanced Living Pennypack Park, a Personal Care Home, confirming the facility's authorized capacity and informing about the upcoming annual inspection requirement.
Findings
The certificate confirms the facility is authorized to operate with a maximum capacity of 50 residents. The Department will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum licensed capacity: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
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