Inspection Reports for Wesley Enhanced Living Upper Moreland
2815 Byberry Rd, Hatboro, PA 19040, United States, PA, 19040
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
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Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 31
Capacity: 52
Deficiencies: 7
Jan 23, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found several deficiencies including staff not knowing the location of the first aid kit, lack of thermometer in the ice cream freezer, incomplete emergency procedures, combustible materials stored near heat sources, use of prohibited portable space heaters, incomplete medication storage procedures, and missing signatures on support plans. All deficiencies had plans of correction submitted and were implemented by the date of the report.
Deficiencies (7)
| Description |
|---|
| Staff person did not know the location of the first aid kit. |
| No thermometer in the ice cream freezer in the first-floor kitchen. |
| The home’s written emergency procedures do not include the contact information for each resident’s designated person. |
| Two cans of Oatey PVC Cement marked as flammable stored near boilers and hot water heaters. |
| Five portable space heaters were in use in the facility's main entrance. |
| Staff did not record all blood glucose readings in the medication record as required. |
| Resident and staff did not sign or date the support plan as required. |
Report Facts
License Capacity: 52
Residents Served: 31
Staffing Hours: 31
Waking Staff: 23
Number of Portable Space Heaters: 5
Number of Flammable Cans: 2
Inspection Date: Jan 23, 2025
Inspection Report
Renewal
Census: 33
Capacity: 52
Deficiencies: 16
Feb 26, 2024
Visit Reason
The inspection was an unannounced renewal inspection conducted to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.
Findings
The inspection identified multiple deficiencies related to staff training, resident accommodations, sanitary conditions, food storage, medication management, and documentation. The submitted plan of correction was determined to be fully implemented as of the review date.
Deficiencies (16)
| Description |
|---|
| Direct care staff person A did not receive training in medication self-administration and meeting resident needs as described in screening and support plans during training year 2023. |
| Staff person B did not receive training in fire safety completed by a fire safety expert during training year January 2023 to December 2023. |
| Resident 1's bedside mobility device exceeded FDA guidelines for areas of entrapment and was not covered. |
| Resident 2's bedside mobility device exceeded FDA guidelines for areas of entrapment and was covered with a pillowcase which is not secure. |
| Resident 3 has a bedside mobility device attached to a board slid under the mattress and not securely attached to the bed frame. |
| Toilet in room 115 had feces smeared on it and soiled pants hanging on the grab bar next to the toilet. |
| Two uncovered, unattended trash cans in the first floor kitchenette. |
| Bins of chicken tenders and french fries in the first floor kitchenette freezer were opened and unsealed. |
| Unlabeled, undated chocolate cake, cheesecake, and an open bag of lettuce in the first floor kitchenette refrigerator. |
| Fire extinguisher in the first floor kitchenette was overcharged. |
| The home's menu for 02/26/24 was posted but the home did not have a two week menu posted. |
| Medication prescribed for resident 4 was discontinued but still present in the home's medication cart. |
| Glucometer for resident 4 was not calibrated for the correct date and time; blood sugar reading recorded incorrectly. |
| Medications were not administered to residents 4 and 5 as documented, with missed doses and refusal not properly noted. |
| Support plans for residents 1, 2, and 3 did not include specific need, intended use, risks, ability to use safely, device identification, or cover requirements for bedside mobility devices as per FDA guidelines. |
| Resident 1's and resident 2's records did not include a photograph no more than 2 years old. |
Report Facts
License Capacity: 52
Residents Served: 33
Total Daily Staff: 34
Waking Staff: 26
Inspection Report
Renewal
Census: 28
Capacity: 52
Deficiencies: 11
Oct 19, 2022
Visit Reason
The inspection was conducted as a renewal inspection with an incident review, including a full unannounced visit on 10/19/2022 and 10/20/2022.
Findings
The facility was found to have multiple deficiencies including incomplete incident policies, delayed resident refund issuance after death, lack of refrigerator thermometers, outdated emergency management submission, inadequate medication procedures including missing medication investigations and documentation, incomplete resident assessments, and unsigned support plans. The submitted plan of correction was fully implemented by 12/06/2022.
Deficiencies (11)
| Description |
|---|
| The home's written policy on reportable incidents does not address prevention, investigation, and management of reportable incidents and conditions. |
| Refunds for residents who passed away were not issued within the required 30 days. |
| No thermometer was present in the refrigerator in the drink station. |
| The home’s written emergency procedures have not been submitted to the local emergency management agency since 01/20/21. |
| The home's procedures do not include a process to investigate and account for missing medications and medication errors. |
| The home does not have a system to identify and document medication errors and patterns of errors. |
| There is no documentation of follow-up action taken to prevent future medication errors after two medication errors were documented. |
| Staff person administered medications outside their authorized scope of practice. |
| Resident assessment was not completed within 15 days of admission. |
| Resident assessments did not include accurate or complete information such as dietary needs and mobility status. |
| Residents participated in support plan development but did not sign the support plans. |
Report Facts
License Capacity: 52
Residents Served: 28
Medication errors documented: 2
Missing morphine amount: 8
Total Daily Staff: 30
Waking Staff: 23
Residents 60 Years or Older: 28
Residents with Mobility Need: 2
Residents with Physical Disability: 1
Hospice Residents: 1
Inspection Report
Renewal
Census: 26
Capacity: 52
Deficiencies: 7
Jul 21, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on July 21, 2021, to assess compliance with licensing requirements for Wesley Enhanced Living Upper Moreland.
Findings
The inspection identified several deficiencies including incomplete direct care staff training, overdue furnace inspection, failure to follow prescriber's orders for blood glucose monitoring, delayed resident assessments and support plans, and missing signatures on support plans. Plans of correction were accepted and implemented by the facility.
Deficiencies (7)
| Description |
|---|
| Direct care staff person provided unsupervised ADL services without completing the Department-approved direct care training course and competency test. |
| The last furnace inspection was conducted on 4/29/2020, overdue for annual inspection. |
| Resident #1 did not have blood glucose readings documented as ordered; glucose meter battery needed replacement. |
| Resident #2 and #3 initial assessments were not completed within 15 days of admission. |
| Resident #2 and #3 initial support plans were not completed within 30 days of admission. |
| Resident #1's support plan did not document how medical, dental, vision, hearing, mental health or other behavioral care needs would be met. |
| Resident #2's support plan was not signed by the assessor. |
Report Facts
License Capacity: 52
Residents Served: 26
Total Daily Staff: 26
Waking Staff: 20
Notice
Capacity: 52
Deficiencies: 0
Jan 29, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home, Wesley Enhanced Living Upper Moreland, and advises that an annual onsite inspection will be conducted 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
Maximum capacity: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
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