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Assisted Living
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Assisted Living
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Source: PA State Licensing Agency
Key Findings
Between 2022 and 2025, Rose Tree Place underwent 49 inspections, resulting in 15 clean reports and 88 recorded violations. Documented findings include issues with timely support plan implementation, medication administration, and required incident reporting to the Department.
The home failed to comply with Delaware County Health Department regulations regarding bloodborne pathogen spill kit stocking.
The facility was unable to provide a reviewed Gastrointestinal Outbreak Policy.
Refunds to the estates of deceased residents were not processed within the required timeframe following the removal of personal property.
The home's current violation report, dated 12/04/23, was not posted in a conspicuous and public place.
Resident-home contracts for three residents were not signed by the residents.
Resident 1's record was missing race, hair/eye color, and incident reports. Resident 2's record was missing race and incident reports.
An uncovered ice cream tub was found in the ice cream freezer.
No carbon monoxide detectors were located in the kitchen area near the gas-operated stove.
Toothpaste and disinfectant wipes with poison warnings were left unlocked and accessible in a resident room within the secure dementia care unit.
An unlabeled and undated 20oz Wawa cup was found in a resident refrigerator.
Written emergency procedures were not submitted to the local emergency management agency for 2021 and 2022.
Thermometers in the ice cream freezer were not reading properly, showing temperatures of 10°F and 8°F.
The facility failed to use positive interventions, such as de-escalation or communication, when attempting to move a sleeping resident from a common area.
A resident was subjected to physical restraint when a staff person held them in a hugging position to force them to move.
A staff person physically abused a resident by forcefully pulling them up from a sofa and pulling their hair.
The home failed to submit a plan of supervision or notice of suspension for a staff person who restrained a resident and pulled their hair.
Two direct care staff members were providing unsupervised ADL services without completing the required Department-approved training and competency tests.
The exit door at Southeast Stairwell #1 had a keypad code that was not posted in a conspicuous location due to fading, hindering easy egress.
Glucometers for two residents were not calibrated to the correct date and time during the inspection.
The preadmission screening form for Resident #1 was not dated.
A resident's assessment was not updated despite significant changes in condition, specifically regarding frequent falls and use of a walker.
No deficiencies are reported in this inspection record.
Watermark Operator LLC
for profit
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