Juniper Village at Bucks County Rehab and SKD Care

In the surveyor’s words

From the most serious findings on record at Juniper Village at Bucks County Rehab and SKD Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Jan 12, 2023

  Based on interviews with staff and review of job description, it was determined that the facility failed to ensure that a registered nurse was employed as the Director of Nursing on a full-time basis since December 24, 2022. Findings include: Review of the position descriptions section for the Director of Wellness (Director of Nursing - DON) revealed the role of the DON includes to work within the health and wellbeing team to manage day-to-day operations of the health and wellness component of the community to ensure the maximum levels of resident functional ability, safety, and well-being. […]

• No harm, potential for more than minimal, widespreadF881Jan 12, 2023

  Based on review of facility documentation and interviews with staff, it was determined that the facility failed to develop an antibiotic stewardship program that included antibiotic use protocols. Findings include: The Nursing Home Administrator was asked to provide evidence of the facility's current antibiotic stewardship program, including antibiotic use protocols. The Nursing Home Administrator confirmed during interview that the facility staff were unable to locate evidence of their antibiotic stewardship program. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(a) Management 28 Pa. Code 201.18(b)(1) Management 28 Pa. Code 201.18(b)(3) Management 28 Pa. Code 201.18(e)(1) Management 28 Pa. Code 211.12(c) Nursing services

• No harm, potential for more than minimal, widespreadF812Jul 12, 2022

  Based on observation and staff interview, it was determined that the facility failed to maintain safe and sanitary condition of food items and dietary equipment in the main kitchen. Findings include: Tour of the main kitchen conducted on July 12, 2022 between 7:40 a.m.-8:30 a.m. revealed the following: Observation of the dry storage unit revealed crumbs and debrie at the entrance and through the edges of the dry stronger unit. Observation of a second dry storage unit revealed a sticky substances on the floor directly below the box juice. Water was running from the hose attached to the faucet in the utility sink located in the housekeeping closet. Interview conducted at 7:41 a.m. […]

• No harm, potential for more than minimal, widespreadF812Feb 15, 2022

  Based on review of facility policy, observations, and staff interviews, it was determined that the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Findings Include: Review of facility policy Storage-Dry Goods revised February 1, 2018 revealed food stock should be rotated first in, first out, spoiled foods should be discarded promptly, and all food items should be labeled and dated. Review of facility policy Storage-Refrigerator and Freezer revised February 1, 2018 revealed all foods should be covered, labeled, and dated. […]

• No harm, potential for more than minimal, patternF847Jun 18, 2025

  Based on a review of facility documents and resident clinical records and interviews with staff and resident and family member, it was determined that the facility failed to ensure that residents had the capacity to understand the terms of a binding arbitration agreement for one of one resident reviewed (Resident R69). Findings include: Review of admission record indicated Resident R69 was admitted to the facility on [DATE]. Review of Resident R69's admission Minimum Data Set (MDS - a periodic assessment of care needs) dated June 12, 2025, a BIMS score of 15, which indicated that the resident was cognitively intact. […]