Wesley Enhanced Living Pennypack Park

In the surveyor’s words

From the most serious findings on record at Wesley Enhanced Living Pennypack Park, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 29, 2025

  Based on a review of facility policies, clinical records, incident/accident documents, staff training records as well as staff and resident interviews, it was determined the facility failed to ensure Resident R1 was free of neglect by failing to have sufficient staff during a mechanical lift transfer. This failure resulted in actual harm for Resident R1 who fell, sustaining multiple skin damage to the left forearm, experienced severe pain, and bruising to the head and face and required transfer to the hospital for one of five residents reviewed. (Resident R1). Findings include: Review of undated facility document, Use of a mechanical lifting machine revealed All C.N.As (Certified Nurse Aides) must read residents Kardex and get report from charge nurse prior to giving care to the residents. […]

• Actual harm, isolatedF689Apr 29, 2025

  Based on a review of facility policies, clinical records, incident/accident documents, staff training records as well as staff and resident interviews, it was determined the facility failed to ensure resident's environment remained free of accident hazards and failed to ensure safe transfer techniques were used during a transfer via mechanical lift. This failure resulted in actual harm for Resident R1 who sustained multiple skin damage to the left forearm, experienced severe pain, and bruising to the head and face and required transfer to the hospital for one of five residents reviewed. […]

• Actual harm, isolatedF686Mar 3, 2023

  Based on interviews, review of clinical records and facility documentation and review of facility's policy, it was determined that the facility failed to assess and monitor Resident R85 for skin integrity related to the use of a security device which resulted in actual harm to Resident R85, who developed a deep tissue injury on the left lateral ankle for one of 19 residents reviewed (Resident R85) Findings include: Review of facility policy titled Pressure Ulcer Prevention dated January 1, 2009, revealed that the purpose was to heal or prevent further pressure ulcers. […]

• Actual harm, isolatedF689Aug 5, 2022

  Based on review of clinical records, review of facility policies, review of facility documentation, and interviews with staff, it was determined that the facility failed to create a safe environment with proper supervision and failed to ensure that food was served at a safe temperature to prevent resident injury (Resident R1). This failure resulted in actual harm to Resident R1 who spilled cream of wheat on her right thigh which resulted in skin [CONDITION(S)] to include blistering. Findings include: Review of the July 2022 physician orders for Resident R1 revealed diagnoses that included: hypertension (high blood pressure), depression (persistent feelings of sadness), [CONDITION(S)] (a condition in which your [CONDITION(S)] doesn't produce enough of certain hormones), and muscle weakness. […]

• No harm, potential for more than minimal, patternF812Sep 11, 2025

  Based on observations, review of facility policy and interviews with staff, 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 titled, General HACCP Guidelines for Food Safety undated, indicate that all food must be dated and put away promptly. Continued review revealed rapid cooling instructions included, place cooling items on top shelf or refrigerator in 2-inch shallow pans and stir every 15 to 60 minutes. A tour of the Food Service Department was conducted on September 8, 2025, at 10:12 a.m. […]