Provider Name: BARCLAY FRIENDS
Address: 700 NORTH FRANKLIN, WEST CHESTER, PA 19380
Phone: (610) 696-5211
County: Chester (210)
Ownership Type: Non profit - Corporation
Certified Beds: 96
Average Residents Per Day: 83.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: BARCLAY FRIENDS
First Approved Date: April 23, 1991
Affiliated Entity: KENDAL (653)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.37789, LPN Staff Hours Per Day: 0.9918, RN Staff Hours Per Day: 0.9906, Licensed Staff Hours Per Day: 1.9824
Total Nurse Staff Hours Per Day, per resident: 4.36038
Weekend Nurse Staff Hours: 4.03478, Weekend RN Staff Hours: 0.9047
PT Staff Hours Per Day, per resident: 0.1123
Nurse Staff Turnover: 43.9, Nurse Turnover Note:
RN Turnover: 38.1, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.2645, Case Mix LPN Hours Per Day: 0.7155, Case Mix RN Hours Per Day: 0.3511
Adjusted Nurse Aide Hours Per Day, per resident: 2.13920, Adjusted LPN Hours Per Day: 1.0229, Adjusted RN Hours Per Day: 1.0630
Total Adjusted Nurse Hours Per Day, per resident: 4.12583
Adjusted Weekend Nurse Hours Per Day, per resident: 3.81775
Health Survey Dates and Scores: Cycle 1: 2023-07-20 (Score: 0), Cycle 2: 2022-08-12 (Score: 8), Cycle 3: 2021-07-23 (Score: 0)
Total Weighted Health Score: 2.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 5, Total Fines in Dollars: 18746.97, Payment Denials Number: 0, Total Penalties Number: 5
Location and GPS: 700 NORTH FRANKLIN,WEST CHESTER,PA,19380 (39.9693, -75.606)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-09
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-14
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0161, Version: New
Description: Use approved construction type or materials.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-14
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-14
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-14
Type: Fire Safety, Tag: 0100, Version: New
Description: Meet other general requirements.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-10-23
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-10-23
Type: Fire Safety, Tag: 0355, Version: New
Description: Properly select, install, inspect, or maintain portable fire extinguishes.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-27
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-27
Type: Fire Safety, Tag: 0511, Version: New
Description: Have properly installed electrical wiring and gas equipment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-27
Type: Fire Safety, Tag: 0920, Version: New
Description: Ensure proper usage of power strips and extension cords.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-27
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-27