D&A Facility Surveys

Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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BROOKDALE
2455 BACK MOUNTAIN ROAD
SCOTRUN, PA 18355

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Survey conducted on 05/25/2022

INITIAL COMMENTS
This report is a result of an on-site complaint investigation conducted on May 25, 2022 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Brookdale was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.	Plan of Correction
709.34 (c) (4) LICENSURE Reporting of unusual incidents § 709.34. Reporting of unusual incidents. (c) To the extent permitted by State and Federal confidentiality laws, the project shall file a written unusual incident report with the Department within 3 business days following an unusual incident involving: (4) Event at the facility requiring the presence of police, fire or ambulance personnel.
Observations Based on a review of incident reports, the facility failed to inform the Department of unusual incidents within the required three days pertaining to the presence of police, fire or ambulance personnel. Ambulance and police personnel were on site to transport patients to the hospital on April 5, 2022, April 6, 2022 and April 14, 2022.	Plan of Correction Specific Course of Action: Brookdale will submit unusual incidents to the DDAP Means: The CCO submitted the unusual incident reports for the the patients transported by ambulance and police personnel to the hospital on April 5, 2022, April 6, 2022 and April 14, 2022. The CCO will go through all incident reports filed in house to ensure the Department is informed of all unusual incidents within the required three days. Responsible Parties: The Chief Compliance Officer will ensure unusual incident reports are submitted within 3 days. Facility will be in full compliance on 6/6/2022