Pennsylvania · West Chester

Barclay Friends.

ALF · Memory Care103 bedsDementia-trained staff(610) 696-5211
Peer rank
Top 45% of Pennsylvania memory care
See full peer rank →
Facility · West Chester
A 103-bed ALF · Memory Care with 35 citations on file.
Licensed beds
103
Last inspection
Jul 2026
Last citation
Jul 2026
Operated by
Snapshot

A large home, reviewed on public record.

Barclay Friends

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Map showing location of Barclay Friends
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Peer Comparison

Compared to 150 Pennsylvania facilities with a similar number of beds.

ALF memory care · 36-month window. Higher percentile = better performance on inspection record. Source: Pennsylvania Department of Human Services, Office of Long-Term Living.

Severity rank
64th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
1st%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month PA DHS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

Save for comparison:
The Record

Citation history, plotted month by month.

35 deficiencies on record. Each bar is a month with a citation.

Peer median 1 · dashed
Last citation: JUL 2026. Compared against peer median (dashed).
peer median
JUL 2026
Sep 2024as of Aug 2026

Finding distribution

35 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G
H
I
Sev 2
D
E
F
Sev 1
A35
B
C
Full Inspection Record

Every inspection visit, verbatim.

5 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.

5
reports on file
35
total deficiencies
2026-07-13
Annual Compliance Visit
Citation · 4 findings

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Citation55 Pa Code § 2600.183.d
Verbatim citation text · 55 Pa Code § 2600.183.d

A discontinued medication (Bisacodyl 10 MG Suppository prescribed for Resident 2, discontinued on 6/24/2026) was found in the home's 2nd floor medication cart on 7/13/2026. Only current prescription medications may be kept in the home.

Citation55 Pa Code § 2600.183.e
Verbatim citation text · 55 Pa Code § 2600.183.e

Multiple medications were stored in damaged blister packs: Resident 3's Preservision AREDS 2 had a puncture at spot 33; Resident 3's Duloxetine HCL DR 20 mg cap had a puncture at spot 17; Resident 4's Lorazepam .5 mg Tab had tape on spot 14; and Resident 5's Diazepam 2 mg Tablet had a puncture at spot 17 and tape on spot 21. Medications must be stored in proper conditions and in accordance with manufacturer instructions.

Citation55 Pa Code § 2600.185.a
Verbatim citation text · 55 Pa Code § 2600.185.a

Three prescribed medications were not available in the home: Resident 3's Preparation H Ointment, Resident 7's Preparation H Ointment, and Resident 8's Bisacodyl Rectal Suppository. Additionally, a glucometer labeled with Resident 6's name was unattended and accessible on top of the 1st floor medication cart at 2:08 PM.

Citation55 Pa Code § 2600.187.b
Verbatim citation text · 55 Pa Code § 2600.187.b

Resident 5's June 2026 medication administration record does not include the initials of the staff person who administered Acetaminophen 500 mg caplet, Lorazepam 0.5 mg tablet, and Morphine Sulf 20 mg/1 ml conc on 6/22 at 2:30 PM. Resident 9's June 2026 record does not include the initials of the staff person who administered Lidocaine Pain Relief 4% PA on 6/2 and 6/8 at 6:00 AM. Medication administration information must be recorded at the time of administration.

2025-07-08
Annual Compliance Visit
Citation · 9 findings
Citation55 Pa Code § 2600.17
Verbatim citation text · 55 Pa Code § 2600.17

A computer monitor screen displaying resident personal information was unlocked, unattended, and accessible in an unlocked and open medication room in the Bartram Memory Care Unit, violating confidentiality requirements.

Citation55 Pa Code § 2600.28e
Verbatim citation text · 55 Pa Code § 2600.28e

A refund to a deceased resident's estate had not been processed as of 07/09/25, contrary to the requirement to refund charges within 30 days of the room being cleared of the resident's personal property.

Citation55 Pa Code § 2600.42s
Verbatim citation text · 55 Pa Code § 2600.42s

Video recording devices were identified in the home's main entrance without posted signage indicating images are being recorded, violating resident privacy requirements. This was a repeat violation from 07/29/24.

Citation55 Pa Code § 2600.65a
Verbatim citation text · 55 Pa Code § 2600.65a

Two staff persons did not receive required first-day fire safety orientation on smoking safety procedures, the home's smoking policy and location of smoking areas, and the location and use of fire extinguishers.

Citation55 Pa Code § 2600.65b
Verbatim citation text · 55 Pa Code § 2600.65b

Staff person A did not complete required resident rights training within 40 scheduled working hours, completing it after their 40th hour instead of before or during that timeframe.

Citation55 Pa Code § 2600.95
Verbatim citation text · 55 Pa Code § 2600.95

The door to the medication room in the Bartram Memory Care Unit was unable to close completely due to a problem with the door's hardware, creating a safety hazard.

Citation55 Pa Code § 2600.103i
Verbatim citation text · 55 Pa Code § 2600.103i

Unlabeled and undated food items (a piece of pie and half a sheet cake of iced lemon squares) were found in the Bartram Memory Care Unit's kitchenette, violating the prohibition on using outdated or spoiled food.

Citation55 Pa Code § 2600.125a
Verbatim citation text · 55 Pa Code § 2600.125a

Several flammable materials including cardboard boxes, Rust-Oleum spray paint, and 3M Corner Bead Adhesive were stored near the home's heating equipment in the boiler room, in violation of combustible storage requirements.

Citation55 Pa Code § 2600.162c
Verbatim citation text · 55 Pa Code § 2600.162c

Posted menus in both memory care and personal care areas were not posted one week in advance as required; the posted menu contained incorrect and inconsistent dates.

2025-02-27
Annual Compliance Visit
Citation · 11 findings
Citation55 Pa Code § 2600.101.j.4
Verbatim citation text · 55 Pa Code § 2600.101.j.4

Resident room did not have a storage area for clothing that includes a chest of drawers.

Citation55 Pa Code § 2600.101.j.5
Verbatim citation text · 55 Pa Code § 2600.101.j.5

Resident room did not have a bedside table or shelf.

Citation55 Pa Code § 2600.101.j.7
Verbatim citation text · 55 Pa Code § 2600.101.j.7

Resident room did not have access to a source of light that can be turned on or off at bedside.

Citation55 Pa Code § 2600.102.f
Verbatim citation text · 55 Pa Code § 2600.102.f

Resident room did not have an individual towel, washcloth, or soap available.

Citation55 Pa Code § 2600.102.i
Verbatim citation text · 55 Pa Code § 2600.102.i

Bathroom soap dispensers were empty and did not have soap provided within reach of each bathroom sink.

Citation55 Pa Code § 2600.104.c
Verbatim citation text · 55 Pa Code § 2600.104.c

Condiments were not available at the dining table or in the kitchenette.

Citation55 Pa Code § 2600.123.b
Verbatim citation text · 55 Pa Code § 2600.123.b

The home's emergency procedures were not posted in a conspicuous and public place in the home.

Citation55 Pa Code § 2600.101.j.3
Verbatim citation text · 55 Pa Code § 2600.101.j.3

Resident room did not have pillows, bed linens, and blankets that are clean and in good repair.

Citation55 Pa Code § 2600.85.e
Verbatim citation text · 55 Pa Code § 2600.85.e

Trash dumpster was full and missing half of its lid. Additional items including a recliner chair, tables, and multiple 5-gallon buckets were stored outside near the dumpster.

Citation55 Pa Code § 2600.101.j.1
Verbatim citation text · 55 Pa Code § 2600.101.j.1

Resident room did not include a bed with a solid foundation and a mattress that is in good repair, clean, and supports the resident.

Citation55 Pa Code § 2600.101.j.2
Verbatim citation text · 55 Pa Code § 2600.101.j.2

Resident room did not have a chair that meets the resident's needs.

2024-07-29
Annual Compliance Visit
Citation · 11 findings
Citation55 Pa Code § 2600.103.d
Verbatim citation text · 55 Pa Code § 2600.103.d

Ten 5-gallon water bottles were stored on the floor in the storage room.

Citation55 Pa Code § 2600.105.g
Verbatim citation text · 55 Pa Code § 2600.105.g

An approximately 1-inch accumulation of lint was found in the lint trap of the second dryer in the first-floor laundry room.

Citation55 Pa Code § 2600.42.s
Verbatim citation text · 55 Pa Code § 2600.42.s

The home has multiple video cameras installed at various locations but no signs indicating video surveillance were posted to notify residents and visitors.

Citation55 Pa Code § 2600.65.i
Verbatim citation text · 55 Pa Code § 2600.65.i

The training record for Staff Person B did not include the completion dates of trainings that were completed.

Citation55 Pa Code § 2600.66.b
Verbatim citation text · 55 Pa Code § 2600.66.b

The home's 2024 staff training plan does not include the dates and times of the scheduled training for direct care staff.

Citation55 Pa Code § 2600.85.a
Verbatim citation text · 55 Pa Code § 2600.85.a

White liquid spill with dried residue and white pill debris were found under the first-floor medication cart bottom drawer. The second-floor medication cart contained significant debris including loose pills and pill fragments.

Citation55 Pa Code § 2600.85.d
Verbatim citation text · 55 Pa Code § 2600.85.d

Two half-full, uncovered, and unattended trash cans were observed in the main kitchen.

Citation55 Pa Code § 2600.97
Verbatim citation text · 55 Pa Code § 2600.97

The two elevators do not have a certificate of operation from the Department of Labor and Industry or appropriate local building authority.

Citation55 Pa Code § 2600.109.b
Verbatim citation text · 55 Pa Code § 2600.109.b

A cat belonging to a resident was present at the home, but the home did not have a current certificate of rabies vaccination from a licensed veterinarian.

Citation55 Pa Code § 2600.121.a
Verbatim citation text · 55 Pa Code § 2600.121.a

Two patio chairs blocked the egress from the memory care dining hall.

Citation55 Pa Code § 2600.141.b.1
Verbatim citation text · 55 Pa Code § 2600.141.b.1

Resident 2's most recent medical evaluation was not completed within the required annual timeframe.

2024-03-07
Annual Compliance Visit
No findings

14 older inspections from 2020 are not shown above.

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