Inspection Reports for
NewSeasons at New Britain
800 Manor Dr, Chalfont, PA 18914, United States, PA, 18914
Back to Facility Profile14 Reports
Inspection Report — Jun 9, 2026
Follow-Up
Date: Jun 9, 2026
Visit Reason
The inspection was a full, unannounced visit conducted for renewal, complaint, and incident reasons, including a plan of correction submission follow-up.
Findings
The inspection identified multiple deficiencies including delayed resident refund payments after death, disrespectful treatment of a resident, unsafe resident personal equipment, facility surface damage, incomplete medical evaluations, improper medication self-administration, medication storage issues, incomplete medication administration training records, and incomplete resident assessments. Corrective actions and plans of correction were accepted and implemented.
Citations (10)
28e Death of a Resident: Refund checks for two deceased residents were authorized but not issued within the required 30-day timeframe after room clearance.
42c Treatment of Residents: Staff did not respect a resident's refusal to get up early and proceeded with care against the resident's wishes, causing distress.
81b Resident Personal Equipment: An uncovered bedside mobility device with openings exceeding safety guidelines was improperly installed, creating a hazard.
88a Surfaces: An approximately 8-inch hole was found in the ceiling of the outdoor porch area.
141a Medical Evaluation Information: A resident's medical evaluation lacked indication that the resident's needs could be safely met at the facility.
181e Capable to Self Administer: A resident listed as self-administering medications was unable to recognize or manage their medications properly, with several medication errors identified.
183e Storing Medications: A prescribed medication blister pack was torn and unsanitary, and several loose pills were found on a medication cart.
185a Implement Storage Procedures: A prescribed medication was missing from the facility at the time of inspection.
190c Record of Training: Medication administration training documentation was incomplete, with required observations and reviews not properly documented or spaced.
225c Additional Assessment: Several residents' assessments were outdated and did not reflect current needs, including mobility and behavioral changes.
Report Facts
Residents Served: 75
Total Daily Staff: 95
Waking Staff: 71
Current Hospice Residents: 4
Notice — Jan 20, 2026
Date: Jan 20, 2026
Visit Reason
The document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted.
Findings
The waiver allows a specific employee to serve as direct care staff despite education obtained outside the United States, provided documentation is maintained and available for review. The Department will review this waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Harman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — May 19, 2025
Renewal
Date: May 19, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license, with an unannounced full inspection on 05/19/2025 and an exit conference on 05/20/2025.
Findings
The inspection found multiple deficiencies including failure to report an incident within 24 hours, incomplete training records, improper storage and documentation of medications, missing documentation in resident medical evaluations and records, and lack of documentation for emergency procedures and fire department notification. Plans of correction were accepted and implemented by 07/11/2025.
Citations (13)
Failure to report an unwitnessed fall incident resulting in fracture to the Department within 24 hours.
Annual training records for direct care staff did not include date and length of each course.
Bedside mobility devices for residents were covered with easily removable pillowcases, posing a hazard.
No record of last review, update, and submission of written emergency procedures to local emergency management agency.
No documentation of written notification to local fire department regarding home address, bedroom locations, and evacuation assistance.
Resident medical evaluation missing medication regimen, contraindicated medications, medication side effects, and ability to self-administer medications.
Resident's most recent annual medical evaluation was not completed timely.
Expired medications (Lorazepam 0.5 mg and Bensonatate 200 mg) were found on medication cart.
Discrepancy in narcotics count for Lorazepam 2 mg tablets; records showed 29 but only 27 in locked box.
Resident refused medication multiple times but refusal was not documented or reported to prescriber.
Resident was administered insulin but medication record and glucometer reading were not documented.
Resident's additional assessment was not completed timely.
Resident record missing color of hair and color of eyes.
Report Facts
Residents Served: 81
Staffing Hours: 109
Waking Staff: 82
Hospice Residents: 6
Residents with Mobility Need: 28
Residents with Physical Disability: 1
Inspection Report — May 6, 2024
Renewal
Date: May 6, 2024
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing regulations at Newseasons at New Britain.
Findings
The inspection identified multiple deficiencies related to administrator training, direct care staff annual training, first aid kit contents, unobstructed egress, medical evaluations, medication labeling and administration, medication storage procedures, preadmission screening forms, resident support plans, and record entries. All deficiencies had plans of correction accepted and were reported as implemented by August 12, 2024.
Citations (14)
Administrator had not attended an orientation program approved and administered by the Department.
Direct care staff persons B and C completed only 1 hour of annual training in training year 2023.
Direct care staff persons B and C did not receive training in required annual training topics during 2023.
First aid kit in the kitchen did not include a thermometer.
First floor north hallway exit door was difficult to open due to a strip of insulation stuck under the door.
Resident medical evaluations missing required elements such as height, weight, pulse rate, general physical exam, special health or dietary needs, and ability to self-administer medications.
Resident #3’s most recent medical evaluation was not completed within required timeframe.
Medication labels for residents #4 and #5 did not match prescribed dosage and instructions, requiring direction change stickers.
Glucometer for resident #6 was not calibrated to correct time.
Medication administration records for residents #5, #7, and #8 lacked initials of staff who administered medications at the time of administration.
Resident #4 and #9 were not administered prescribed medications on specified dates/times.
Resident #10’s preadmission screening form was completed after admission date.
Resident support plans did not document use of medical devices or medication administration services for residents #11 and #12.
Controlled medication log entry for resident #4 was crossed out without date or signature.
Report Facts
Residents Served: 65
Current Hospice Residents: 9
Total Daily Staff: 85
Waking Staff: 64
Residents 60 Years or Older: 64
Residents with Mobility Need: 20
Inspection Report — Dec 14, 2022
Follow-Up
Date: Dec 14, 2022
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a submitted plan of correction related to an incident at the facility.
Findings
The submitted plan of correction was found to be fully implemented. The report details violations related to abuse, treatment of residents, and direct care staff qualifications, with corrective actions taken including suspension and termination of staff and re-education of all staff.
Citations (3)
Resident mistreatment and verbal abuse by Staff Person A towards Resident 1, including inappropriate physical handling and yelling.
Staff Person A upset with Staff Person B and used curse words, impacting treatment of residents.
Direct care staff person A lacked required qualifications such as a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Report Facts
Inspection dates: 6
Residents served: 64
Staffing hours: 71
Waking staff: 53
Current hospice residents: 1
Residents age 60 or older: 62
Residents with mental illness: 2
Residents with mobility need: 7
Residents with physical disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Named in findings related to resident mistreatment, verbal abuse, and lack of required qualifications; suspended and terminated. | |
| Staff Person B | Named in findings related to interactions with Staff Person A and resident care. |
Inspection Report — Sep 9, 2022
Renewal
Date: Sep 9, 2022
Visit Reason
The inspection was a full, unannounced renewal inspection with an incident review conducted on 09/09/2022 and 09/12/2022.
Findings
The inspection identified multiple deficiencies including failure to timely report incidents, delays in resident refund processing, mistreatment of residents, incomplete staff training, sanitary and maintenance issues, incomplete medical evaluations, missing documentation in resident records, and medication storage errors. Plans of correction were submitted and accepted with implementation dates by 10/29/2022.
Citations (18)
Failure to report incidents to the Department within required timeframes.
Failure to refund resident balances within 30 days of discharge or death.
Resident mistreatment by staff including yelling, use of profanity, and property disturbance.
Direct care staff providing unsupervised ADL services without completing required training and competency testing.
Sanitary conditions: stained rugs in resident bedroom.
Trash outside home not properly contained.
Inoperable bathroom ventilation fan.
Water-damaged and missing ceiling tiles at facility entrance.
Broken toilet paper holder in resident bathroom.
Exterior sidewalk in disrepair presenting tripping hazard.
Food stored on floor inside boiler room.
Lack of current rabies vaccination certificate for cat present at home.
Resident medical evaluation missing special health or dietary needs documentation.
Weekly menu not posted in advance for one week.
Medication storage and documentation errors in medication lock box.
Preadmission screening forms incomplete or undated.
Resident initial assessments not completed within 15 days of admission.
Resident records missing abuse incident documentation and incomplete face sheets.
Report Facts
Residents Served: 65
Total Daily Staff: 71
Waking Staff: 53
Hospice Residents: 5
Residents with Mental Illness: 2
Residents with Intellectual Disability: 1
Residents with Mobility Need: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in mistreatment of resident finding; suspended and terminated following investigation. | |
| Staff person B | Named in direct care training deficiency; completed required training after inspection. |
Notice — Sep 22, 2021
Date: Sep 22, 2021
Visit Reason
The document serves as a renewal license issuance and notification that the Department will conduct an annual onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported; the document confirms receipt of the renewal application and issuance of a regular license.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal license issuance letter. |
Inspection Report — Aug 19, 2021
Renewal
Date: Aug 19, 2021
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with licensing regulations and verify correction of previous deficiencies.
Findings
The facility was found to have multiple deficiencies including failure to report a resident death timely, lack of a quality management plan, missing resident rights poster, incomplete staff fire safety orientation documentation, missing emergency telephone numbers, incomplete medical evaluations, medication administration errors, and incomplete resident assessments and support plans. Plans of correction were accepted and implemented for all deficiencies.
Citations (14)
Failure to report resident #1's death to the department within 24 hours.
No quality management plan provided during the annual inspection.
Resident rights poster not posted in a conspicuous and public place in the home.
Lack of documentation that staff persons A, B, C, and D received orientation on telephone use and notification of emergency services.
No emergency telephone numbers posted near the telephone in bedroom 205.
Written emergency procedures were not reviewed, updated, and submitted to the local emergency management agency in 2021.
Resident #6 did not have a complete medical evaluation form as of the inspection date.
Resident #5's medical evaluation was incomplete and missing medication addendum attachment.
Discontinued medication for resident #9 was still on the medication cart.
Medications prescribed for residents #8 and #9 were not available in the home as needed.
Medication administration records for resident #7 were not properly signed off on multiple dates, failing to document medication administration.
Resident #2 did not have a completed preadmission screening form.
Initial assessments were not completed for residents #3 and #4 within 15 days of admission.
Support plans were not completed for residents #3 and #4 within 30 days of admission.
Report Facts
Residents Served: 69
Total Daily Staff: 80
Waking Staff: 60
Hospice Residents: 4
Residents 60 Years or Older: 67
Residents with Mobility Need: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Resident Care | Named in multiple findings related to reporting incidents, medication administration, and compliance oversight | |
| Executive Director | Responsible for follow-up and ensuring compliance with regulations and posting requirements | |
| Business Office Manager | Responsible for ensuring new hire documentation compliance with fire safety orientation |
Notice — Nov 18, 2020
Date: Nov 18, 2020
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home Newseasons at New Britain, confirming receipt of the renewal application and advising of the requirement for an annual inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Oct 26, 2020
Renewal
Date: Oct 26, 2020
Visit Reason
The inspection was a renewal inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing, to review compliance with licensing requirements at NewSeasons at New Britain.
Findings
The inspection identified multiple deficiencies related to criminal background checks, physical accommodations, first aid kit contents, refrigerator/freezer temperatures, unobstructed egress, evacuation times, medical evaluations, smoking policy signage, medication storage and administration, preadmission screening, resident assessments, support plans, and resident record content. Plans of correction were accepted and implemented for all deficiencies.
Citations (21)
51 - Criminal Background Check: Staff member's criminal history check was completed after hiring, not prior as required.
81a - Accommodation: Exit doors in the east wing lack walkways leading to the road, posing a safety risk for residents with mobility needs.
96a - First Aid Kit: First aid kits on the 1st and 3rd floors lacked tweezers and a thermometer.
103f - Refrigerator/Freezer Temps: Kitchen freezer temperature was 13.8°F, above the required 0°F for frozen food.
121a - Unobstructed Egress: Two exit doors in the 1st floor activities rooms were obstructed by tape and signs indicating not to use them.
132d - Evacuation: Fire drills exceeded the maximum evacuation time of 13 minutes on two occasions in 2019 and 2020.
141a - Medical Evaluation Information: Several residents' medical evaluations were incomplete, missing key information such as self-administration ability and health status.
141b1 - Annual Medical Evaluation: Some residents' most recent medical evaluations were outdated or undated.
144b - Policy on Smoking: No 'No Smoking' sign was posted at the building entrance.
181d - Storing Medication: Residents self-administering medications did not lock their rooms or medication when leaving.
185a - Implement Storage Procedures: Resident #2's glucometer readings did not match medication administration records and some readings were undocumented.
187a - Medication Record: Medication administration records lacked staff initials for multiple medications administered to residents.
187b - Date/Time of Medication Admin.: Staff initials were not recorded at the time medications were administered for Resident #1.
224a - Preadmission Screen Form: Several residents' preadmission screening forms were incomplete or not timely, missing determinations or signatures.
224c - Preadmission Screening: The preadmission screening form for Resident #12 did not indicate the title of the person completing the form.
225a - Assessment 15 Days: Resident #12 did not have a written initial assessment completed within 15 days of admission.
225c - Additional Assessment: Residents #8, #9, and #10 had outdated annual assessments.
227a - Support Plan 30 Days: Residents #6 and #12 did not have initial support plans completed or dated within 30 days of admission.
227d - Support Plan Medical/Dental: Resident #8's support plan did not document how various personal needs would be met.
227g - Support Plan Signatures: Resident #7's support plan was not dated or signed by the assessor; Resident #10's support plan was unsigned and lacked resident acknowledgment.
252 - Record Content: Residents #7 and #9's records did not include photographs no more than 2 years old.
Report Facts
Residents Served: 81
Staffing Hours: 105
Waking Staff: 79
Hospice Residents: 8
Residents 60 or Older: 79
Residents with Mobility Need: 24
Inspection Report — Oct 21, 2020
Complaint Investigation
Date: Oct 21, 2020
Visit Reason
The inspection was conducted as a complaint investigation with multiple on-site and off-site review dates to assess compliance and plan of correction implementation.
Complaint Details
The inspection was complaint-driven as stated under Inspection Reason: Complaint. The plan of correction was accepted and fully implemented as verified by follow-up reviews.
Findings
The facility was found to have multiple deficiencies including incomplete criminal background checks, staffing issues impacting resident care, medication management errors, incomplete resident assessments, and improper use of standardized forms. The submitted plan of correction was determined to be fully implemented by the follow-up dates.
Citations (10)
51 - Criminal Background Check: The home did not complete a criminal history background check for a staff person prior to hiring.
60a - Staff/Support Plan: Direct care staff duties interfered with meeting resident needs due to additional responsibilities of meal service and tray collection.
183d - Prescription Current: A non-active prescription medication was found in the home's medication cart.
185a - Implement Storage Procedures: Prescribed medications for residents were not available in the home on the inspection date.
187a - Medication Record: Medication administration records lacked diagnosis or purpose for prescribed medications for a resident.
187b - Date/Time of Medication Admin.: Medication administration records did not include staff initials for several medication administrations.
190a - Completion Medication Course: Staff persons administering medications had not successfully completed the required Department-approved medication administration course.
225a - Assessment 15 Days: A resident's initial assessment was not completed within 15 days of admission.
225c - Additional Assessment: Resident assessments did not accurately document personal care needs, medical diagnoses, or dietary restrictions as required.
251c - Standardized Forms: The home failed to use standardized forms correctly, reusing older forms with errors and typos in resident documentation.
Report Facts
Residents Served: 80
Resident with Mobility Need: 25
Hospice Current Residents: 8
Total Daily Staff Hours: 105
Inspection Report — Oct 7, 2020
Complaint Investigation
Date: Oct 7, 2020
Visit Reason
The inspection was conducted as a complaint investigation at the facility NEWSEASONS AT NEW BRITAIN on 10/07/2020.
Findings
No regulatory citations or deficiencies were identified during this complaint investigation inspection.
Report Facts
Residents Served: 81
Total Daily Staff: 101
Waking Staff: 76
Residents 60 Years or Older: 81
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 20
Residents with Physical Disability: 3
Inspection Report — Jan 9, 2020
Follow-Up
Date: Jan 9, 2020
Visit Reason
The visit was a follow-up review conducted on January 9, 2020, to determine if the previously submitted plan of correction was fully implemented following an incident.
Findings
The submitted plan of correction was found to be fully implemented. The report details multiple violations related to abuse, treatment of residents, criminal background checks, staff qualifications, orientation, training, medical evaluations, medication administration, and additional assessments, all with corrective actions completed.
Citations (11)
42b - Abuse: Staff members were observed pulling a resident's wheelchair backwards causing it to bang against a pole and the resident to yell out in pain. Staff did not check for injury or inquire if the resident was hurt.
42c - Treatment of Residents: Staff attempted to force feed a resident who refused to eat and pulled or dragged the resident's wheelchair causing it to bang against a pole.
51 - Criminal Background Check: Staff members were hired without timely completion of required criminal history checks as mandated by law.
54a - Direct Care Staff: A direct care staff member did not have a high school diploma, GED, or active registry status on file as required.
65a - FS Orientation 1st Day: Staff members did not receive orientation for general fire safety and emergency preparedness on or before their first day of work.
65b - Rights/Abuse 40 Hours: Staff hired on 7/29/19 had not completed mandatory training on resident rights, emergency medical plan, abuse and neglect reporting, and reporting of incidents and conditions.
65d - Initial Direct Care Training: A staff member's direct care training course and competency were completed after their first day of providing ADLs.
141a - Medical Evaluation Information: A resident's medical evaluation did not contain a medication list or full list of diagnoses.
141b2 - Medical Evaluation Changes: A resident receiving hospice services did not have a documented medical evaluation completed for the status change.
190a - Completion Medication Course: A staff member had not completed the annual practicum for medication training since initial certification and was currently administering medications.
225c - Additional Assessment: A resident receiving hospice services did not have an updated RASP completed for the status change.
Report Facts
Residents Served: 86
Current Hospice Residents: 1
Residents Age 60 or Older: 84
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 23
Residents with Physical Disability: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen Searle | Executive Director | Signed multiple plans of correction and is named as the Executive Director responsible for compliance and monitoring |
Notice — Dec 31, 2019
Date: Dec 31, 2019
Visit Reason
Issuance of a new license for the Personal Care Home facility following a policy review by the Pennsylvania Department of Human Services.
Findings
The facility was found to be in substantial compliance with applicable regulations set forth in 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
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