34 Reports
Inspection Report — Apr 6, 2026
Renewal
Date: Apr 6, 2026
Visit Reason
The inspection was an unannounced full renewal inspection of Sunrise Senior Living of Dresher conducted on 04/06/2026 and 04/07/2026 to review compliance with licensing regulations.
Complaint Details
Resident #1 filed a verbal complaint on 3/15/26 about items being thrown away without permission during cleaning. The complaint was not initially investigated or resolved. A follow-up call on 4/6/26 addressed the complaint fully, and staff were educated on complaint investigation and resolution procedures.
Findings
The facility was found to have multiple deficiencies including failure to investigate and resolve a resident complaint, lack of required staff training on medication self-administration, food safety violations related to uncovered food and improper refrigerator/freezer temperatures, and improper medication storage with loose pills and punctured blister packs. Plans of correction were accepted and implemented.
Citations (5)
Reg. 2600.44d: The home failed to investigate and resolve a verbal complaint from a resident about items being thrown away without permission during cleaning.
Reg. 2600.65f: A direct care staff person did not receive required medication self-administration training during the 2025 training year.
Reg. 2600.103c: An uncovered tub of mint chocolate chip ice cream was found stored in the ice cream freezer, risking contamination.
Reg. 2600.103f: Refrigerator and freezer temperatures in the Reminiscence kitchen were above required limits, with refrigerator at 44°F and freezer at 20°F.
Reg. 2600.183e: Loose pills were observed in medication carts and a punctured blister pack was found, exposing medication to contamination.
Report Facts
Residents Served: 57
Staff Training Completion Date: Mar 26, 2026
Temperature Refrigerator: 44
Temperature Freezer: 20
Notice — Mar 2, 2026
Date: Mar 2, 2026
Visit Reason
The document serves to notify the facility that a waiver request to waive the high school diploma or equivalent requirement for direct care staff has been granted under Pennsylvania regulations.
Findings
The waiver is granted with conditions including documentation of education equivalency and annual review during inspections. Noncompliance may result in waiver termination or licensing action.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Dec 23, 2025
Follow-Up
Date: Dec 23, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to verify the implementation of a previously submitted plan of correction.
Complaint Details
The inspection was complaint-related and incident-driven, focusing on verifying correction of prior deficiencies through plan of correction submissions and audits.
Findings
The facility was found to have multiple deficiencies related to direct care staff qualifications, orientation, training, and resident medical evaluations. The submitted plan of correction was fully implemented and compliance was maintained as of the follow-up date.
Citations (5)
Regulation 2600.54a: A direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Regulation 2600.65a: A direct care staff person did not receive required fire safety orientation on their first work day covering evacuation procedures, staff duties during emergencies, meeting places, smoking safety, fire extinguisher use, smoke detectors, and emergency notification.
Regulation 2600.65b: A direct care staff person did not complete orientation training within 40 scheduled work hours on resident rights and emergency medical plan.
Regulation 2600.65d: A direct care staff person provided unsupervised ADL services without completing the Department-approved direct care training course and passing the competency test.
Regulation 2600.141b.1: A resident's most recent medical evaluation was outside the required annual timeframe.
Report Facts
Residents Served: 61
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 6
Residents Age 60 or Older: 61
Residents with Mobility Need: 29
Inspection Report — Oct 22, 2025
Complaint Investigation
Date: Oct 22, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted to review compliance with regulations following a complaint regarding resident treatment and incident reporting.
Complaint Details
The complaint involved a resident's television being turned off by staff and the resident being told to go to bed. The investigation did not corroborate the complaint fully but found related deficiencies in treatment and reporting.
Findings
The facility was found to have multiple deficiencies including failure to report an incident within 24 hours, improper treatment of a resident by staff, a broken fire exit door, incomplete annual medical evaluations, improper discharge notice issuance, and untimely cognitive preadmission screening for a dementia care resident. Plans of correction were accepted and implemented.
Citations (6)
16c - The home failed to report an incident involving a staff member turning off a resident's television and instructing the resident to go to bed within 24 hours to the Department.
42c - A resident was treated without dignity and respect when a staff member took the television remote and told the resident to go to sleep because it was late.
88a - A door to the 2nd floor exit was broken and hanging from the hinge, posing a hazard.
141b1 - A resident's annual medical evaluation did not include the need for special care.
228h - The home issued a 30-day discharge notice to a resident for reasons not permitted by regulation, then rescinded the notice.
231c - A resident admitted to the Secure Dementia Care Unit did not have a timely written cognitive preadmission screening completed within 72 hours prior to admission.
Report Facts
Residents Served: 61
Residents Served in Secured Dementia Care Unit: 17
Current Hospice Residents: 7
Inspection Report — Sep 8, 2025
Complaint Investigation
Date: Sep 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with resident rights, staff training, medication management, and safety regulations.
Complaint Details
The inspection was complaint-related as indicated by the reason 'Complaint' and the visit was unannounced on 09/08/2025.
Findings
Multiple deficiencies were found including missing signed resident statements, insufficient CPR/First Aid certified staff during certain shifts, improper training certification, unlocked poisonous materials, missing bedside furniture and lighting, lint accumulation in dryers, unsecured medications, expired medications on the medication cart, and lack of resident education on the right to refuse medication. Plans of correction were accepted and implemented by 10/24/2025.
Citations (10)
Resident record did not contain a statement signed by the resident acknowledging receipt of a copy of the resident rights and complaint procedures.
Insufficient staff certified in CPR and First Aid present during various shifts with 66 residents.
Staff person was trained in CPR by a non-certified organization, not recognized by a hospital or health care organization.
Poisonous materials (Paul Mitchell Super Clean Spray) were unlocked and accessible to residents.
No bedside table or shelf beside resident bed in bedroom 315A.
Resident did not have access to a source of light that can be turned on/off at bedside.
Approximate 1-inch accumulation of lint in the lint trap of both dryers in memory care.
Prescription medications and syringes were unlocked and accessible in resident's bathroom vanity.
Expired medication tablet was still available on the medication cart.
Resident was not educated on the right to refuse medication if they believe there may be a medication error.
Report Facts
Residents served: 66
Residents in secured dementia care unit: 18
Current residents in hospice: 9
Residents with mobility need: 31
Residents 60 years or older: 66
Residents diagnosed with mental illness: 3
Residents diagnosed with intellectual disability: 3
Notice — May 28, 2025
Date: May 28, 2025
Visit Reason
This document serves as a waiver approval for an administrator at Sunrise Senior Living of Dresher to serve while completing required training and orientation courses.
Findings
The waiver allows the administrator to serve while enrolled in a 100-hour training course and requires passing a competency test by July 18, 2025. The administrator must attend a one-day orientation by August 14, 2025, and be supervised until compliance is met.
Report Facts
Training course duration: 100
Training course dates: Scheduled from May 12, 2025 through July 17, 2025
Competency test date: Scheduled for July 18, 2025
Orientation date: Scheduled for August 14, 2025
Inspection Report — Mar 12, 2025
Renewal
Date: Mar 12, 2025
Visit Reason
The inspection was conducted as a renewal inspection with an incident review, including an unannounced full inspection on 03/12/2025 and 03/13/2025.
Findings
The facility was found to have multiple deficiencies including uncovered trash receptacles, food stored on the floor, expired rabies vaccination for a resident's cat, limited use of alternate exit routes during fire drills, medication storage and administration issues, and incomplete additional resident assessments following a behavioral incident. All deficiencies had plans of correction accepted and were implemented by 05/16/2025.
Citations (8)
Unattended, uncovered trash can half-full of food waste in the main kitchen.
Emergency food was stored on the floor.
A cat present on the home's 3rd floor did not have a current rabies vaccination certificate.
Stairwell A and C were the only exit routes used during fire drills held from April through June 2024.
Resident #1's Lorazepam 0.5 mg blister card with a discard-after date of 03/03/2025 was still in the medication cart; a loose pill was found in the medication cart.
Medication administration record showed Lorazepam administered but not signed out on the controlled medication utilization record.
Resident #1's Morphine medication was signed out but the MAR did not include initials of the administering staff; Resident #2's insulin administration units were not documented timely.
Resident #2 alleged a sexual assault and the facility failed to complete an additional assessment reflecting changes in orientation/hallucination.
Report Facts
Residents Served: 53
Residents Served in Dementia Unit: 13
Hospice Residents: 10
Residents with Mobility Need: 31
Residents 60 Years or Older: 53
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Total Daily Staff: 84
Waking Staff: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Director | Named in medication storage and administration findings and corrective actions. | |
| Executive Director | Named in multiple findings including food storage, rabies vaccination, fire drill exit routes, and medication administration. | |
| Director of Dining Services | Named in findings related to trash receptacles and food storage. | |
| Activities Director | Named in rabies vaccination finding and corrective actions. | |
| Director of Maintenance | Named in fire drill exit routes finding and corrective actions. |
Inspection Report — Mar 18, 2024
Renewal
Date: Mar 18, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility license, including unannounced full inspections on 03/18/2024, 03/19/2024, and 04/24/2024 to verify compliance and implementation of the submitted plan of correction.
Findings
The facility was found to have multiple deficiencies related to staff training, medication storage and labeling, and resident support plans for medical/dental needs. The submitted plan of correction was fully implemented and compliance was maintained as of the last review.
Citations (4)
Direct care staff person did not receive training in instruction on meeting the needs of residents as described in preadmission screening, assessment tool, medical evaluation and support plan, and safe management techniques during 2023.
Resident 1 self-administered medications were stored unlocked and unattended in the resident's room, violating secure storage requirements.
Medication containers for Residents 2, 3, and 4 had changes in directions that were not indicated on the medication container or blister pack.
Resident support plans for Residents 5, 6, and 7 did not document risks, safe use, or identification of bedside mobility devices present in their rooms.
Report Facts
Inspection dates: 3
Residents served: 56
Residents served in secured dementia care unit: 12
Hospice current residents: 8
Residents aged 60 or older: 55
Residents with mobility need: 22
Residents with intellectual disability: 1
Residents with physical disability: 1
Inspection Report — Nov 28, 2022
Follow-Up
Date: Nov 28, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection to review compliance and the submitted plan of correction.
Complaint Details
The inspection was complaint-related and incident-driven, with investigation including interviews of residents and review of staff conduct. The complaint was substantiated with findings of a gap in customer service and resident rights.
Findings
The submitted plan of correction was determined to be fully implemented. A deficiency was found related to treatment of residents with dignity and respect involving a staff member and a resident, with corrective actions and training planned and implemented.
Citations (1)
A staff member raised their voice to a resident during an interaction, which upset the resident and led to the staff member leaving the room.
Report Facts
Residents Served: 60
Secured Dementia Care Unit Residents Served: 12
Current Hospice Residents: 2
Residents Age 60 or Older: 57
Residents with Mental Illness: 1
Residents with Intellectual Disability: 3
Residents with Mobility Need: 34
Inspection Report — Nov 7, 2022
Renewal
Date: Nov 7, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation to review compliance and verify the submitted plan of correction was fully implemented.
Complaint Details
The visit included a complaint investigation triggered by a report that a family friend visiting the facility was financially exploiting a resident. The facility failed to report this incident timely to the Department but later submitted the required report and implemented corrective actions.
Findings
The facility was found to have multiple deficiencies including failure to report incidents timely, missing criminal background checks, incomplete fire safety orientation, outdated food, missing rabies vaccination certificates for resident pets, missed fire drills, medication labeling discrepancies, missing resident signatures on support plans, and lack of conspicuous posting of key-locking device instructions. Plans of correction were accepted and implemented for all deficiencies.
Citations (12)
Failure to report an incident to the Department within 24 hours as required.
Staff person hired without a completed criminal background check.
Staff person did not receive required fire safety orientation on first day of work.
Direct care staff person provided unsupervised ADL services without completing required training and competency test.
Unlabeled and undated bowl of fruit found in the reminiscence area kitchen.
Resident's cat did not have a current certificate of rabies vaccination on file.
An unannounced fire drill was not held during February 2022.
Fire drill during sleeping hours was overdue; last conducted on 12/29/21.
Fire drills routinely held on the last few days of the month, not varied by day and time as required.
Medication label dosage instructions did not match the medication administration record.
Resident participated in support plan development but did not sign the support plan.
Directions for operating key-locking devices were not conspicuously posted near the Secure Dementia Care Unit exit door.
Report Facts
Residents Served: 62
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 8
Residents Age 60 or Older: 59
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 36
Inspection Report — Oct 6, 2022
Complaint Investigation
Date: Oct 6, 2022
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on multiple dates in October 2022 to review compliance and verify the submitted plan of correction.
Complaint Details
The visit was complaint-related, triggered by allegations of neglect and abuse. The complaint was substantiated by findings of delayed assistance to residents. Follow-up actions included reassessment of residents, staff training, and discontinuation of agency staff involved.
Findings
The facility was found to have deficiencies related to failure to provide required assistance with activities of daily living and neglect/abuse involving delayed staff response to residents' needs. The submitted plan of correction was accepted and fully implemented by December 2022.
Citations (2)
Resident 1 did not receive required assistance with activities of daily living as indicated in the assessment and support plan.
Resident 1 waited over 2 hours for assistance to the bathroom and to get ready for bed; Resident 2 waited nearly 40 minutes after pressing call pendant following a fall.
Report Facts
Inspection dates: 5
Staffing hours: 92
Waking staff: 69
Residents served: 60
Residents served in secured dementia care unit: 15
Residents aged 60 or older: 57
Residents with mobility need: 32
Residents diagnosed with mental illness: 2
Residents diagnosed with intellectual disability: 2
Inspection Report — Sep 27, 2022
Plan of Correction
Date: Sep 27, 2022
Visit Reason
The document is a follow-up review of the submitted plan of correction for the facility conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 09/27/2022.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Inspection Report — Jul 27, 2022
Complaint Investigation
Date: Jul 27, 2022
Visit Reason
The inspection was conducted as a result of an incident reported at the facility, leading to a partial unannounced licensing inspection on 07/27/2022.
Complaint Details
The visit was complaint-related due to an incident involving suspected abuse and neglect of a resident, substantiated by the findings of bruising and delayed care resulting in injury.
Findings
The inspection found a violation related to abuse where a resident was observed with bruising that was initially disregarded by staff, resulting in delayed medical attention. The resident was later diagnosed with a T-12 compression fracture and transferred to the hospital. A plan of correction was accepted including staff training and ongoing monitoring.
Citations (1)
A resident was neglected when bruising was observed but disregarded by staff, leading to delayed medical care and diagnosis of a T-12 compression fracture.
Report Facts
Residents Served: 61
Secured Dementia Care Unit Residents Served: 14
Hospice Residents: 3
Inspection Report — Jul 27, 2022
Follow-Up
Date: Jul 27, 2022
Visit Reason
The inspection was an unannounced partial review conducted due to an incident at the facility, focusing on follow-up of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. A specific abuse violation involving bruising on a resident was documented, with corrective actions including staff training and monitoring processes.
Citations (1)
A resident was observed with bruising on the face and neck, which was not initially addressed, resulting in a T-12 compression fracture diagnosis after hospital transfer.
Report Facts
Residents Served: 61
Residents Served in Dementia Care Unit: 14
Current Hospice Residents: 3
Residents Age 60 or Older: 58
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 36
Residents with Physical Disability: 0
Inspection Report — Jun 6, 2022
Follow-Up
Date: Jun 6, 2022
Visit Reason
The inspection visit on 06/06/2022 was a partial, unannounced monitoring inspection to follow up on the plan of correction submissions related to previous incidents and compliance issues at Sunrise Senior Living of Dresher.
Findings
The inspection identified multiple medication-related deficiencies including failure to report incidents timely, inaccurate medication administration records, failure to follow prescriber's orders, and medication error reporting deficiencies. Plans of correction were accepted but not fully implemented as of the inspection date.
Citations (7)
Failure to report an incident involving residents within 24 hours to the Department.
Inaccurate documentation of resident's glucometer readings in medication administration records.
Failure to administer prescribed Glucagen Hypokit medication when resident's blood sugar was low and symptomatic.
Failure to notify physician of abnormal blood sugar readings and withholding insulin without explanation.
Medication error not immediately reported to resident, designated person, or prescriber.
Medication record inaccuracies related to Vitamin D3 dosing and administration frequency.
Resident administered Vitamin D3 daily instead of weekly as prescribed for 18 days.
Report Facts
Residents Served: 55
Residents Served in Dementia Unit: 14
Total Daily Staff: 91
Waking Staff: 68
Residents with Mobility Need: 36
Residents 60 Years or Older: 54
Inspection Report — Jan 24, 2022
Follow-Up
Date: Jan 24, 2022
Visit Reason
The inspection was conducted as a follow-up review of the submitted plan of correction for the facility based on previous incident-related findings.
Findings
The facility was found to have implemented the submitted plan of correction fully, with ongoing monitoring and training to maintain compliance. Specific deficiencies related to annual medical evaluations and conspicuously posted directions for key-locking devices were addressed and accepted.
Citations (2)
Resident 1’s most recent medical evaluation was not completed annually as required.
Directions for operating the home's locking mechanism were not conspicuously posted near the elevator to the Secure Dementia Care Unit (SDCU).
Report Facts
Residents Served: 60
Secured Dementia Care Unit Residents Served: 27
Hospice Current Residents: 4
Residents Age 60 or Older: 58
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 36
Inspection Report — Sep 1, 2021
Renewal
Date: Sep 1, 2021
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 09/01/2021 and 09/02/2021 to assess compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including staff qualification issues, incomplete direct care training, improper food storage and handling, incomplete medical evaluations, medication management errors, and missing resident support plan signatures. Plans of correction were accepted and implemented with follow-up audits and training scheduled.
Citations (12)
Direct care staff person A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Direct care staff person A provided unsupervised ADL services without completing required training including demonstration of job duties followed by supervised practice.
Trash outside the home was not kept in covered receptacles; food boxes were accumulated on the ground outside the kitchen door.
Four uncovered slices of cake were stored on a ledge in the dining room, not protected from contamination.
Leftover food (frozen peas and cake slices) were not labeled or dated.
Food (bag of beef franks) was stored opened and not sealed in the refrigerator.
Resident #1's medical evaluation did not include a mobility needs assessment.
Resident #2's most recent medical evaluation was overdue.
Medications for residents #3, #4, and #5 were found in the medication cart despite being discontinued or expired.
Resident #6's prescribed Morphine Sulfate medication was not available in the home.
Resident #2's preadmission screening form did not include a determination that the resident's needs could be met by the home.
Residents #2, #7, and #8 participated in support plan development but did not sign the support plans.
Report Facts
Residents Served: 56
Secured Dementia Care Unit Residents Served: 20
Hospice Residents: 4
Residents 60 Years or Older: 54
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 31
Total Daily Staff: 87
Waking Staff: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Coordinator | BOC | Named in relation to obtaining GED certificate and conducting audits of direct care staff qualifications. |
| Executive Director | ED | Involved in reviewing plans of correction and monitoring compliance. |
| Director of Sales | DOS | Involved in reviewing medical evaluation documentation and coordinating with physicians. |
| Resident Care Director | RCD | Responsible for medical evaluations, medication audits, and coordination of care. |
| Dinning Service Coordinator | DSC | Responsible for training culinary staff and ensuring food safety compliance. |
| Neighborhood Coordinators | Responsible for scheduling support plan meetings and obtaining signatures. | |
| Wellness Nurses | Involved in audits and review of medical evaluations and medication management. | |
| Lead Care Manager | Provided supervised practice training to direct care staff. |
Notice — Feb 5, 2021
Date: Feb 5, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Sunrise Senior Living of Dresher, confirming receipt of the renewal application and advising of a required annual inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative notice of license renewal and compliance certificate issuance.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report — Oct 15, 2020
Follow-Up
Date: Oct 15, 2020
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 10/15/2020 to verify the implementation of a previously submitted plan of correction related to an incident.
Findings
The facility was found to have fully implemented the plan of correction addressing delayed incident reporting and deficiencies in resident assistance and treatment. Staff training and monitoring processes were established to prevent recurrence of the violations.
Citations (4)
16c - Written Incident Report: The home failed to report an incident occurring on 10/11/2020 within the required 24-hour timeframe, reporting it only on 10/13/2020.
23a - Activities of Daily Living Assistance: Resident #1 did not receive required assistance with redirection on 10/11/2020 as indicated in the resident’s assessment and support plan.
42c - Treatment of Residents: Staff member A used profane language and demanded resident #1 to sit down on 10/11/2020, failing to treat the resident with dignity and respect.
201 - Positive Interventions: Staff member A failed to use safe management techniques when redirecting resident #1 on 10/11/2020, using profane language and demanding compliance.
Report Facts
Residents Served: 64
Residents Served in Dementia Unit: 21
Hospice Current Residents: 5
Residents Age 60 or Older: 59
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 39
Inspection Report — Apr 8, 2020
Follow-Up
Date: Apr 8, 2020
Visit Reason
The visit was a follow-up review to verify that the previously submitted plan of correction was fully implemented following an incident.
Findings
The submitted plan of correction was determined to be fully implemented. Continued compliance must be maintained.
Citations (1)
42b - Abuse: A staff member stole and used Resident #1's credit cards for personal use, confirmed by a confession and video evidence. The Executive Director notified police and removed the staff member from employment.
Report Facts
Residents Served: 51
Residents Served in Secured Dementia Care Unit: 22
Residents Age 60 or Older: 73
Residents with Mobility Need: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Baxter | Administrator | Named as the Sunrise Representative signing the Plan of Correction and involved in the plan of correction process |
| Shawn Parker | Human Services Licensing Supervisor | Signed the letter confirming plan of correction implementation |
Inspection Report — Feb 3, 2020
Complaint Investigation
Date: Feb 3, 2020
Visit Reason
The inspection was conducted as a complaint investigation following an incident involving alleged resident abuse and failure to report and supervise staff accordingly.
Complaint Details
The investigation was triggered by allegations of resident abuse on 12/09/2019 involving staff profanities, physical aggression, and failure to report and supervise staff. The allegations were substantiated by conflicting staff statements and review of incident reports.
Findings
The facility was found to have multiple violations related to resident abuse reporting, supervision, and staff training. Specific incidents involved staff using profanities, physical aggression, and failure to report abuse timely to the department.
Citations (7)
2600.15.a The home failed to immediately report suspected abuse of a resident as required by law. An incident on 12/09/2019 involving staff profanities and pinning a resident was not reported to the AAA.
2600.15.b The home failed to immediately develop or implement a plan of supervision or suspend staff involved in alleged abuse on 12/09/2019.
2600.15.c The home failed to submit a plan of supervision or notice of suspension of the affected staff person to the Department following the abuse allegation.
2600.16.c The home failed to report an incident of verbal and physical abuse by staff to the Department within 24 hours as required.
2600.42.b The home allowed verbal abuse and intimidation of a resident by staff, including yelling, struggling with a chair, pinning the resident, and use of a profane word.
2600.65.f The home failed to provide evidence that staff received required annual training on meeting residents' needs as described in assessments and support plans.
2600.201 The home failed to implement positive interventions to modify or eliminate resident behavior. Staff pinned a resident against a wall in response to behavioral issues.
Report Facts
Residents Served: 80
Residents Served in Dementia Unit: 24
Total Daily Staff: 123
Waking Staff: 92
Residents Age 60 or Older: 80
Residents with Mobility Need: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Baxter | Administrator | Named in plan of correction and signature on multiple findings |
| Sandra Wooters | Human Services Licensing Supervisor | Author of the inspection report letter |
Inspection Report — Dec 18, 2019
Complaint Investigation
Date: Dec 18, 2019
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulations at Sunrise Senior Living of Dresher.
Complaint Details
The inspection was triggered by a complaint. The report does not explicitly state substantiation status.
Findings
Multiple violations were found related to housekeeping/maintenance, poisonous material storage, locking poisonous materials, sanitary conditions, trash receptacles, bedside furniture and lighting, and food storage. Plans of correction were submitted and determined to be fully implemented upon follow-up.
Citations (8)
2600.60c Housekeeping/Maintenance: The home had insufficient housekeeping staff leading to messy kitchens, hallways, and laundry room with clothing and trash on the floor.
2600.82b Poisonous Material Storage: A disinfectant cleaner was stored with syrup bottles in an unlocked 3rd floor kitchen cabinet.
2600.82c Locking Poisonous Materials: The disinfectant cleaner was stored in an unlocked 3rd floor kitchen cabinet, accessible to residents.
2600.85a Sanitary Conditions: The 1st floor kitchen floor had dried food bits and dust; food was smeared on walls; 3rd floor hallways had dust accumulation; laundry room had clothing and trash on the floor.
2600.85d Trash Receptacles: Trash cans in the 3rd floor dining area and 2nd floor bathroom lacked lids or coverings.
2600.101.j.5 Bedside Table/Shelf: Resident #1's bed in bedroom 321 lacked a bedside table or shelf.
2600.101.j.7 Lighting/Operable Lamp: Resident #1 did not have access to a bedside lamp or lighting source that can be turned on/off from bedside.
2600.103.g Storing Food: Seven ice cream pails in the freezer were uncovered and a tray of loose beans on dry goods shelves was not covered.
Report Facts
Residents Served: 80
Residents Served in Dementia Unit: 24
Residents Diagnosed with Mental Illness: 10
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 45
Residents with Physical Disability: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Baxter | Executive Director | Named in multiple plans of correction and corrective actions. |
| Michael J. Stein | Authorized Person | Recipient of the inspection report correspondence. |
Notice — Nov 27, 2019
Date: Nov 27, 2019
Visit Reason
This document serves as a renewal notification for the Personal Care Home license of Sunrise Senior Living of Dresher, confirming receipt of the renewal application and outlining the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative notice regarding license renewal and inspection requirements.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Hancock | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — Jun 24, 2019
Renewal
Date: Jun 24, 2019
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on June 24 and 25, 2019 to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The inspection found violations related to the use of the term 'Assisted Living' in the Residency Agreement, treatment of residents with dignity and respect, privacy breaches, inadequate annual training hours for direct care staff, lack of fire safety training, and incomplete dementia care training. Plans of correction were submitted and partially implemented as of August 22, 2019.
Citations (8)
55 Pa. Code 2600.18: The Residency Agreement improperly listed 'Assisted Living' under programs and services, which is prohibited under Act 56 of 2007.
55 Pa. Code 2600.42c: Resident #1 reported staff forced him to bed against his wishes, violating dignity and respect requirements.
55 Pa. Code 2600.42s: Resident's personal dietary information was posted on a board visible from the dining area, violating privacy.
55 Pa. Code 2600.65e: Direct care staff A and B received only 4 and 1 hours respectively of required annual training in 2018, less than the mandated 12 hours.
55 Pa. Code 2600.65f: Direct care staff A and B did not receive required training in medication self-administration, resident needs, infection control, and other topics during 2018.
55 Pa. Code 2600.65g: Direct care staff A and B did not receive required fire safety training or training on resident rights, falls prevention, and emergency preparedness in 2018.
55 Pa. Code 2600.85a: On 06/25/19, a strong odor of urine was present in room #317A, indicating unsanitary conditions.
55 Pa. Code 2600.236: Direct care staff B working in the Secure Dementia Care Unit had not completed required dementia care training during 2018.
Report Facts
Residents Served: 77
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 3
Residents Age 60 or Older: 74
Residents with Mental Illness: 3
Residents with Intellectual Disability: 1
Residents with Mobility Need: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Baxter | Executive Director | Named as the legal entity representative and signer of plans of correction. |
Inspection Report — Mar 4, 2019
Complaint Investigation
Date: Mar 4, 2019
Visit Reason
The inspection was conducted as a complaint investigation at Sunrise Senior Living of Dresher to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Complaint Details
The inspection was complaint-driven. Specific complaint details and substantiation status are not explicitly stated in the report.
Findings
Multiple violations were found related to insufficient annual training hours for direct care staff, incomplete training on required topics, lack of training in fire safety and emergency preparedness, incomplete medical evaluations, and inadequate procedures for mechanical lift use. Plans of correction were submitted addressing these issues with target completion dates and ongoing monitoring.
Citations (5)
55 Pa.Code §2600.65(e) - Direct care staff persons A and B received only 4 hours of annual training in 2018 instead of the required 12 hours.
55 Pa.Code §2600.65(f) - Direct care staff persons A and B did not receive training on medication self-administration, resident needs, dementia care, infection control, personal care service needs, and safe management techniques during 2018.
55 Pa.Code §2600.65(g) - Direct care staff persons A and B did not receive annual training in fire safety, emergency preparedness, resident rights, Older Adult Protective Services Act, and falls and accident prevention in 2018.
55 Pa.Code §2600.141(a)(2) - Medical evaluation for resident 1 dated 08/07/2018 lacked body positioning, movement, and health status information.
55 Pa.Code §2600.185(a) - The home lacks a policy or procedure for mechanical lift transfers and documentation of staff training on mechanical lifts is missing.
Report Facts
Number of Residents Served: 76
Number of Residents Served in Secured Dementia Unit: 17
Number of Residents 60 Years or Older: 72
Number of Residents with Mental Illness: 3
Number of Residents with Intellectual Disability: 2
Number of Residents with Mobility Need: 38
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerri Zwolak | Executive Director | Named as legal entity representative and involved in plan of correction and training audits. |
| Shawn Parker | Human Services Licensing Supervisor | Signed the cover letter for the inspection report. |
Inspection Report — Jan 28, 2019
Monitoring
Date: Jan 28, 2019
Visit Reason
The inspection was a monitoring and provisional visit triggered by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
The inspection found violations related to resident assessments, specifically an incorrect assessment for resident #1. A plan of correction was submitted and partially implemented to address these issues.
Citations (1)
55 Pa.Code §2600.225(c) - The resident's most recent assessment was completed with errors, including incorrect documentation of the resident's living situation and diagnosis of dementia.
Report Facts
Number of Residents Served: 75
Number of Residents 60 Years or Older: 71
Number of Residents with Mental Illness: 3
Number of Residents with Intellectual Disability: 2
Number of Residents with Mobility Needs: 34
Number of Current Hospice Residents: 7
Number of Hospice Residents in Past Year: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerri Zwolak | Executive Director | Signed the Plan of Correction and is the facility administrator. |
Inspection Report — Nov 27, 2018
Renewal
Date: Nov 27, 2018
Visit Reason
This document is a renewal license issued in response to the November 20, 2018 renewal application to operate the Personal Care Home Sunrise Senior Living of Dresher. The Department advises that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license renewal certificate and notification of future inspection requirements.
Report Facts
Inspection Report — Jul 11, 2018
Complaint Investigation
Date: Jul 11, 2018
Visit Reason
The inspection was conducted as a complaint investigation at Sunrise Senior Living of Dresher on July 11, 2018.
Complaint Details
The inspection was triggered by a complaint. No substantiation status is explicitly stated in the report.
Findings
One violation was found regarding the failure to complete a resident's annual medical evaluation. The resident's last medical evaluation was completed on 05/30/18, but the previous evaluation was completed on 11/04/16, indicating a lapse in the annual requirement.
Citations (1)
Regulation 55 Pa.Code §2600.141(b)(1) requires a resident to have a medical evaluation at least annually. Resident #1's last medical evaluation was completed on 05/30/18, but the previous evaluation was completed on 11/04/16, indicating a violation of the annual evaluation requirement.
Report Facts
Number of Residents Served: 84
Number of Residents 60 Years or Older: 80
Number of Residents with Mental Illness: 9
Number of Residents with Intellectual Disability: 3
Number of Residents with Mobility Need: 60
Number of Residents with Physical Disability: 10
Number of Current Hospice Residents: 6
Number of Hospice Residents in Past Year: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Harker | Executive Director | Named as Administrator and Executive Director signing the Plan of Correction. |
| Dean Gray | Department representative on-site during inspection. |
Inspection Report — Jun 27, 2018
Renewal
Date: Jun 27, 2018
Visit Reason
The inspection was a renewal visit conducted on June 27 and June 28, 2018, to assess compliance with 55 Pa. Code Chapter 2600 for the Personal Care Home Sunrise Senior Living of Dresher.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including issues with contract signatures, resident rights acknowledgments, emergency telephone postings, lighting in resident rooms, medication storage and administration, and support plan documentation. Plans of correction were submitted addressing each violation with target completion dates.
Citations (10)
Regulation 2600.25(b): The contract for resident #1 admitted on 10/10/2017 was not signed by the resident.
Regulation 2600.41(e): Resident #1's record did not contain a statement signed by the resident acknowledging receipt of resident rights and complaint procedures.
Regulation 2600.91: Telephones in resident rooms #303 and #224 did not have emergency service numbers posted nearby.
Regulation 2600.101(7): The bed in resident room #319 did not have a source of light that can be turned on/off from bedside.
Regulation 2600.183(b): Prescription medications, OTC medications, CAM and syringes were not kept locked; triamcinolone acetonide lotion 0.025% was found unlocked in resident room #306.
Regulation 2600.183(b): A check of resident apartments found medications left unlocked; education was provided on proper storage of medications.
Regulation 2600.183(d): Only current prescriptions, OTC, sample and CAM for individuals living in the home were kept in the home; discontinued medications were found on the med cart for residents #2 and #3.
Regulation 2600.187(a): Medication administration records did not match medication packets for resident #3; discrepancies in dosage and frequency were noted.
Regulation 2600.191: The home staff did not educate resident #1 on the right to question or refuse medication; documentation of education was not kept.
Regulation 2600.227(g): Residents #1, 4, 5, 6, 7, 8, and 9 did not sign their support plans.
Report Facts
Number of Residents Served: 82
Number of Residents 80 Years or Older: 78
Number of Residents with Mental Illness: 8
Number of Residents with Intellectual Disability: 3
Number of Residents with a Mobility Need: 59
Number of Residents with a Physical Disability: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Harker | Executive Director | Named as Administrator and Legal Entity Representative signing the Plan of Correction. |
| Sabrina Freeman | Surveyor | Department representative conducting the inspection. |
Inspection Report — May 24, 2018
Complaint Investigation
Date: May 24, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident reported at the facility.
Complaint Details
The complaint investigation was triggered by an incident on 04/23/18 where staff yelled at resident #1. The violation was substantiated and corrective actions were taken including administrative leave and training.
Findings
A violation was found regarding resident dignity and respect where staff yelled at a resident instead of using positive interventions. A plan of correction was submitted addressing the incident and outlining corrective actions.
Citations (1)
55 Pa.Code §2600.42(c) - A resident was not treated with dignity and respect when staff yelled at the resident instead of using positive interventions.
Report Facts
Number of Residents Served: 79
Number of Current Hospice Residents: 3
Number of Hospice Residents in past year: 17
Residents Age 60 or Older: 75
Residents with Mental Illness: 8
Residents with Intellectual Disability: 3
Residents with Mobility Need: 59
Residents with Physical Disability: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Harker | Administrator / Executive Director | Named in relation to the plan of correction and incident investigation. |
Notice — Nov 20, 2017
Date: Nov 20, 2017
Visit Reason
The document serves as a renewal notification and license approval for Sunrise Senior Living of Dresher to operate as a Personal Care Home. It also informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is a licensing and renewal notification letter with an attached certificate of occupancy.
Report Facts
Inspection Report — Oct 3, 2017
Complaint Investigation
Date: Oct 3, 2017
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving a resident and staff behavior.
Complaint Details
The visit was complaint-related due to an incident where staff person A recorded and published resident #1's activities on social media without permission. The complaint was substantiated with findings of violations of dignity, respect, and privacy.
Findings
The inspection found violations related to resident dignity and respect, privacy rights, and staff training requirements. Specific incidents involved unauthorized recording and publishing of resident activities on social media and failure to complete required staff training before providing unsupervised care.
Citations (3)
Regulation 55 Pa.Code §2600.42(c): A resident was not treated with dignity and respect when staff person A recorded and published a behavioral episode involving resident #1 on social media.
Regulation 55 Pa.Code §2600.42(s): A resident's right to privacy was violated when staff member A recorded and published social media activities of resident #1 without permission.
Regulation 55 Pa.Code §2600.65(d): Direct care staff person B, hired on 05/22/17, did not receive initial DHS training until 10/03/17, delaying required competency before providing unsupervised care.
Report Facts
Number of Residents Served: 72
Number of Residents Served in Secured Dementia Care Unit: 21
Number of Current Hospice Residents: 5
Number of Hospice Residents in Past Year: 26
Number of Residents 80 Years or Older: 69
Number of Residents with Mental Illness: 1
Number of Residents with Intellectual Disability: 1
Number of Residents with Mobility Need: 41
Number of Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerri Zwolak | Executive Director | Named in relation to findings and plan of correction |
| Patricia Adams | Regional Licensing Director | Signed the cover letter for the inspection report |
Inspection Report — Nov 29, 2016
Annual Inspection
Date: Nov 29, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for Sunrise Senior Living of Dresher on November 29 and 30, 2016.
Findings
Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found, including food labeling, food storage, medication administration, and resident care plan deficiencies. Plans of correction were submitted and approved with some partially implemented at the time of reporting.
Citations (10)
Regulation 2600.103(e): A bag of waffles and a half of ham were not labeled or dated in the main kitchen refrigerator.
Regulation 2600.103(g): The bag of shredded cheese in the main kitchen refrigerator was opened and unsealed.
Regulation 2600.185(a): Resident #1's glucometer was not calibrated to determine glucose reading with actual date and time.
Regulation 2600.187(a): The home failed to develop and implement procedures for safe storage, access, security, distribution, and use of medications by trained staff.
Regulation 2600.187(a): Medication administration record for resident #2 lacked staff initials for several medication administrations and dates.
Regulation 2600.187(a): The Executive Director submitted a reportable incident involving resident #1's medication error where insulin was given despite low blood sugar, and the error was not reported to the resident.
Regulation 2600.187(d): Resident #1 had an order to hold insulin if blood sugar was below 90, but insulin was given anyway.
Regulation 2600.188(b): The Executive Director failed to immediately report a medication error involving resident #1 to the resident, designated person, and prescriber.
Regulation 2600.227(g): Resident #3 participated in developing their support plan but did not sign it.
Regulation 2600.2304(a): Resident #2 was admitted to the secured dementia care unit without a completed support plan within 72 hours.
Report Facts
Number of Current Hospice Residents: 6
Number of Residents 60 Years or Older: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin H. Zwolak | Executive Director | Named in multiple plans of correction and findings related to food disposal, medication administration, and incident reporting. |
Inspection Report — Nov 16, 2016
Renewal
Date: Nov 16, 2016
Visit Reason
This document is a renewal license issued to Sunrise Senior Living of Dresher for operating a Personal Care Home. The Department of Human Services will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and outlines the requirement for a future annual inspection.
Report Facts
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