18 Reports
Inspection Report — May 21, 2026
Monitoring
Date: May 21, 2026
Visit Reason
The inspection was conducted as a partial, unannounced monitoring visit to the facility on 05/21/2026.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 57
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 6
Inspection Report — Apr 20, 2026
Renewal
Date: Apr 20, 2026
Visit Reason
The inspection was conducted as a renewal visit with an incident component to review compliance and verify the submitted plan of correction.
Findings
The facility was found to have multiple deficiencies including delayed incident reporting, missing required postings, incomplete staff orientation and training, outdated food items, missing medication administration documentation, and failure to follow prescriber's orders. All deficiencies had plans of correction accepted and were implemented by May 19, 2026.
Citations (9)
2600.16c The home failed to report an unwitnessed fall incident involving Resident 1 to the Department within 24 hours, reporting it two days late.
2600.44g The correct telephone number of the local ombudsman was not posted in a conspicuous and public place in the home.
2600.65a Staff Person A did not receive required orientation on fire safety and emergency preparedness topics on their first day of work.
2600.65b Staff Person A did not complete required orientation training within 40 scheduled work hours on resident rights, emergency medical plan, and mandatory abuse reporting.
2600.65f Direct Care Staff Persons B and C did not receive required annual training on care for residents with mental illness or intellectual disabilities during 2025.
2600.103i Two unlabeled and undated bags of parsley were found in the main kitchen refrigerator, violating food safety requirements.
2600.162c The home's menu for the week of 4/26 through 5/2/2026 was not posted as required.
2600.187b Medication administration records for Residents 2, 3, and 4 lacked staff initials documenting administration on specific dates and times in March 2026.
2600.187d Resident 2's Tramadol medication was administered late on 4/21/2026, not following the prescriber's scheduled administration time.
Report Facts
Residents Served: 56
Secured Dementia Care Unit Residents Served: 11
Current Hospice Residents: 7
Number of Residents Age 60 or Older: 56
Number of Residents with Intellectual Disability: 1
Number of Residents with Mobility Need: 35
Inspection Report — Mar 24, 2025
Renewal
Date: Mar 24, 2025
Visit Reason
The inspection was conducted as a renewal and complaint investigation to assess compliance with licensing regulations and to review the submitted plan of correction.
Findings
The facility had multiple deficiencies including failure to post required regulations, incomplete criminal background checks, inadequate staff training, unlocked poisonous materials accessible to residents, missing emergency telephone numbers, lack of operable bedside lamps, improper food storage, insufficient emergency water supply, incomplete menu postings, medication administration errors, and inaccurate resident support plans. All deficiencies had plans of correction accepted and were implemented by June 5, 2025.
Citations (11)
No copy of the chapter 2600 regulations posted in a conspicuous and public place.
Staff person hired without a criminal background check conducted prior to employment.
Direct care staff person did not receive required annual training on medication self-administration, resident needs, and care for residents with mental illness or intellectual disability.
Poisonous materials (Ecolab laundry detergent) unlocked and accessible to residents in the Secure Dementia Care Unit.
Emergency telephone numbers not posted by resident's cell phone.
Resident did not have access to an operable lamp or source of lighting at bedside.
Food stored in dented can in dry food supply.
Home did not maintain at least a 3-day supply of nonperishable food and drinking water; water supply was below required gallons.
Weekly menus not posted one week in advance for certain dates.
Medication prescribed for resident was not administered due to unavailability in the home.
Resident support plan did not accurately reflect prescribed diet requirements.
Report Facts
Residents Served: 48
Residents in Secured Dementia Care Unit: 16
Hospice Residents: 7
Residents 60 Years or Older: 52
Residents Diagnosed with Mental Illness: 4
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 36
Residents with Physical Disability: 0
Emergency Drinking Water Required (gallons): 144
Emergency Drinking Water Available (gallons): 127
Inspection Report — Nov 26, 2024
Follow-Up
Date: Nov 26, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted on 11/26/2024 due to a complaint and incident involving resident care.
Complaint Details
The visit was complaint-related and incident-driven, focusing on allegations of improper resident treatment and procedural deficiencies in preadmission screening.
Findings
The facility was found to have fully implemented the submitted plan of correction related to two deficiencies: improper treatment of a resident by staff and failure to complete timely cognitive preadmission screenings for the secured dementia care unit. The staff member involved in the resident treatment violation was terminated, and corrective actions including staff training and audits were completed.
Citations (2)
Improper treatment of a resident involving incorrect transfer and disrespectful handling by staff person A.
Failure to complete a written cognitive preadmission screening within 72 hours prior to admission to the secured dementia care unit for a resident.
Report Facts
Residents Served: 51
Residents Served: 16
Current Residents in Hospice: 9
Residents Age 60 or Older: 51
Residents with Mobility Need: 36
Residents Diagnosed with Intellectual Disability: 1
Inspection Report — Jul 25, 2024
Follow-Up
Date: Jul 25, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit on 07/25/2024 to review the submitted plan of correction related to a prior incident.
Findings
The submitted plan of correction was determined to be fully implemented with continued compliance required. Multiple deficiencies were identified and addressed, including contract signature issues, abuse allegations, direct care training deficiencies, sanitary conditions, furniture and equipment maintenance, lighting, and resident education on medication refusal rights.
Citations (9)
The resident-home contract was not signed by the resident.
Resident reported rough and forceful care by a staff member during overnight care.
Direct care staff person had an expired CNA certification and lacked proof of completing required training and competency test.
Direct care staff did not receive training in medication self-administration during training year 2023.
Training records lacked length of training and location details.
Refrigerator in resident room had unsanitary conditions with sticky red substance and brown caked substance.
Resident freezer compartment was frosted over and unusable; refrigerator door was coming off hinges and leaking water.
Resident did not have access to a source of light that can be turned on/off at bedside.
Resident had not been educated on the right to refuse medication if a medication error is suspected.
Report Facts
Residents Served: 41
Residents Served in Secured Dementia Care Unit: 11
Hospice Residents: 7
Residents 60 Years or Older: 39
Residents with Mobility Need: 26
Resident Contract Signature Missing: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Member B | Named in abuse allegation and subsequent termination. | |
| Staff Member A | Reported resident's statement regarding Staff Member B's rough care. | |
| Executive Director | Placed Staff Member B on administrative leave, conducted investigation, and oversaw plan of correction implementation. | |
| Director of Sales | Retrained on resident signature requirements and audited resident contracts. | |
| Associate Director of Sales | Retrained on resident signature requirements and audited resident contracts. | |
| Business Office Coordinator | Educated staff on abuse and neglect, retrained on training form preparation, and conducted audits. | |
| Personal Care Coordinator | Involved in audits and retraining related to training records and suite checks. | |
| Reminiscence Coordinator | Involved in audits and retraining related to training records and suite checks. |
Inspection Report — Mar 15, 2023
Complaint Investigation
Date: Mar 15, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and the complaint was not substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 40
Residents Served in Dementia Care Unit: 12
Hospice Residents: 7
Residents Age 60 or Older: 39
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 22
Residents with Physical Disability: 0
Total Daily Staff: 62
Waking Staff: 47
Inspection Report — Jan 12, 2023
Renewal
Date: Jan 12, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including abuse and neglect by staff, sanitary and maintenance issues, medication management errors, and fire safety documentation lapses. The facility submitted plans of correction which were accepted and implemented by 02/27/2023.
Citations (16)
Failure to provide required assistance with activities of daily living as per resident's support plan.
Resident was verbally abused and treated with disrespect by staff.
Staff training plan lacked age sensitivity training.
Unclean vents and broken pipe causing unsanitary conditions.
Inoperable bathroom exhaust fans causing lack of ventilation.
Missing light bulbs in bathroom fixtures.
Furniture and equipment not in good repair including leaking sink, broken toilet paper handles, and cracked pipe.
Resident bedroom lacked operable bedside lamp.
Carpet stained and not in good repair.
Lack of documentation of written notification to local fire department regarding emergency evacuation.
Failure to use alternate exit routes during fire drills.
Menu change not posted in advance of meal service.
Sample prescription medications lacked required prescriber information.
Medication storage procedures not followed; missing 'as needed' medication.
Medication records lacked purpose for medications and storage location not documented.
Failure to follow prescriber's orders; medication administration did not match prescription.
Report Facts
Residents Served: 45
Secured Dementia Care Unit Residents Served: 16
Current Hospice Residents: 11
Residents Age 60 or Older: 44
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 27
Deficiency Count: 16
Inspection Report — Jun 7, 2022
Follow-Up
Date: Jun 7, 2022
Visit Reason
The visit was a partial, unannounced inspection conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. Deficiencies related to medication storage and resident record content were addressed with corrective actions and ongoing monitoring.
Citations (2)
Resident 1 was prescribed Tylenol Extra Strength Tablet 500 mg, but the medication was not available in the home.
Resident 1's and 2's records did not include a record of incident reports for the individual resident.
Report Facts
Residents Served: 47
Residents Served in Dementia Care Unit: 16
Current Hospice Residents: 9
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 32
Residents Age 60 or Older: 46
Inspection Report — Apr 8, 2022
Plan of Correction
Date: Apr 8, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted on 04/08/2022 as a follow-up to verify the implementation of a submitted plan of correction related to an incident involving alleged resident abuse.
Findings
The facility was found to have delayed reporting an allegation of inappropriate touch involving a resident to the Area Agency on Aging and the Department of Human Services. Staff failed to immediately suspend the implicated staff member pending investigation. The submitted plan of correction was accepted and fully implemented, including staff training and administrative leave for the involved staff member. The violation was later withdrawn.
Citations (3)
Failure to immediately report suspected abuse of a resident to the Area Agency on Aging and Department of Human Services.
Failure to immediately suspend the staff person involved in the alleged abuse pending investigation.
Failure to report the incident to the Department within 24 hours as required.
Report Facts
Residents Served: 46
Secured Dementia Care Unit Residents Served: 16
Total Daily Staff: 75
Waking Staff: 56
Residents Age 60 or Older: 45
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 29
Inspection Report — Feb 8, 2022
Complaint Investigation
Date: Feb 8, 2022
Visit Reason
The inspection was conducted as a complaint investigation at the facility.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, and follow-up was not required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 86
Waking Staff: 65
Residents Served: 49
Residents Served in Dementia Care Unit: 17
Residents Age 60 or Older: 48
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Swisher | Lead Inspector | Lead inspector for the complaint investigation |
Inspection Report — Jan 26, 2022
Complaint Investigation
Date: Jan 26, 2022
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection over three days from 01/26/2022 to 01/28/2022.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 83
Waking Staff: 62
Residents Served: 46
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 11
Residents 60 Years or Older: 46
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 37
Residents with Physical Disability: 0
Inspection Report — Sep 20, 2021
Renewal
Date: Sep 20, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 09/20/2021 and 09/21/2021 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies related to sanitary conditions, physical site maintenance, nutrition, and medication management. Plans of correction were accepted and implemented to address issues such as glucometer calibration, trash dumpster lids, ventilation fans, emergency telephone numbers, food storage and labeling, medication labeling, storage, administration documentation, and following prescriber's orders.
Citations (15)
Resident #4's medication administration records showed a glucometer reading not matching the resident's glucometer.
Outdoor dumpster lids were open and not in use.
Resident bathrooms lacked operable ventilation fans or windows in rooms 105, 116, 220, 223, 304.
No emergency telephone numbers posted on or by the telephone in bedroom 223.
No thermometer in the ice cream freezer.
Five unsealed tubs of ice cream in the ice cream freezer.
Opened, undated bags of frozen burgers and frozen salmon in the main kitchen walk-in freezer; expired pudding in reminiscence kitchen.
Weekly menu for 9/19/21 to 9/25/21 was not posted.
Discontinued medication found in medication cart for resident #2.
Medication labels did not match prescribed directions for residents #1, #2, and #3.
Glucometer calibration errors and unavailable prescribed medications for residents #1, #2, #3, and #4.
Medication administration record missing staff initials for resident #2 on 9/17/21.
Refusal of prescribed accuchecks by residents #1 and #4 was not reported to the prescriber.
Prescribed medication not given as ordered for resident #1; glucometer reading not documented correctly.
Prescribed medication for resident #3 was not available in the home on 9/21/21.
Report Facts
Total Daily Staff: 85
Waking Staff: 64
Residents Served: 50
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 11
Residents 60 Years or Older: 51
Residents with Mobility Need: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Director | Resident Care Director (RCD) | Named in multiple medication and care process findings and corrective actions |
| Executive Director | Executive Director (ED) | Named in oversight and education related to findings and plans of correction |
| Maintenance Coordinator | Maintenance Coordinator (MC) | Named in findings related to physical site maintenance and corrective actions |
| Dietary Services Coordinator | Dietary Services Coordinator (DSC) | Named in findings related to food storage, nutrition, and corrective actions |
| Medication Care Managers | Medication Care Managers (MCMs) | Named in medication administration and documentation findings and corrective actions |
| Wellness Nurses | Wellness Nurses | Named in medication administration and documentation findings and corrective actions |
Notice — Sep 16, 2021
Date: Sep 16, 2021
Visit Reason
This document serves as a renewal notification and issuance of a regular license for the Personal Care Home 'Sunrise of Haverford' following receipt of the renewal application dated September 14, 2021.
Findings
The Department advises that an onsite inspection will be conducted within the next twelve months as required by regulation. No findings or deficiencies are reported in this document.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report — Sep 3, 2021
Date: Sep 3, 2021
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 09/03/2021.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 44
Secured Dementia Care Unit Residents Served: 16
Hospice Residents: 9
Residents 60 Years or Older: 43
Residents with Mental Illness: 1
Residents with Intellectual Disability: 1
Residents with Mobility Need: 33
Residents with Physical Disability: 1
Total Daily Staff: 77
Waking Staff: 58
Inspection Report — May 24, 2021
Complaint Investigation
Date: May 24, 2021
Visit Reason
The inspection was conducted as a complaint investigation with multiple off-site review dates to assess compliance and plan of correction implementation.
Complaint Details
The inspection was complaint-driven, with multiple off-site review dates. The plan of correction was accepted and fully implemented, addressing the deficiencies found related to resident contract signatures, signed statements, resident education, and record legibility.
Findings
The facility was found to have multiple deficiencies related to missing resident contract signatures, missing signed statements regarding rent rebate and resident rights, lack of resident education on the right to refuse medication, and illegible record entries. The submitted plan of correction was determined to be fully implemented.
Citations (5)
Resident-home contracts for Resident 1 and Resident 2 were not signed by the residents.
Resident-home contracts for Resident 1 and Resident 2 did not include a signed statement informing residents about rent rebate information kept in records.
Resident 1 and Resident 2's records did not contain signed statements acknowledging receipt of resident rights and complaint procedures.
Resident 1 and Resident 2 were not educated on their right to refuse medication if they believed there was a medication error.
The number nine was rewritten in bold over the number three on Resident 2's Cognitive Screen dated 2/9/2021, violating legibility requirements.
Report Facts
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 9
Residents Age 60 or Older: 39
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sandi Wooters | Signed the letter confirming plan of correction implementation | |
| Director of Sales | Trained on residency contract requirements and responsible for verifying contract signatures | |
| Business Office Coordinator | Responsible for auditing resident records for contract signatures | |
| Executive Director | Responsible for reviewing contracts and monitoring plan of correction effectiveness | |
| Resident Care Director | Provided education and audit related to resident cognitive screening forms and record entries | |
| Wellness Nurses | Involved in education and auditing resident record entries |
Notice — Dec 30, 2020
Date: Dec 30, 2020
Visit Reason
This document serves as a renewal notice and certificate of compliance for the Personal Care Home 'Sunrise of Haverford'. It informs the facility that a regular onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license based on the renewal application and advises that enforcement action will be taken if noncompliance is found during future inspections.
Report Facts
Inspection Report — Oct 26, 2020
Monitoring
Date: Oct 26, 2020
Visit Reason
The inspection was a monitoring visit conducted on 10/26/2020 to verify compliance and implementation of a previously submitted plan of correction.
Findings
The facility was found to have multiple deficiencies including uncovered trash receptacles, unlabeled leftover food, expired rabies vaccination certificates for resident pets, improper medication storage, and record entry issues. All deficiencies had accepted plans of correction with ongoing monitoring.
Citations (5)
85d - Trash Receptacles: An uncovered, unattended trash can was found in the kitchen on 10/26/2020 at 10:30 AM.
103e - Left Overs: An opened container of yogurt without an open date was found in the home's secured dementia care unit kitchenette.
109b - Rabies Vaccination: Resident #1's two cats lacked current rabies vaccination certificates; the last valid certificate expired on 05/15/2020.
183e - Storing Medications: An unopened insulin pen was improperly stored outside refrigeration in the medication cart on 10/26/2020 at 11:50 AM.
251b - Record Entries Legible: Resident #3's 72-hour support plan had dates originally recorded as 09/23/2020 but updated to 10/02/2020 at the time of inspection.
Report Facts
Residents Served: 42
Residents Served in Secured Dementia Care Unit: 13
Residents Age 60 or Older: 43
Residents with Mobility Need: 27
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 1
Residents with Physical Disability: 1
Notice — Jan 2, 2020
Date: Jan 2, 2020
Visit Reason
Issuance of a new license for Sunrise of Haverford as a Personal Care Home and notification of a forthcoming inspection within 3 months of the license effective date.
Findings
The facility was found to be in substantial compliance with applicable regulations at the time of the policy review by the Pennsylvania Department of Human Services.
Viewing
Loading inspection reports...
