Inspection Reports for
The Pinnacle at Plymouth Meeting

The facility was found to have resolved the issue with an inoperable hospital bed remote control, and the submitted plan of correction was fully implemented. However, the resident support plan initially failed to document the use of hospital beds and related equipment, which has since been corrected.

The facility was found to have several deficiencies including insufficient water pressure in a resident's bathroom, lack of operable bedside lighting for a resident, incomplete medical evaluations, unposted weekly menus, and medication storage issues. Plans of correction were accepted and implemented by June 11, 2026.

The visit was complaint-related and included substantiated issues such as failure to provide required care, disrespectful staff behavior, and privacy violations. The staff member involved in the disrespect incident was relieved of duty and not scheduled since.

The inspection identified multiple deficiencies including failure to provide required assistance with activities of daily living, disrespectful treatment of residents, privacy violations, staffing delays, unclean resident equipment, exterior hazards, lack of toilet paper, obstructed egress, and improper posting of key-locking device codes. Plans of correction were accepted and implemented.

The inspection was triggered by a complaint and incident. Specific violations were found regarding medication administration and preadmission screening. The submitted plan of correction was determined to be fully implemented.

The inspection identified violations related to medication administration not following prescriber's orders and incomplete cognitive preadmission screening for residents admitted to the secured dementia care unit. Plans of correction were submitted and accepted with ongoing monitoring and training.

The facility was found to be in compliance with applicable regulations after multiple inspections and plan of correction submissions. Several deficiencies were identified related to resident refunds, emergency telephone numbers, lighting, medical evaluations, medication storage and administration, preadmission screening, record content, water pressure, and menu posting, all of which were addressed with corrective actions and training.

The investigation was triggered by a complaint regarding a resident's hospital admission and concerns about alcohol bottles found in the resident's room. The complaint included allegations of neglect and abuse, which were substantiated by observations and interviews.

Multiple violations were found including failure to report incidents, abuse concerns involving alcohol in resident rooms, unlocked poisonous materials, unsanitary conditions, lack of toilet paper, obstructed egress, unsecured medications, and incomplete resident support plans. Plans of correction were accepted and implemented by early March 2026.

The inspection was complaint-related, triggered by a complaint and incident. The report does not explicitly state substantiation status.

The inspection found issues related to delayed assistance with activities of daily living, resident treatment with dignity and respect, and incomplete medical evaluations. The facility submitted and implemented plans of correction addressing these deficiencies.

The complaint investigation involved allegations of resident abuse including physical and verbal abuse, delayed reporting, and failure to assess and update support plans accordingly. The investigation found the abuse claims were not substantiated but identified procedural failures in reporting and documentation.

The investigation found delayed reporting of suspected resident abuse and failure to perform timely assessments. Additional deficiencies included incomplete staff training, cleanliness issues, incomplete medical evaluations, missing resident record information, and lack of resident signatures on support plans.

The plan of correction was determined to be fully implemented, with continued compliance required. A deficiency was noted regarding the lack of a system to safeguard resident laundry, causing delays and loss of personal belongings, which has since been addressed with a new laundry management system and staff training.

The inspection was complaint-related and incident-driven, with substantiation of multiple violations including abuse, neglect, and failure to meet regulatory requirements.

Multiple deficiencies were identified including breaches of resident confidentiality, failure to provide required assistance, abuse incidents, unqualified direct care staff, delayed call bell responses, unsecured poisonous materials, damaged equipment, inadequate laundry systems, obstructed egress, incomplete medical evaluations, and missing or outdated documentation and support plans. Plans of correction were accepted with completion dates mostly by the end of 2025.

The inspection was complaint-related, triggered by complaints and incidents including confidentiality breaches, failure to assist residents as per support plans, and medication administration errors. The plan of correction was fully implemented as of October 15, 2025.

The inspection identified multiple deficiencies including breaches in resident record confidentiality, failure to provide required assistance with activities of daily living, incomplete criminal background checks, incomplete staff contact lists, inadequate fire safety orientation for new staff, insufficient hot and cold water in a resident shower, delayed return of residents' clothing after laundering, and medication administration errors including failure to witness ingestion and improper documentation. Plans of correction were accepted and implemented by mid-October 2025.

The inspection was triggered by a complaint and incident, as stated under Inspection Information on page 2.

Two deficiencies were identified: one involving an unlabeled bottle of OTC medication belonging to a resident, and another involving the unavailability of a prescribed PRN medication in the home. Both deficiencies had plans of correction accepted and were implemented by 09/24/2025.

The complaint investigation found substantiated allegations of abuse, neglect, financial exploitation, and failure to provide adequate care and supervision. Specific incidents included physical altercations between staff and residents, unauthorized financial transactions, failure to report abuse, and neglect of residents' incontinence needs. The facility was issued a second provisional license with required plans of correction.

The facility was found to have multiple violations including failure to report suspected abuse, inadequate supervision and suspension of staff involved in abuse allegations, failure to report incidents timely, resident neglect, confidentiality breaches, improper medication management, unsafe storage of poisonous materials, unsanitary conditions, and deficiencies in staff training and documentation. Several repeat violations were noted. Plans of correction were accepted but many were not implemented as of the follow-up dates.

The inspection was triggered by a complaint and incident, as stated in the inspection information section.

The facility was found to have multiple deficiencies including expired fire extinguishers, incomplete medical evaluations, missing determinations on preadmission screening forms, unsigned support plans, and outdated support plans. The submitted plan of correction was determined to be fully implemented as of the inspection date.

The inspection was complaint-related and incident-based, as indicated by the reason for the visit and the findings related to resident abuse and neglect.

The facility was found to have multiple deficiencies including resident abuse and neglect, improper treatment of residents, direct care staff lacking required qualifications and training, and incomplete medication records. The submitted plan of correction was determined to be fully implemented as of the follow-up review.

The inspection included complaint investigation related to resident abuse, neglect, and financial abuse allegations. Some allegations were not substantiated by the home or local authorities. The home failed to report a missing checkbook incident to the Department.

Multiple deficiencies were found related to resident treatment, privacy, staff hiring, first aid/CPR training, safety, emergency preparedness, medication records, assessments, and abuse reporting. Plans of correction were proposed with various completion dates, some not yet implemented as of the report date.

The facility was found to be in substantial compliance with applicable regulations, and no regulatory citations or deficiencies were identified during the inspection.

The inspection identified multiple deficiencies including missing resident signatures on contracts and rights acknowledgments, privacy violations during medication administration, incomplete criminal background checks, missing fire safety orientations and trainings, uncovered trash receptacles, absence of emergency phone numbers, lack of operable bedside lamps, unprotected and outdated food storage, incomplete fire drill records, missing designated meeting place signage, incomplete medical evaluations and assessments, incomplete support plans, and medication storage issues. Plans of correction were accepted and implemented for all deficiencies.

The inspection identified multiple deficiencies including mistreatment of a resident by staff, failure to obtain timely criminal background checks, lack of required educational documentation for direct care staff, and missing documentation of completion of Department-approved direct care training. The facility submitted an acceptable plan of correction addressing these issues.

The inspection identified multiple deficiencies including issues with resident contracts, staffing during meal service, first aid/CPR training, emergency telephone postings, first aid kit contents, food storage, emergency preparedness plans, medical evaluations, medication storage and administration, and preadmission screening documentation. Plans of correction were accepted and implemented for all deficiencies.

The inspection was complaint-related, but no deficiencies or citations were found, and follow-up was not required.

No regulatory citations or deficiencies were identified as a result of this inspection.

The Department has approved the renewal application and issued a regular license valid from October 8, 2021 to October 8, 2022. The Department will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.

The inspection was complaint-related with incidents including medication errors, resident fights, and failure to complete required screenings and documentation.

Multiple deficiencies were found related to medication administration errors, missing or unsigned resident contracts, incomplete preadmission and cognitive screenings, lack of positive interventions for aggressive behaviors, improper medication storage and labeling, incomplete medication records, and failure to report medication errors. Plans of correction were accepted and implemented with ongoing audits and staff training.

No regulatory citations or deficiencies were identified during this inspection.

The facility was found to be in substantial compliance but not complete compliance with applicable regulations. Several deficiencies related to bedroom furnishings, emergency procedures, and refrigeration temperatures were identified and corrected promptly.