Inspection Reports for Foulkeways at Gwynedd
1120 MEETING HOUSE ROAD,, GWYNEDD, PA, 19436
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
14.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
202% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
68% occupied
Based on a October 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 76
Capacity: 112
Deficiencies: 0
Oct 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 10/30/2025.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
Total Daily Staff: 82
Waking Staff: 62
Residents Served: 76
License Capacity: 112
Residents Age 60 or Older: 76
Residents with Mobility Need: 6
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 76
Capacity: 112
Deficiencies: 11
Jul 21, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies including delayed access to resident and staff lists, missing annual fire safety training for a staff member, uncovered food in the kitchen, incomplete fire drill records, residents not evacuating to designated meeting places during fire drills, incomplete or untimely medical evaluations, unsecured medications in resident rooms, discontinued medications still present in the medication cart, missing medication administration documentation, and unsigned support plans.
Deficiencies (11)
| Description |
|---|
| Delayed access to resident and staff lists requested by Department agents. |
| Staff Person B did not receive required annual fire safety training during 2024. |
| Uncovered fruit tray stored in the main kitchen refrigerator. |
| Fire drill record for 4/12/25 missing actual time of drill; 6/10/25 drill missing number of residents evacuated. |
| Residents did not evacuate to designated meeting places during fire drills on 6/11/25, 6/10/25, and 5/23/25. |
| Medical evaluation not completed within required timeframe for Resident #2. |
| Resident #3's medical evaluation did not accurately indicate ability to self-administer medications; Resident #4's evaluation missing medication addendum. |
| Unsecured medications found in Resident #3's bedroom; resident does not lock medications or bedroom door. |
| Discontinued medications (erythromycin and acetaminophen) still present in medication cart for Resident #2. |
| Medication administration records for Resident #5 missing staff initials for administration of Calcium Carbonate and Pregabalin on 7/8/25. |
| Resident #6 participated in support plan development but did not sign the support plan. |
Report Facts
License Capacity: 112
Residents Served: 76
Total Daily Staff: 82
Waking Staff: 62
Residents with Mobility Need: 6
Residents with Physical Disability: 1
Residents 60 Years or Older: 76
Residents Present During Fire Drill: 81
Residents Evacuated During Fire Drill: 50
Residents Evacuated During Fire Drill: 31
Residents Evacuated During Fire Drill: 48
Inspection Report
Renewal
Census: 79
Capacity: 112
Deficiencies: 17
Oct 1, 2024
Visit Reason
The inspection was a renewal inspection conducted as an unannounced full review of the facility on 10/01/2024 and 10/02/2024.
Findings
The facility was found to have multiple deficiencies including issues with record confidentiality, fee schedule omissions in resident contracts, staff training deficiencies, exit door security, fire department notification, fire drill record keeping, annual medical evaluations, medication storage and administration, additional resident assessments, and support plan documentation. Plans of correction were accepted and implemented by 12/02/2024.
Deficiencies (17)
| Description |
|---|
| Resident records were unlocked, unattended, and accessible in the Abington House North care base. |
| Resident-home contracts for residents #1 and #2 did not include a fee schedule of actual amounts charged for available services. |
| Staff person B did not complete training in emergency medical plan within 40 scheduled working hours. |
| Direct care staff person A received only 11.83 hours of annual training in training year 2023. |
| Direct care staff persons A and C did not receive required training on several annual training topics including medication self-administration and meeting residents' needs. |
| Exit door between resident apartments #65 and #66 requires a security card to open; residents are not provided a security card. |
| The home lacked documentation of written notification to the local fire department regarding address, bedroom locations, and evacuation assistance. |
| Fire drill records did not include the amount of time it took for evacuation, recording time in minutes only. |
| Resident #3’s most recent medical evaluation was not current. |
| Resident #4 self-administers medications stored unsecured in their apartment. |
| Resident #5 had a non-current prescription medication in the medication cart. |
| Resident #5's glucometer was not displaying correct time; Resident #6 was missing a prescribed medication. |
| Medication administration records (MAR) for residents #4 and #5 lacked required information including diagnosis/purpose and documentation space. |
| Medication administration records for residents #4 and #6 lacked initials of staff administering medications. |
| Resident #6 missed administration of prescribed medications without documentation of reason. |
| Residents #3 and #7 had outdated additional assessments. |
| Resident #8's support plan conflicted with medical evaluation regarding ability to self-administer medications; residents #4 and #9 had bedside mobility devices not addressed in support plans. |
Report Facts
License Capacity: 112
Residents Served: 79
Total Daily Staff: 92
Waking Staff: 69
Inspection Report
Renewal
Census: 75
Capacity: 112
Deficiencies: 4
Apr 19, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the FOULKEWAYS AT GWYNEDD facility on 04/19/2023 and 04/20/2023.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies were noted related to the presence of a portable space heater, evacuation drill timing, annual medical evaluations, and preadmission screening forms, all of which have directed plans of correction with completion dates and have been implemented.
Deficiencies (4)
| Description |
|---|
| A portable space heater was found in the conference room next to the director of health services office, which is prohibited. |
| The home exceeded the safe evacuation time of 12 minutes during a monthly fire drill, completing it in 14 minutes. |
| Resident #1's most recent medical evaluation was not completed as required annually. |
| Preadmission screening forms for residents #2 and #3 did not indicate the date of completion. |
Report Facts
License Capacity: 112
Residents Served: 75
Safe Evacuation Time: 12
Evacuation Drill Time: 14
Total Daily Staff: 77
Waking Staff: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary Knapp | Director of Health Services | Removed the portable space heater from the conference room as of 5/11/2023. |
Inspection Report
Census: 76
Capacity: 112
Deficiencies: 0
Aug 1, 2022
Visit Reason
The inspection was conducted as a licensing inspection due to an incident, with unannounced partial inspection on 08/01/2022 and off-site review on 08/02/2022.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 112
Residents Served: 76
Total Daily Staff: 76
Waking Staff: 57
Inspection Report
Complaint Investigation
Census: 79
Capacity: 112
Deficiencies: 2
Sep 21, 2021
Visit Reason
The inspection was conducted as a complaint investigation due to an incident involving staff-resident interactions.
Findings
The investigation found that Staff Person A was argumentative and disrespectful towards residents during medication administration, causing residents to feel disrespected and uncomfortable. The facility confirmed the residents were not treated with dignity and respect and took corrective action by terminating the staff member and implementing ongoing training.
Complaint Details
The complaint involved allegations of disrespectful and aggressive behavior by Staff Person A towards residents during medication administration. The investigation confirmed the residents were not treated with dignity and respect. Staff Person A was terminated and the incident was reported to DHS and Montgomery County AAA as suspected abuse.
Deficiencies (2)
| Description |
|---|
| Staff Person A argued with Resident 1 over medication administration and was aggressive, causing the resident to feel disrespected and uncomfortable. |
| Staff Person A arrived late to administer eye drops to Resident 2 and made demeaning and disrespectful comments, making the resident feel unimportant. |
Report Facts
License Capacity: 112
Residents Served: 79
Total Daily Staff: 80
Waking Staff: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Named in findings related to disrespectful and aggressive behavior towards residents |
Inspection Report
Plan of Correction
Census: 79
Capacity: 112
Deficiencies: 1
Sep 21, 2021
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident involving resident treatment and medication administration.
Findings
The investigation confirmed that residents were not treated with respect and dignity, involving a staff member who argued with residents and administered medication improperly. The staff member was terminated and corrective actions including training were implemented.
Deficiencies (1)
| Description |
|---|
| Staff Person A argued with Resident 1 over medication administration and was aggressive and demeaning. Resident 2 was disrespected by Staff Person A who arrived late and made inappropriate comments about the resident's personal history and other residents' medications. |
Report Facts
License Capacity: 112
Residents Served: 79
Total Daily Staff: 80
Waking Staff: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mia Johnson | Signed letter confirming plan of correction implementation |
Inspection Report
Renewal
Capacity: 112
Deficiencies: 0
Aug 27, 2021
Visit Reason
The document is a renewal license issued in response to the May 13, 2021 renewal application to operate the Personal Care Home, Foulkeways at Gwynedd. The Department advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
The license renewal was granted and a regular license issued. The Department will conduct an inspection within the next twelve months and take enforcement action if non-compliance is found.
Report Facts
Maximum capacity: 112
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed letter regarding license renewal and inspection requirements |
Inspection Report
Renewal
Census: 76
Capacity: 112
Deficiencies: 15
Aug 26, 2021
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 08/26/2021 and 08/27/2021 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including issues with resident funds refunds, direct care staff training, food safety violations, incomplete medical evaluations, medication storage and administration errors, missing preadmission screening forms, delayed resident assessments and support plans, and incomplete resident record content. Plans of correction were accepted and implemented with re-education and audits planned or completed.
Deficiencies (15)
| Description |
|---|
| Resident #11 was discharged but the home did not issue a refund to resident #11's estate within 30 days. |
| Direct care staff person did not complete and pass the Department-approved direct care training course and competency test. |
| Staff training plan did not include the name, position, duties of each direct care staff person, and dates, times, locations of scheduled training. |
| Leftover food (piece of cake) was undated and unlabeled in a community refrigerator. |
| Outdated or unlabeled food (bag of 4 squash zucchinis) found in kitchen area. |
| Resident #1's medical evaluation was not completed within 60 days prior to admission or within 30 days after admission. |
| Resident #1's medical evaluation did not include dietary needs of the resident. |
| Resident #10's medications were stored in an unlocked cabinet; residents self-administer medications but do not lock them up. |
| Discontinued medication for Resident #2 was found in medication room. |
| Glucometer readings for residents #1 and #2 were inaccurately documented in medication administration records. |
| Medications prescribed for Resident #3 were unavailable in the home at time of inspection. |
| Medication records lacked diagnosis or purpose for medications for residents #2 and #3. |
| Resident #4 admitted without a completed preadmission screening form. |
| Resident #8's initial assessment and support plan were not completed within required timeframes. |
| Resident records for multiple residents lacked color of hair, color of eyes, and identifying marks. |
Report Facts
License Capacity: 112
Residents Served: 76
Total Daily Staff: 78
Waking Staff: 59
Completion Date: Sep 16, 2021
Completion Date: Oct 29, 2021
Completion Date: Dec 1, 2021
Completion Date: Oct 16, 2021
Completion Date: Oct 30, 2021
Completion Date: Sep 30, 2021
Completion Date: Oct 15, 2021
Inspection Report
Renewal
Census: 76
Capacity: 112
Deficiencies: 16
Aug 26, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 08/26/2021 and 08/27/2021 to assess compliance with Department of Human Services regulations.
Findings
Multiple deficiencies were found related to resident funds refunds, direct care staff training, food safety, medical evaluations, medication storage and administration, resident assessments, and record content. Plans of correction were accepted for all violations with specified completion dates.
Deficiencies (16)
| Description |
|---|
| Resident #11 was discharged but refund to estate was delayed beyond 30 days. |
| Direct care staff person A did not complete DHS-approved direct care training before providing unsupervised ADL services. |
| Staff training plan lacked names, positions, duties, and scheduled training details for direct care staff. |
| Leftover food (piece of cake) was undated and unlabeled in a community refrigerator. |
| Outdated or unlabeled food (bag of squash zucchinis) found in kitchen area. |
| Resident #1's medical evaluation was not completed within required timeframe. |
| Resident #1's medical evaluation did not include dietary needs. |
| Resident #10's medications were stored unlocked and unattended in resident's room. |
| Discontinued medication for Resident #2 was found in medication room. |
| Glucometer readings for residents #1 and #2 were inaccurately documented in medication records. |
| Medications prescribed as needed for Resident #3 were unavailable at time of inspection. |
| Medication records lacked diagnosis or purpose for medications for residents #2 and #3. |
| Resident #1 and #2 had discrepancies between blood glucose levels and insulin units administered. |
| Preadmission screening form was not completed for Resident #4. |
| Resident #8's initial assessment and support plan were not completed within required timeframes. |
| Resident records for multiple residents lacked color of hair, color of eyes, and identifying marks. |
Report Facts
License Capacity: 112
Residents Served: 76
Total Daily Staff: 78
Waking Staff: 59
Completion Dates: 16
Inspection Report
Monitoring
Census: 79
Capacity: 112
Deficiencies: 5
Aug 10, 2021
Visit Reason
The inspection was an unannounced monitoring visit to review the facility's compliance and implementation of the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented with continued compliance required. Several deficiencies were identified related to medication management, preadmission screening, and resident assessments, all of which had corrective plans accepted and implemented.
Deficiencies (5)
| Description |
|---|
| Expired/discontinued medication (Eardrops 6.5% soln.) was found in the home's medication cart. |
| Resident #2 was administered medication beyond the prescribed period. |
| Resident #3's preadmission screening form was not completed prior to admission. |
| Resident #4's initial assessment was not completed within 15 days of admission. |
| Resident #5's most recent annual assessment was not current. |
Report Facts
License Capacity: 112
Residents Served: 79
Total Daily Staff: 79
Waking Staff: 59
Loading inspection reports...
