Inspection Reports for Hidden Meadows on the Ridge the Laurels
340 FARMERS LANE,, SELLERSVILLE, PA, 18960
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
23.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
406% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
84% occupied
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 42
Capacity: 50
Deficiencies: 4
Jun 4, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation to review allegations of abuse and mistreatment at the facility.
Findings
The investigation found that staff person B was aggressive and abusive towards a resident, including kicking the resident's heels and yelling. The incident was not reported to the Department as required. Staff person B was terminated, and staff were retrained on abuse reporting and resident rights. A plan of correction was implemented with ongoing monitoring.
Complaint Details
The visit was complaint-related, investigating allegations of physical and verbal abuse by staff person B towards a resident. The complaint was substantiated as staff person B was terminated and corrective actions were implemented.
Deficiencies (4)
| Description |
|---|
| Failure to report an incident of abuse to the Department within 24 hours. |
| Resident was physically abused by staff person B who kicked the resident's heels to force movement. |
| Resident was verbally abused and mistreated by staff person B during care. |
| Resident was treated without dignity and respect when staff person B stopped resident from interacting with another resident. |
Report Facts
License Capacity: 50
Residents Served: 42
Current Hospice Residents: 6
Total Daily Staff: 84
Waking Staff: 63
Inspection Report
Monitoring
Census: 41
Capacity: 50
Deficiencies: 19
May 1, 2025
Visit Reason
The inspection was an unannounced partial monitoring visit conducted to verify ongoing compliance and review the submitted plan of correction.
Findings
The facility was found to have multiple deficiencies related to resident record confidentiality, training documentation, resident personal equipment safety, poisonous material storage and locking, sanitary conditions, food labeling and storage, fire drill record completeness, medical evaluations, medication management, and key-locking device signage. Plans of correction were accepted and implemented with ongoing audits and education planned.
Deficiencies (19)
| Description |
|---|
| Resident diet book and assessment sheets were unlocked, unattended, and accessible in dining and pantry areas. |
| Training records lacked source and length of training information. |
| Bed side mobility device was improperly secured creating an entrapment hazard. |
| Poisonous materials stored near emergency water supply and some poisonous materials were unlocked and accessible to residents. |
| Sanitary conditions not maintained due to spilled liquid in pantry refrigerator. |
| Unlabeled, undated, and uncovered leftover food items found in refrigerators and kitchen. |
| Fire drill record incomplete, missing key details such as time, evacuation duration, and participant counts. |
| Resident medical evaluations missing required elements such as ability to self-administer medications and timely completion. |
| Weekly menus not posted in advance as required. |
| Prescription medication found unlocked and accessible in shared resident room. |
| Medication for non-current resident found in facility. |
| Pharmacy label on medication missing resident's full last name and dosage instructions. |
| Over-the-counter medications and CAM not labeled with resident's name. |
| Staff unable to properly save glucometer readings after glucose checks. |
| Resident's prescribed medications were not available in the home. |
| Medication administration records did not document units of insulin administered. |
| Medication administration records lacked initials of staff administering medication. |
| Medical evaluation for resident admitted to secured dementia care unit was not completed within 60 days prior to admission. |
| Directions for operating key-locking devices were not conspicuously posted near the secured dementia care unit exit. |
Report Facts
Residents Served: 41
License Capacity: 50
Total Daily Staff: 82
Waking Staff: 62
Current Hospice Residents: 4
Inspection Report
Plan of Correction
Census: 41
Capacity: 50
Deficiencies: 6
Apr 16, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident involving a resident elopement from the secured dementia care unit.
Findings
The facility was found to have multiple deficiencies including failure to prevent resident elopement, inadequate staff orientation and training, missed resident checks, and incomplete medical and preadmission evaluations. The submitted plan of correction was accepted and fully implemented by June 26, 2025.
Deficiencies (6)
| Description |
|---|
| Resident elopement from secured dementia care unit due to staff negligence and failure to secure exit door. |
| Staff person did not receive required orientation on fire safety and emergency preparedness on first day of work. |
| Staff person did not complete required 40-hour orientation on resident rights, emergency medical plan, and mandatory abuse reporting. |
| Resident medical evaluations were not completed annually as required. |
| Resident medical evaluation prior to admission did not indicate need for secured dementia care unit. |
| Resident cognitive preadmission screening was incomplete and missing date of completion. |
Report Facts
Residents served: 41
License capacity: 50
Current hospice residents: 5
Total daily staff: 82
Waking staff: 62
Elopement drill frequency: 1
Inspection Report
Renewal
Census: 42
Capacity: 50
Deficiencies: 24
Mar 6, 2025
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 03/06/2025 to review compliance with licensing requirements and verify the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including issues with record confidentiality, contract signatures, staff qualifications, staffing hours, training, resident personal equipment, sanitary conditions, food storage, fire drills, medication labeling and administration, preadmission screening, assessments, and medical evaluations. Plans of correction were accepted and implemented with ongoing audits and QA meetings scheduled.
Deficiencies (24)
| Description |
|---|
| Narcotic book was found unlocked, unattended, and accessible to non-medical personnel. |
| Resident-home contracts for two residents were not signed by the residents. |
| Direct care staff person did not have a high school diploma, GED, or active registry status. |
| Insufficient direct care staffing hours provided on 03/01/25. |
| Less than 75% of personal care service hours were provided during waking hours on 03/01/25. |
| Staff person B did not receive training in falls and accident prevention during the 2024 training year. |
| Resident bed enablers were not properly attached to bed frames, posing entrapment hazards. |
| Freezer ice machine lacked a basket to collect ice, creating a hazardous condition. |
| Rug in bedroom B-4 was ripped and lifted, posing a tripping hazard. |
| Food items in freezer were opened and unsealed. |
| Unlabeled, undated sausage patty and dented can found in food storage areas. |
| Last fire drill by a fire safety expert was conducted on 01/15/2024, overdue for annual inspection. |
| Fire drill during sleeping hours was overdue; last conducted on 08/31/2024. |
| Menu change was not posted or communicated to residents in advance of meal. |
| Pharmacy label missing on resident #4's insulin medications. |
| Resident #2's Naloxone medication was not available; glucometer readings were inconsistent or missing for residents #4 and #5. |
| Medication administration record for resident #4 missing initials of staff administering Lorazepam on 03/02/25. |
| Prescriber orders not consistently followed for blood sugar checks and glucometer readings for residents #4 and #5. |
| Medication administration training record for staff person C lacked documentation of successful completion. |
| Resident #2's preadmission screening form was not dated. |
| Resident #2 did not have a written initial assessment completed within 15 days of admission. |
| Resident #5's medical evaluation was not completed within 60 days prior to admission to secured dementia care unit. |
| Resident #5's cognitive preadmission screening was incomplete and missing diagnosis and screener's title. |
| Direct care staff person C had only 4 hours of dementia care training during 2024, less than required 6 hours. |
Report Facts
Residents served: 42
License capacity: 50
Total daily staff: 84
Waking staff: 63
Direct care hours required: 84
Direct care hours provided: 77
Percentage of direct care hours during waking hours: 69
Measurement between bed enabler bars: 11
Measurement between bed enabler bars: 10
Inspection Report
Renewal
Census: 39
Capacity: 50
Deficiencies: 14
Apr 4, 2024
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 04/04/2024 and 04/05/2024 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including unlocked poisonous materials, insufficient emergency water supply, unsafe non-portable space heaters, incomplete medical evaluations, medication administration errors, improper medication storage, and missing support plan updates. All deficiencies had plans of correction accepted and were implemented by 06/10/2024.
Deficiencies (14)
| Description |
|---|
| The cabinet under the bathroom sink for resident room #C5 was unlocked and contained poisonous materials accessible to residents not assessed as safe to use them. |
| The home did not maintain the required 3-day supply of emergency drinking water, having only 84 gallons for 39 residents instead of 117 gallons. |
| Non-portable space heater in the secured dementia care unit was hot to touch without a physical barrier to prevent resident contact. |
| Resident #1's medical evaluation was incomplete, missing body positioning and movement information. |
| Resident #2's most recent medical evaluation and additional assessments were not completed or updated as required annually. |
| Resident #3's prescribed injection medication was administered by unqualified medication technicians. |
| Medication administration documentation errors including documenting administration before ingestion and missing staff initials on MAR. |
| Expired and damaged medications found in medication cart for residents #4 and #5. |
| Resident #5's blood sugar level documentation was inaccurate and resident was out of facility but MAR was not updated. |
| Resident #6's medication administration times and staff initials were not properly documented on MAR. |
| Resident #3 was not administered prescribed medications as ordered on multiple occasions. |
| Directions for operating key-locking devices were not conspicuously posted near the secured dementia care unit exit. |
| Resident #1's support plan was not updated after a fall and status change medical evaluation. |
| Resident #5's Lorazepam sign-out sheet had illegible entries due to being written over. |
Report Facts
Residents served: 39
License capacity: 50
Emergency drinking water gallons required: 117
Emergency drinking water gallons available: 84
Total daily staff: 78
Waking staff: 59
Inspection Report
Complaint Investigation
Census: 31
Capacity: 50
Deficiencies: 0
Jul 1, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related and incident-related, but no deficiencies or citations were found.
Report Facts
Total Daily Staff: 62
Waking Staff: 47
License Capacity: 50
Residents Served: 31
Current Hospice Residents: 4
Residents Age 60 or Older: 31
Residents with Mobility Need: 31
Inspection Report
Renewal
Census: 23
Capacity: 50
Deficiencies: 17
Nov 9, 2021
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at Hidden Meadows on the Ridge The Laurels.
Findings
The inspection identified multiple deficiencies including failure to post influenza information, worn carpet, unlabeled and outdated food items, medication storage and administration issues, incomplete medical evaluations and support plans, and missing documentation in resident records. Plans of correction were submitted and found to be fully implemented.
Deficiencies (17)
| Description |
|---|
| The home did not post influenza information in a conspicuous place as required by the Influenza Awareness Act. |
| The carpet in the common area is worn and frayed. |
| Unlabeled, undated bowl of soup found in A wing service kitchen refrigerator. |
| Three bags of bread, half full, unlabeled and undated in C wing service kitchen refrigerator; one bag was moldy. |
| Resident #1's medical evaluation did not document special health or dietary needs despite requiring secured dementia care. |
| Medication prescribed for a discharged resident was found in the medication cart. |
| Medication (Lorazepam Syringe) was stored improperly and should have been refrigerated. |
| Resident #4 was administered a discontinued medication on multiple dates. |
| Medication prescribed for Resident #5 was administered to Resident #4 to control behaviors. |
| Resident #6 participated in support plan development but did not sign the support plan. |
| Resident #1's written cognitive preadmission screening did not indicate diagnosis. |
| Directions for operating the home's locking mechanism were not conspicuously posted near the Secure Dementia Care Unit door. |
| Resident #7's record did not include reportable incident reports. |
| Resident #4's medication administration record did not include initials of staff administering medication on several dates. |
| Resident #6 did not sign the support plan and no notation of refusal or inability to sign was documented. |
| Resident #1's medical evaluation was completed more than 60 days prior to admission to the Secure Dementia Care Unit. |
| Resident #6's initial support plan was completed after 72 hours of admission to the Secure Dementia Care Unit. |
Report Facts
License Capacity: 50
Residents Served: 23
Current Residents in Hospice: 4
Total Daily Staff: 46
Waking Staff: 35
Number of Bags of Bread: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martine Minninger | Administrator | Named as administrator responsible for compliance and monitoring |
| Youn Hie Chung | Lead Inspector | Conducted the on-site inspection |
| Claire Mendez | Reviewer | Reviewed document submissions and follow-ups |
Notice
Capacity: 50
Deficiencies: 0
Jul 7, 2021
Visit Reason
The document is a license renewal notification and certificate of compliance issued in response to the May 13, 2021 renewal application to operate the Personal Care Home. It advises that an annual inspection will be conducted within the next twelve months.
Findings
The Department issued a regular license in response to the renewal application and stated that if evidence of noncompliance is found during the upcoming inspection, enforcement action will be taken.
Report Facts
Maximum capacity: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 27
Capacity: 50
Deficiencies: 11
Jan 26, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility license to ensure continued compliance with regulatory requirements.
Findings
The facility was found to have multiple deficiencies including issues with contract signatures, resident funds refunds, criminal background checks, fire safety orientation, locking poisonous materials, medication administration documentation, support plan signatures, medical evaluations, and lock manufacturer statements. Plans of correction were submitted and determined to be fully implemented.
Deficiencies (11)
| Description |
|---|
| Resident home contract for resident #1 was not signed by the resident. |
| Resident #2 was discharged but the home did not provide the required refund documentation. |
| Agency Staff A did not have a criminal background check completed. |
| Agency Staff person A did not receive orientation on fire safety and emergency preparedness topics on first day. |
| Agency Staff person A did not complete training within 40 scheduled working hours on resident rights, emergency medical plan, mandatory reporting of abuse and neglect, and reporting of reportable incidents. |
| A tube of Colgate toothpaste with a warning label was unlocked and accessible to residents, including those in Memory Care who have not been assessed capable of safely using poisons. |
| Resident 1's medication administration record did not include initials of staff administering medications on specified dates. |
| Resident #1 was unable to sign the support plan and the home did not document the notation of inability to sign. |
| Resident #3's medical evaluation was completed 3 days later than required prior to admission to the Secure Dementia Care Unit. |
| The home lacks a manufacturer statement verifying that the electronic or magnetic locking system will release upon fire alarm activation, power failure, or lock releasing device use. |
| Resident 3 and Resident 1's initial support plans were not completed within the required 72-hour timeframe after admission to the Secure Dementia Care Unit. |
Report Facts
License Capacity: 50
Residents Served: 27
Current Hospice Residents: 2
Total Daily Staff: 54
Waking Staff: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Agency Staff A | Named in findings related to lack of criminal background check, incomplete fire safety orientation, and incomplete rights/abuse training |
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