Inspection Reports for Morningside House of Collegeville
1421 SOUTH COLLEGEVILLE ROAD,, COLLEGEVILLE, PA, 19426
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
16.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
257% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Census
Latest occupancy rate
68% occupied
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 75
Capacity: 110
Deficiencies: 9
Feb 4, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license, with an unannounced full inspection on 02/04/2025 and 02/05/2025.
Findings
The inspection found multiple deficiencies including hot water temperatures exceeding allowed limits, lint accumulation in dryer vents, obstructed emergency egress, known-in-advance fire drills, incomplete medication records, improper medication storage, and incomplete medication administration documentation. Plans of correction were submitted and determined to be fully implemented by 04/01/2025.
Deficiencies (9)
| Description |
|---|
| Hot water temperature in bathroom sinks exceeded 120°F, measuring up to 127°F. |
| Approximately 1 inch accumulation of lint inside the dryer vent on the 2nd floor. |
| A large trash can obstructed the emergency exit door on the stairwell landing. |
| Fire drills were conducted with residents being informed in advance, violating unannounced drill requirements. |
| Resident #3's medication record did not include a current list of medications. |
| Medication blister pack for Resident #4 was torn and taped over. |
| Medication for Resident #5 (Albuterol inhaler) was not available in the home. |
| Medication administration records for Residents #5 and #6 had transcription errors in glucometer readings. |
| The home's procedures did not include documentation requirements for narcotic medication administration; missing staff signatures on controlled drug records for Resident #7. |
Report Facts
License Capacity: 110
Residents Served: 75
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 27
Hospice Residents: 7
Total Daily Staff: 114
Waking Staff: 86
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Plant Operations | Named in fire drill refresher and lint removal audit. | |
| Executive Director | Responsible for reviewing audits and re-educating staff on fire drills and compliance. | |
| Health and Wellness Director | Completed audits and training related to medication records, storage, and administration. | |
| Director of Life Enrichment | Mentioned in relation to fire drill knowledge and re-education. |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 110
Deficiencies: 5
Nov 18, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to a complaint and incident reported at the facility.
Findings
The inspection identified multiple deficiencies related to medication storage, labeling, administration documentation, support plan signature notation, and legibility of record entries. The facility submitted a plan of correction which was determined to be fully implemented.
Complaint Details
The inspection was triggered by a complaint and incident, with substantiation implied by the findings and plan of correction.
Deficiencies (5)
| Description |
|---|
| Medications were stored in the medication cart past expiration dates and without proper open/discard after dates as per manufacturer instructions. |
| A Lantus insulin pen prescribed for a resident had no pharmacy label on it. |
| Medication administration records showed discrepancies with controlled medication logs and missing documentation of administration. |
| Resident participated in support plan development but was unable to sign; no notation of inability or refusal to sign was documented. |
| Controlled medication log entries were blurred and illegible for several dates and times. |
Report Facts
License Capacity: 110
Residents Served: 79
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 25
Hospice Current Residents: 7
Residents Diagnosed with Mental Illness: 34
Residents with Mobility Need: 42
Residents 60 Years or Older: 79
Medication Administration Log Discrepancy: 6
Inspection Report
Complaint Investigation
Census: 75
Capacity: 110
Deficiencies: 4
May 1, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 05/01/2024.
Findings
The facility had deficiencies related to water pressure and hot water temperature in the kitchen and bistro areas, as well as inadequate hand washing facilities for kitchen staff due to an inoperable hot water heater. A plan of correction was submitted and fully implemented by 05/16/2024.
Complaint Details
The inspection was complaint-driven and included a follow-up on the submitted plan of correction, which was found to be fully implemented.
Deficiencies (4)
| Description |
|---|
| The home did not have sufficient hot water to the kitchen. |
| Hot water temperature at the 2nd floor bistro measured 123.6 degrees Fahrenheit, exceeding the allowed maximum of 120°F. |
| Kitchen staff were unable to wash their hands using hot water due to an inoperable hot water heater. |
| Staff persons, volunteers and residents did not follow sanitary practices while working in the kitchen areas due to lack of hot water. |
Report Facts
License Capacity: 110
Residents Served: 75
Hot Water Temperature: 123.6
Staffing Hours: 118
Waking Staff: 89
Inspection Report
Follow-Up
Census: 75
Capacity: 110
Deficiencies: 3
Jul 19, 2023
Visit Reason
The inspection visit on 07/19/2023 was a partial, unannounced follow-up review triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to incident reporting, treatment of residents, and support plan signatures. Education and audits were conducted to ensure compliance with mandatory reporting, resident rights, and documentation requirements.
Deficiencies (3)
| Description |
|---|
| Failure to report an incident involving staff speaking unkindly to a resident within 24 hours. |
| Staff member spoke to a resident in an unkind manner, refusing coffee and making inappropriate remarks. |
| Resident participated in support plan development but did not sign the support plans. |
Report Facts
License Capacity: 110
Residents Served: 75
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 4
Residents Age 60 or Older: 75
Residents with Mobility Need: 39
Inspection Report
Monitoring
Census: 79
Capacity: 110
Deficiencies: 4
Dec 7, 2022
Visit Reason
The inspection was a monitoring visit conducted on December 7, 2022, to assess compliance with regulations at The Landing of Collegeville facility.
Findings
The inspection found multiple violations related to medication administration, documentation, and storage. The facility was issued a first provisional license due to these violations and was required to submit plans of correction. Fines were proposed if violations were not corrected by the mandated date.
Severity Breakdown
Class II: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Medication administration error where an agency nurse administered Morphine 30 mg tab as PRN but documented it incorrectly. | — |
| Medication storage violation where Basaglar Kwikpen was stored without an open/discard after date label. | — |
| Failure to record date/time of medication administration on the medication administration record (MAR). | Class II |
| Failure to follow prescriber's orders by administering Morphine 30 mg tab as PRN without proper documentation. | Class II |
Report Facts
Census at Inspection: 79
Total Licensed Capacity: 110
Fine Per Resident Per Day: 5
Calculated Fine Per Day: 395
Number of Violations with Fines Proposed: 3
Staffing Hours - Total Daily Staff: 104
Staffing Hours - Waking Staff: 78
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 21
Residents Served: 79
Residents with Mobility Need: 25
Inspection Report
Renewal
Census: 70
Capacity: 110
Deficiencies: 15
Sep 15, 2022
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with licensing requirements for The Landing of Collegeville.
Findings
The inspection identified multiple violations including failure to post current license inspection summary, abuse/neglect related to wound care, incomplete first aid kits, medication errors, incomplete medical evaluations, and deficiencies in resident records and support plans. Plans of correction were submitted but many were not implemented as of the last follow-up date.
Deficiencies (15)
| Description |
|---|
| The home's most recent violation report was not posted in a conspicuous and public place. |
| Resident #1 experienced neglect related to wound care and treatment delays. |
| First aid kits lacked required supplies such as Band-Aids, antiseptic, gauze pads, adhesive tape, and thermometer. |
| Staff did not know the location of the first aid kit. |
| Food served and returned was not labeled or dated. |
| Lint was accumulated in lint traps of clothes dryers. |
| Evacuation diagrams were incomplete on the 2nd floor. |
| Medical evaluations for residents were missing key information such as height, weight. |
| Medication refusals were not documented or reported to physicians. |
| Prescriber's orders were not consistently followed for wound care and medications. |
| Medication errors were not reported to residents, designated persons, or prescribers. |
| Medication errors were not documented in the resident's medical record. |
| Additional assessments were not completed when residents' conditions changed. |
| Support plans were not revised timely or lacked required signatures and dates. |
| Resident records lacked inventories and religious preferences. |
Report Facts
Census at Inspection: 79
Fine per Resident per Day: 5
Calculated Fine per Day: 395
License Capacity: 110
Residents Served: 70
Secured Dementia Care Unit Capacity: 20
Secured Dementia Care Unit Residents Served: 19
Hospice Current Residents: 2
Resident Support Staff Hours: 90
Total Daily Staff Hours: 180
Waking Staff Hours: 135
Inspection Report
Follow-Up
Census: 68
Capacity: 110
Deficiencies: 2
Apr 18, 2022
Visit Reason
The inspection visit on 04/18/2022 was an unannounced partial inspection triggered by an incident.
Findings
Two deficiencies were identified: Resident #1's hospital bed enabler was not covered, and Resident #1's glucometer was not calibrated to the correct date. Both deficiencies have documented plans of correction that were accepted and implemented.
Deficiencies (2)
| Description |
|---|
| Resident #1's hospital bed has an enabler, which was not covered. |
| Resident #1's glucometer was not calibrated to correct date. |
Report Facts
Total Daily Staff: 91
Waking Staff: 68
License Capacity: 110
Residents Served: 68
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 22
Residents Who Have Mobility Need: 23
Residents Who Are 60 Years of Age or Older: 68
Inspection Report
Renewal
Census: 74
Capacity: 110
Deficiencies: 26
Nov 3, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted over three days from 11/03/2021 to 11/05/2021 to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including issues with record confidentiality, contract signatures, telephone number postings, criminal background checks, staff training, medication administration, support plans, and documentation. Plans of correction were submitted and accepted with implementation dates mostly by the end of 2021 or early 2022.
Deficiencies (26)
| Description |
|---|
| Resident records and personal information were unlocked, unattended, and accessible in the Resident Services Director's Office and the Wellness Center. |
| Resident-home contracts for two residents were not signed by the administrator or designee. |
| The posted telephone number for the local ombudsman was incorrect and not conspicuously posted. |
| Staff person A did not have a criminal background check on file at the time of hire. |
| Only one staff person certified in first aid, obstructed airway techniques, and CPR was present for 74 residents during multiple shifts. |
| Direct care staff person A provided unsupervised ADL services without completing required training and competency test. |
| Three partially full, uncovered, unattended trash cans were found in the main kitchen. |
| A grab assist handle on a resident's bed had an opening that presented a hazard. |
| No thermometer was in the ice cream freezer in the main kitchen. |
| Resident #3's most recent medical evaluation was outdated and an additional evaluation had not been completed. |
| Medication for resident #4 expired in the home's medication cart. |
| The pharmacy label for resident #4's medication did not match the prescription order. |
| Medications prescribed for resident #2 were not available in the home; blood sugar checks for resident #4 were not recorded correctly. |
| Staff person B did not record the date and time of medication administration for resident #4 at the time of administration. |
| Resident #2 was administered double the prescribed dose of medication. |
| Staff person C administered medications without completing required medication administration training. |
| Resident #2's preadmission screening form was completed after admission. |
| Assessments were not completed timely for residents #2, #3, and #5. |
| Support plans were not completed timely for residents #2, #3, and #5. |
| Resident #1's support plan did not document how vision needs would be met. |
| Residents #2, #5, and #6 did not sign their support plans. |
| Resident #6's cognitive preadmission screening was not completed prior to admission to the Secure Dementia Care Unit. |
| Resident #6 and designated person did not have documentation of no objection to admission to the Secure Dementia Care Unit. |
| Directions for operating the locking mechanism were not conspicuously posted near the door to Stair 2 in the Secure Dementia Care Unit. |
| Resident #5's initial support plan was not completed within 72 hours of admission to the Secure Dementia Care Unit. |
| Resident #2's and #5's Resident Assessment and Support Plans were not completed on the Department's current standardized form. |
Report Facts
Residents present: 74
Total licensed capacity: 110
Staff present certified in first aid/CPR: 1
Trash cans uncovered: 3
Medication dose error: 70
Notice
Capacity: 110
Deficiencies: 0
Aug 25, 2021
Visit Reason
This document serves as a renewal notification and license issuance for The Landing of Collegeville Personal Care Home, confirming the facility's compliance and informing that an annual inspection will be conducted within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application, with no findings of noncompliance stated in this document. It advises that an onsite inspection will occur within the next year to verify compliance.
Report Facts
Maximum capacity: 110
Secure Dementia Care Unit capacity: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Renewal
Census: 55
Capacity: 110
Deficiencies: 16
Jan 26, 2021
Visit Reason
The inspection was conducted as a renewal inspection of THE LANDING OF COLLEGEVILLE facility to verify compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies related to resident record confidentiality, contract signatures, medical evaluations, medication management, emergency telephone postings, lighting, resident rights, and documentation accuracy. Plans of correction were accepted and implemented with ongoing monitoring.
Deficiencies (16)
| Description |
|---|
| The home's 1st floor medication room was unlocked and unattended, with a tablet displaying a resident's medication schedule left open. |
| Resident-home contract for resident #1 was not signed by the administrator or resident. |
| Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures. |
| Staff member (Staff A) had no criminal background check record on file; repeat violation. |
| Emergency telephone numbers were missing from telephones in the memory care unit and 1st floor medication room. |
| Residents in certain rooms did not have access to operable lamps at bedside. |
| Resident #2's medical evaluation did not include special health or dietary needs and health status. |
| Two blister packs of Acetaminophen for resident #3 were in the med cart but not on current medication order; repeat violation. |
| Expired medication (Latanoprost Ophthalmic) was found in memory care med cart. |
| Resident #5's blood glucose log did not match glucometer readings on multiple days. |
| Resident #6's medication administration record lacked staff initials for Alprazolam administration. |
| Resident #5 was not administered prescribed medications at the correct time. |
| Resident #1 was not educated on the right to refuse medication and failed to sign resident rights documentation. |
| Resident #2's preadmission screening form did not answer the Level of Supervision Needed. |
| Resident #7's previous assessment was not completed annually as required. |
| Fire drill records had overwritten entries without proper amendment. |
Report Facts
License Capacity: 110
Residents Served: 55
Staff Total Daily: 72
Waking Staff: 54
Completion Dates: Multiple
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