Inspection Reports for
Peter Becker Community
800 MAPLE AVENUE, 1ST FLOOR,, HARLEYSVILLE, PA, 19438
Back to Facility Profile25 Reports
Inspection Report — Mar 12, 2026
Follow-Up
Date: Mar 12, 2026
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to an incident and other compliance issues.
Findings
The facility was found to have fully implemented the submitted plan of correction. Multiple deficiencies were identified including failure to submit a final incident report, unlocked medication and poison storage areas, missing required postings, incomplete medical evaluations, and documentation issues. All deficiencies had corrective plans accepted and were implemented by early May 2026.
Citations (15)
16d Final Incident Report: The home did not submit a final report to the Department following an incident where a resident became incoherent and was hospitalized.
17 Record Confidentiality: The medication room was unlocked, unattended, and accessible with controlled substance binders visible.
18 Compliance With Laws: The home did not have the required influenza awareness poster posted year-round as required by law.
41c Rights Poster: The Department’s resident rights poster was not posted in a conspicuous and public place in the secured dementia care unit.
42b Abuse: A resident suffered an unwitnessed fall and delayed hospital evaluation despite requests; the home failed to respond appropriately to the resident's needs and safety risks.
44g Telephone Number: Required telephone numbers for the Department and related agencies were not posted in a conspicuous and public place in the secured dementia care unit.
65g Annual Training Content: Staff person D did not receive required fire safety training by a qualified expert during the training year.
82c Locking Poisonous Materials: Poisonous hand soap was unlocked and accessible to residents in the memory care activity room, despite some residents not being assessed as safe to handle poisons.
141a Medical Evaluation: A resident's medical evaluation was not completed within 60 days prior to admission or within 30 days after admission.
183b Meds and Syringes Locked: The medication room refrigerator was unlocked, unattended, and accessible in the secured dementia care unit.
187c Refusal of Medication: A resident refused a scheduled medication dose but the refusal was not documented on the medication administration record.
201 Positive Interventions: The home failed to implement positive interventions to modify or eliminate a resident's exit-seeking behavior, resulting in multiple elopements and eventual transfer to a psychiatric unit.
225c Additional Assessment: An assessment to address a resident's change of condition after multiple falls was not completed.
227d Support Plan Medical/Dental: Resident assessments did not indicate behavioral or cognitive needs including aggression, hallucinations, and ability to use or avoid poisonous materials.
251b Record Entries Legible: Correction fluid was used on a resident's contract, violating record entry requirements.
Report Facts
Residents Served: 55
Residents Served in Secured Dementia Care Unit: 9
Resident Support Staff: 0
Total Daily Staff: 74
Waking Staff: 56
Inspection Report — Nov 6, 2025
Monitoring
Date: Nov 6, 2025
Visit Reason
The inspection was a partial, unannounced monitoring visit to review compliance and verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction. Several deficiencies were identified related to annual fire safety training, emergency procedure postings, medication storage and labeling, admission support plans, and use of standardized forms, all of which have corrective actions in place with proposed completion dates.
Citations (6)
65g - Annual Training Content: Staff person A did not receive annual fire safety training completed by a fire safety expert during the July 2024 to June 2025 training year.
123b - Emergency Procedures Posted: The home’s emergency procedures were not posted in a conspicuous and public place in the home.
183e - Storing Medications: A resident’s medication did not have an open date on the label, and several blister packs were punctured, violating manufacturer instructions.
184b - Labeling OTC/CAM: An OTC medication bottle in the Ridgeview medication cart was not labeled with a resident’s name.
234a - Admission Support Plan: A resident admitted to the Secured Dementia Care Unit did not have a support plan completed within 72 hours of admission.
251c - Standardized Forms: A resident’s initial medical evaluation was not completed on the Department’s current standardized form as required.
Report Facts
Residents Served: 60
Secured Dementia Care Unit Residents Served: 10
Notice — Oct 14, 2025
Date: Oct 14, 2025
Visit Reason
The document serves to notify the Peter Becker Community that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted due to education obtained outside the United States.
Findings
The waiver is granted with conditions including documentation of education and training to be maintained by the facility and subject to annual review during inspections. Noncompliance may result in termination of the waiver or other licensing actions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Dec 2, 2024
Monitoring
Date: Dec 2, 2024
Visit Reason
The inspection was a monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing to review the facility's compliance and implementation of the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies were noted related to incomplete staff contact lists, incomplete emergency medical plan training for some staff, incomplete training records, unsecured poisonous materials accessible to residents, and medication storage issues. All deficiencies had plans of correction accepted and were implemented by the facility.
Citations (5)
Administrator could not provide a full and complete list of staff members including substitute personnel.
Direct care staff did not complete training on the emergency medical plan within 40 scheduled work hours.
Training records lacked source, date completed, or length of training for emergency medical plan and monthly fire drills.
Poisonous materials were unlocked, unattended, and accessible in a resident's room; not all residents assessed as capable of safely using or avoiding poisonous materials.
Medication cards had punctured blister foil with medication still present; loose pills found in medication cart.
Report Facts
Residents Served: 58
Secured Dementia Care Unit Residents Served: 11
Current Hospice Residents: 1
Total Daily Staff: 69
Waking Staff: 52
Residents Age 60 or Older: 58
Residents with Mobility Need: 11
Inspection Report — Sep 17, 2024
Renewal
Date: Sep 17, 2024
Visit Reason
The inspection was a renewal inspection conducted on 09/17/2024 and 09/18/2024 to review compliance with licensing requirements for Peter Becker Community.
Findings
The inspection identified multiple deficiencies related to resident confidentiality, staff qualifications and training, medication storage and administration, fire safety, sanitary conditions, emergency procedures, and resident care documentation. Plans of correction were accepted or directed with completion dates mostly by November 2024 and implementation by January 2025.
Citations (29)
Resident medical records left visible on a computer screen in an unlocked, unattended medication room.
Resident records missing signed statements acknowledging receipt of resident rights and complaint procedures.
Camera in resident area recording without signage indicating recording.
Direct care staff person without required high school diploma, GED, or nurse aide registry status.
Administrator's staff list did not include substitute staff.
Insufficient staff certified in first aid, CPR, and obstructed airway techniques during certain shifts.
New direct care staff did not receive required fire safety and emergency preparedness orientation on first day.
Direct care staff person did not complete required orientation training on resident rights, emergency medical plan, abuse reporting, and incident reporting within 40 hours.
Direct care staff person provided unsupervised ADL services without completing required training and competency testing.
Direct care staff persons did not receive required annual training in medication self-administration and safe management techniques.
Home's record of direct care staff training did not include source of training for fire safety.
Poisonous materials (hand sanitizer, lotions, shampoo) unlocked and accessible to residents not assessed as safe to use them.
Sanitary conditions not maintained; sticky residue found in Secure Dementia Care Unit dining area.
Emergency telephone numbers not posted by telephones in several resident rooms.
Exterior hazards present; open bucket with broken pots accessible to residents.
Lint accumulation in dryer lint trap, repeat violation.
Written emergency procedures did not include contact information for each resident's designated person.
Home's pet policy not updated to reflect allowance of non-service pets.
Fire extinguisher inaccessible due to obstruction by rack of cups and plates.
Fire extinguisher not inspected since 2019.
Unannounced fire drill not held during August 2024.
Fire drills did not include evacuation to designated meeting place for all residents in both personal care areas.
Resident medical evaluations not completed annually as required.
Medications improperly stored: open and undated inhaler, punctured blister packs.
Medications and medical equipment not safely stored or available; glucometer not calibrated; missing medication.
Medication administration documentation errors; narcotic log not properly documented.
Prescriber's orders not followed for insulin administration based on glucose readings.
Medication administration training records missing documentation of successful completion for some staff.
Direct care staff in Secure Dementia Care Unit did not complete required 6 hours of annual dementia training.
Report Facts
Residents Served: 55
Secured Dementia Care Unit Residents Served: 9
Hospice Residents: 1
Staffing Hours: 74
Waking Staff: 56
Residents 60 Years or Older: 55
Residents with Mobility Need: 19
Deficiencies Cited: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Named in findings related to lack of required education, training, and medication administration documentation. | |
| Staff Person D | Named in findings related to incomplete fire safety orientation, lack of annual dementia training, and medication training. | |
| Staff Person E | Named in findings related to incomplete orientation training and medication administration training. | |
| Staff Person G | Named in finding related to providing unsupervised ADL services without completing required training. | |
| Staff Person H | Named in finding related to lack of annual medication self-administration training. | |
| Staff Person I | Named in finding related to medication administration documentation error. |
Inspection Report — Jun 22, 2023
Renewal
Date: Jun 22, 2023
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and licensing status.
Findings
The submitted plan of correction was found to be fully implemented. A deficiency was noted regarding lint accumulation in the dryer lint trap, which was immediately corrected and addressed with staff re-education and ongoing audits.
Citations (1)
Approximately 1/2 inch accumulation of lint in the lint trap of the dryer located in the personal care laundry room.
Report Facts
Residents Served: 53
Secured Dementia Care Unit Residents Served: 10
Current Hospice Residents: 1
Residents Age 60 or Older: 53
Residents with Mental Illness: 1
Residents with Mobility Need: 24
Inspection Report — Aug 11, 2022
Follow-Up
Date: Aug 11, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit to verify the implementation of a previously submitted plan of correction related to an incident.
Complaint Details
The visit was related to a complaint involving alleged resident abuse, which was substantiated by findings of delayed reporting and failure to report to the Department within required timeframes.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing delayed abuse reporting and incomplete resident records. Deficiencies included failure to immediately report suspected abuse and incomplete resident record content, which were corrected through staff re-inservice and documentation updates.
Citations (4)
On 07/22/22, a staff person locked resident #1 in a room, and the abuse allegation was not reported until 07/29/2022, which was delayed.
The facility hotline received a complaint about alleged abuse on 07/29/2022, but the home did not report this incident to the Department until 08/08/2022.
Resident #1's record does not include eye color or hair color.
Resident #1's record does not include a record of incident reports for the individual resident.
Report Facts
Residents Served: 56
Memory Care Residents Served: 11
Hospice Residents: 2
Residents Diagnosed with Mental Illness: 6
Residents with Mobility Need: 13
Residents with Physical Disability: 1
Inspection Report — Jul 14, 2022
Follow-Up
Date: Jul 14, 2022
Visit Reason
The inspection visit 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 resident abuse incidents involving two residents. The report details violations regarding failure to immediately report suspected abuse and failure to complete timely assessments following significant behavior changes. The facility has taken corrective actions including staff training, incident audits, and increased resident monitoring.
Citations (4)
Failure to immediately report suspected abuse of a resident to the Area Agency on Aging and lack of investigation.
Failure to report an incident to the Department’s personal care home regional office within 24 hours.
Resident abuse involving physical assault with a cane resulting in bruises.
Failure to complete additional resident assessment after significant behavior change.
Report Facts
Residents Served: 56
Residents Served in Dementia Care Unit: 10
Current Hospice Residents: 1
Total Daily Staff: 69
Waking Staff: 52
Residents Age 60 or Older: 56
Residents Diagnosed with Mental Illness: 6
Residents with Mobility Need: 13
Residents with Physical Disability: 1
Inspection Report — Apr 12, 2022
Renewal
Date: Apr 12, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the Peter Becker Community facility to assess compliance with licensing requirements.
Findings
The inspection found multiple deficiencies related to staff orientation and training, use of prohibited portable space heaters, medication storage and documentation errors, and preadmission screening form completion. The facility submitted plans of correction which were accepted and fully implemented by the time of the follow-up.
Citations (5)
Staff person A did not receive orientation on fire safety and emergency preparedness topics on their first day of work.
Staff person A did not complete required training within 40 scheduled working hours on resident rights, emergency medical plan, mandatory abuse reporting, and incident reporting.
A portable space heater was found in resident room 134, which is prohibited.
Medication storage procedures were not properly implemented, including inaccurate glucometer readings documentation for resident #1.
Preadmission screening forms for residents #1 and #2 were not completed within the required timeframe prior to admission.
Report Facts
Residents Served: 52
Secured Dementia Care Unit Residents Served: 10
Hospice Residents: 1
Residents Diagnosed with Mental Illness: 6
Residents with Mobility Need: 13
Residents with Physical Disability: 1
Total Daily Staff: 65
Waking Staff: 49
Notice — Jun 4, 2021
Date: Jun 4, 2021
Visit Reason
The document serves as a certificate of compliance and a license renewal notice for Peter Becker Community Personal Care Home, confirming the facility's authorized capacity and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application and advises that an annual inspection will be conducted within the next year.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Saccarelli | Personal Care Home Administrator | Recipient of the license renewal notice |
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the license renewal notice |
Inspection Report — May 19, 2021
Renewal
Date: May 19, 2021
Visit Reason
The inspection was a full, unannounced licensing inspection conducted on 05/19/2021 and 05/20/2021 as part of the facility's license renewal process.
Findings
No regulatory citations or deficiencies were identified during this licensing inspection.
Report Facts
Residents Served: 48
Secured Dementia Care Unit Residents Served: 11
Hospice Current Residents: 1
Total Daily Staff: 59
Waking Staff: 44
Inspection Report — Dec 23, 2020
Date: Dec 23, 2020
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, triggered by an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 51
Secured Dementia Care Unit Residents Served: 11
Inspection Report — Oct 27, 2020
Renewal
Date: Oct 27, 2020
Visit Reason
The inspection was a renewal inspection conducted to review compliance with licensing requirements at Peter Becker Community.
Findings
The facility had multiple deficiencies related to resident abuse reporting, outdated food, discontinued medications, medication administration errors, and support plan revisions. Several violations were withdrawn after corrective actions and documentation were submitted and accepted.
Citations (5)
15a - Resident Abuse Report: Several incidents of resident to resident abuse were not reported to the local area agency on aging as required.
103i - Outdated Food: Dented cans of tomato sauce and pasta sauce were found on the emergency food shelf.
183f - Discontinued Medications: A discontinued medication, Nystatin Topical Powder, was found on the medication cart instead of being safely destroyed.
187d - Follow Prescriber's Orders: Resident #2 was administered a higher dose of Tramadol than prescribed, and resident #3 was not administered prescribed Tramadol on one occasion.
234d - Support Plan Revision: Resident #4's support plan was not revised to reflect aggressive and wandering behaviors exhibited on specific dates.
Report Facts
Residents Served: 52
Residents Served in Dementia Unit: 10
Staff Total Daily: 62
Waking Staff: 47
Inspection Report — Aug 12, 2020
Routine
Date: Aug 12, 2020
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — Feb 24, 2020
Date: Feb 24, 2020
Visit Reason
This document is a renewal notification letter and license certificate for Peter Becker Community Personal Care Home, informing the facility of the license issuance and the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license renewal notice and certificate issuance.
Report Facts
Inspection Report — Oct 2, 2019
Routine
Date: Oct 2, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted a routine inspection of the Peter Becker Community 1st Floor facility on October 2, 2019.
Findings
No regulatory citations with 55 Pa. Code Ch. 2600 relating to Personal Care Homes were identified as a result of this inspection.
Inspection Report — Apr 25, 2019
Renewal
Date: Apr 25, 2019
Visit Reason
The inspection was an annual renewal inspection conducted by the Department’s Bureau of Human Services Licensing on April 25, 2019, to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations of the Personal Care Homes regulations were found, including issues with privacy signage, trash receptacles, food labeling, fire drill records, medication administration, preadmission screening, and key-locking device directions. Plans of correction were submitted and partially implemented as of May 30, 2019.
Citations (7)
42s. The home has video recording at the entrance and exit doors but lacks signage notifying residents and visitors of the video recording on the premises.
85e. On 04/25/19, there was an uncovered and unattended dumpster in the rear of the home.
103e. Food served and returned from an individual's plate was not labeled or dated, including an undated pork loin in the freezer.
132c. The fire drill record for drills on 05/29/18 and 06/28/18 did not include AM or PM notation.
187d. Medication Ativan for resident #1 was not discontinued within 14 days from the 02/21/19 fill date as required.
231c. Resident #2's written cognitive preadmission screening was incomplete and did not verify the need for secured care due to Alzheimer's or other dementia.
233c. Directions for operating the home's locking mechanism were not conspicuously posted near the door to the Secure Dementia Care Unit, and doors to the courtyard were unlocked without directions or codes.
Report Facts
Residents Served: 50
Residents Served in Secured Dementia Care Unit: 10
Current Hospice Residents: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Saccarelli | Personal Care Home Coordinator | Named in multiple plans of correction and as facility administrator. |
Inspection Report — Feb 25, 2019
Renewal
Date: Feb 25, 2019
Visit Reason
The document is a renewal application and license issuance for Peter Becker Community Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and certificate issuance.
Report Facts
Notice — Mar 16, 2018
Date: Mar 16, 2018
Visit Reason
The document serves as a notification of a revised licensed capacity for Peter Becker Community due to a recent adjustment in the use of physical space.
Findings
The revised license increases the maximum capacity from 53 to 68 residents, with a secure dementia care unit capacity of 11. The license expiration date remains unchanged.
Report Facts
Inspection Report — Feb 21, 2018
Renewal
Date: Feb 21, 2018
Visit Reason
The document is a renewal application and license issuance for Peter Becker Community Personal Care Home. The Department notifies that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Inspection Report — Jul 12, 2017
Annual Inspection
Date: Jul 12, 2017
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspection and included renewal and incident triggers.
Findings
The inspection identified violations related to medication storage and administration, support plan signatures, and posting of locking device instructions. Plans of correction were submitted and partially implemented as of the report date.
Citations (3)
55 Pa.Code §2800-2600.186(a): The home failed to locate resident #1's PRN Mucinex 600mg order in the medication cart.
55 Pa.Code §2800-2600.227(g): Resident #2's support plan dated 8/8/16 was not signed by the assessor.
55 Pa.Code §2800-2600.233(c): Directions for operating the locking mechanism were not conspicuously posted near the SDCU outdoor courtyard gate.
Report Facts
Number of Residents Served: 42
Total Daily Staff: 54
Walking Staff: 41
Number of Current Hospice Residents: 4
Notice — Feb 24, 2017
Date: Feb 24, 2017
Visit Reason
The document serves as a renewal license notification and advises the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is a license renewal notification and certificate issuance.
Report Facts
Notice — Jul 14, 2016
Date: Jul 14, 2016
Visit Reason
Response to a waiver request for qualifications of direct care staff persons at Peter Becker Community.
Findings
The waiver request for 55 Pa.Code § 2600.54(a) was determined to be unnecessary as the submitted documentation confirmed the staff member's education exceeds the criteria for a high school diploma.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the waiver response letter |
Inspection Report — Jul 8, 2016
Annual Inspection
Date: Jul 8, 2016
Visit Reason
The visit was an annual licensing inspection conducted on July 8, 2016, for renewal purposes at Peter Becker Community.
Findings
The inspection found violations related to trash can lids not being used, emergency telephone numbers not posted properly, and fire safety inspections not conducted annually. Plans of correction were submitted with partial implementation progress noted.
Citations (3)
Regulation 55 Pa.Code §2600.85(d) - Trash in kitchens and bathrooms was found in uncovered trash receptacles allowing penetration of insects and rodents.
Regulation 55 Pa.Code §2600.91 - The telephone in room #133 did not have emergency service numbers posted nearby.
Regulation 55 Pa.Code §2600.132(b) - The last fire safety inspection was conducted on 1/20/16, not annually as required.
Report Facts
Number of Residents Served: 43
Total Daily Staff: 55
Walking Staff: 41
Number of Residents Served in Secured Dementia Care Unit: 10
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 8
Number of Residents 60 Years or Older: 43
Number of Residents with Mobility Need: 12
Number of Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Pineka | Director of Personal Care | Named as legal entity representative and responsible for plan of correction |
Inspection Report — Mar 22, 2016
Renewal
Date: Mar 22, 2016
Visit Reason
The document is a renewal application and license issuance for Peter Becker Community Personal Care Home. The Department of Human Services will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and outlines the requirement for a future inspection.
Report Facts
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