Inspection Report
Complaint Investigation
Census: 66
Capacity: 105
Deficiencies: 10
Sep 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with resident rights, staff training, medication management, and safety regulations.
Findings
Multiple deficiencies were found including missing signed resident statements, insufficient CPR/First Aid certified staff during certain shifts, improper training certification, unlocked poisonous materials, missing bedside furniture and lighting, lint accumulation in dryers, unsecured medications, expired medications on the medication cart, and lack of resident education on the right to refuse medication. Plans of correction were accepted and implemented by 10/24/2025.
Complaint Details
The inspection was complaint-related as indicated by the reason 'Complaint' and the visit was unannounced on 09/08/2025.
Deficiencies (10)
| Description |
|---|
| Resident record did not contain a statement signed by the resident acknowledging receipt of a copy of the resident rights and complaint procedures. |
| Insufficient staff certified in CPR and First Aid present during various shifts with 66 residents. |
| Staff person was trained in CPR by a non-certified organization, not recognized by a hospital or health care organization. |
| Poisonous materials (Paul Mitchell Super Clean Spray) were unlocked and accessible to residents. |
| No bedside table or shelf beside resident bed in bedroom 315A. |
| Resident did not have access to a source of light that can be turned on/off at bedside. |
| Approximate 1-inch accumulation of lint in the lint trap of both dryers in memory care. |
| Prescription medications and syringes were unlocked and accessible in resident's bathroom vanity. |
| Expired medication tablet was still available on the medication cart. |
| Resident was not educated on the right to refuse medication if they believe there may be a medication error. |
Report Facts
Residents served: 66
License capacity: 105
Residents in secured dementia care unit: 18
Current residents in hospice: 9
Residents with mobility need: 31
Residents 60 years or older: 66
Residents diagnosed with mental illness: 3
Residents diagnosed with intellectual disability: 3
Inspection Report
Renewal
Census: 53
Capacity: 105
Deficiencies: 8
Mar 12, 2025
Visit Reason
The inspection was conducted as a renewal inspection with an incident review, including an unannounced full inspection on 03/12/2025 and 03/13/2025.
Findings
The facility was found to have multiple deficiencies including uncovered trash receptacles, food stored on the floor, expired rabies vaccination for a resident's cat, limited use of alternate exit routes during fire drills, medication storage and administration issues, and incomplete additional resident assessments following a behavioral incident. All deficiencies had plans of correction accepted and were implemented by 05/16/2025.
Deficiencies (8)
| Description |
|---|
| Unattended, uncovered trash can half-full of food waste in the main kitchen. |
| Emergency food was stored on the floor. |
| A cat present on the home's 3rd floor did not have a current rabies vaccination certificate. |
| Stairwell A and C were the only exit routes used during fire drills held from April through June 2024. |
| Resident #1's Lorazepam 0.5 mg blister card with a discard-after date of 03/03/2025 was still in the medication cart; a loose pill was found in the medication cart. |
| Medication administration record showed Lorazepam administered but not signed out on the controlled medication utilization record. |
| Resident #1's Morphine medication was signed out but the MAR did not include initials of the administering staff; Resident #2's insulin administration units were not documented timely. |
| Resident #2 alleged a sexual assault and the facility failed to complete an additional assessment reflecting changes in orientation/hallucination. |
Report Facts
License Capacity: 105
Residents Served: 53
Secured Dementia Care Unit Capacity: 30
Residents Served in Dementia Unit: 13
Hospice Residents: 10
Residents with Mobility Need: 31
Residents 60 Years or Older: 53
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Total Daily Staff: 84
Waking Staff: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Director | Named in medication storage and administration findings and corrective actions. | |
| Executive Director | Named in multiple findings including food storage, rabies vaccination, fire drill exit routes, and medication administration. | |
| Director of Dining Services | Named in findings related to trash receptacles and food storage. | |
| Activities Director | Named in rabies vaccination finding and corrective actions. | |
| Director of Maintenance | Named in fire drill exit routes finding and corrective actions. |
Inspection Report
Renewal
Census: 56
Capacity: 105
Deficiencies: 4
Mar 18, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility license, including unannounced full inspections on 03/18/2024, 03/19/2024, and 04/24/2024 to verify compliance and implementation of the submitted plan of correction.
Findings
The facility was found to have multiple deficiencies related to staff training, medication storage and labeling, and resident support plans for medical/dental needs. The submitted plan of correction was fully implemented and compliance was maintained as of the last review.
Deficiencies (4)
| Description |
|---|
| Direct care staff person did not receive training in instruction on meeting the needs of residents as described in preadmission screening, assessment tool, medical evaluation and support plan, and safe management techniques during 2023. |
| Resident 1 self-administered medications were stored unlocked and unattended in the resident's room, violating secure storage requirements. |
| Medication containers for Residents 2, 3, and 4 had changes in directions that were not indicated on the medication container or blister pack. |
| Resident support plans for Residents 5, 6, and 7 did not document risks, safe use, or identification of bedside mobility devices present in their rooms. |
Report Facts
Inspection dates: 3
Residents served: 56
License capacity: 105
Secured dementia care unit capacity: 30
Residents served in secured dementia care unit: 12
Hospice current residents: 8
Residents aged 60 or older: 55
Residents with mobility need: 22
Residents with intellectual disability: 1
Residents with physical disability: 1
Inspection Report
Follow-Up
Census: 60
Capacity: 105
Deficiencies: 1
Nov 28, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection to review compliance and the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. A deficiency was found related to treatment of residents with dignity and respect involving a staff member and a resident, with corrective actions and training planned and implemented.
Complaint Details
The inspection was complaint-related and incident-driven, with investigation including interviews of residents and review of staff conduct. The complaint was substantiated with findings of a gap in customer service and resident rights.
Deficiencies (1)
| Description |
|---|
| A staff member raised their voice to a resident during an interaction, which upset the resident and led to the staff member leaving the room. |
Report Facts
License Capacity: 105
Residents Served: 60
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 12
Current Hospice Residents: 2
Residents Age 60 or Older: 57
Residents with Mental Illness: 1
Residents with Intellectual Disability: 3
Residents with Mobility Need: 34
Inspection Report
Renewal
Census: 62
Capacity: 105
Deficiencies: 12
Nov 7, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation to review compliance and verify the submitted plan of correction was fully implemented.
Findings
The facility was found to have multiple deficiencies including failure to report incidents timely, missing criminal background checks, incomplete fire safety orientation, outdated food, missing rabies vaccination certificates for resident pets, missed fire drills, medication labeling discrepancies, missing resident signatures on support plans, and lack of conspicuous posting of key-locking device instructions. Plans of correction were accepted and implemented for all deficiencies.
Complaint Details
The visit included a complaint investigation triggered by a report that a family friend visiting the facility was financially exploiting a resident. The facility failed to report this incident timely to the Department but later submitted the required report and implemented corrective actions.
Deficiencies (12)
| Description |
|---|
| Failure to report an incident to the Department within 24 hours as required. |
| Staff person hired without a completed criminal background check. |
| Staff person did not receive required fire safety orientation on first day of work. |
| Direct care staff person provided unsupervised ADL services without completing required training and competency test. |
| Unlabeled and undated bowl of fruit found in the reminiscence area kitchen. |
| Resident's cat did not have a current certificate of rabies vaccination on file. |
| An unannounced fire drill was not held during February 2022. |
| Fire drill during sleeping hours was overdue; last conducted on 12/29/21. |
| Fire drills routinely held on the last few days of the month, not varied by day and time as required. |
| Medication label dosage instructions did not match the medication administration record. |
| Resident participated in support plan development but did not sign the support plan. |
| Directions for operating key-locking devices were not conspicuously posted near the Secure Dementia Care Unit exit door. |
Report Facts
Residents Served: 62
License Capacity: 105
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 8
Residents Age 60 or Older: 59
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 36
Inspection Report
Complaint Investigation
Census: 60
Capacity: 105
Deficiencies: 2
Oct 6, 2022
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on multiple dates in October 2022 to review compliance and verify the submitted plan of correction.
Findings
The facility was found to have deficiencies related to failure to provide required assistance with activities of daily living and neglect/abuse involving delayed staff response to residents' needs. The submitted plan of correction was accepted and fully implemented by December 2022.
Complaint Details
The visit was complaint-related, triggered by allegations of neglect and abuse. The complaint was substantiated by findings of delayed assistance to residents. Follow-up actions included reassessment of residents, staff training, and discontinuation of agency staff involved.
Deficiencies (2)
| Description |
|---|
| Resident 1 did not receive required assistance with activities of daily living as indicated in the assessment and support plan. |
| Resident 1 waited over 2 hours for assistance to the bathroom and to get ready for bed; Resident 2 waited nearly 40 minutes after pressing call pendant following a fall. |
Report Facts
Inspection dates: 5
Staffing hours: 92
Waking staff: 69
Residents served: 60
Licensed capacity: 105
Secured dementia care unit capacity: 30
Residents served in secured dementia care unit: 15
Residents aged 60 or older: 57
Residents with mobility need: 32
Residents diagnosed with mental illness: 2
Residents diagnosed with intellectual disability: 2
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 27, 2022
Visit Reason
The document is a follow-up review of the submitted plan of correction for the facility conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 09/27/2022.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Inspection Report
Complaint Investigation
Census: 61
Capacity: 105
Deficiencies: 1
Jul 27, 2022
Visit Reason
The inspection was conducted as a result of an incident reported at the facility, leading to a partial unannounced licensing inspection on 07/27/2022.
Findings
The inspection found a violation related to abuse where a resident was observed with bruising that was initially disregarded by staff, resulting in delayed medical attention. The resident was later diagnosed with a T-12 compression fracture and transferred to the hospital. A plan of correction was accepted including staff training and ongoing monitoring.
Complaint Details
The visit was complaint-related due to an incident involving suspected abuse and neglect of a resident, substantiated by the findings of bruising and delayed care resulting in injury.
Deficiencies (1)
| Description |
|---|
| A resident was neglected when bruising was observed but disregarded by staff, leading to delayed medical care and diagnosis of a T-12 compression fracture. |
Report Facts
License Capacity: 105
Residents Served: 61
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 14
Hospice Residents: 3
Inspection Report
Follow-Up
Census: 61
Capacity: 105
Deficiencies: 1
Jul 27, 2022
Visit Reason
The inspection was an unannounced partial review conducted due to an incident at the facility, focusing on follow-up of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. A specific abuse violation involving bruising on a resident was documented, with corrective actions including staff training and monitoring processes.
Deficiencies (1)
| Description |
|---|
| A resident was observed with bruising on the face and neck, which was not initially addressed, resulting in a T-12 compression fracture diagnosis after hospital transfer. |
Report Facts
License Capacity: 105
Residents Served: 61
Secured Dementia Care Unit Capacity: 30
Residents Served in Dementia Care Unit: 14
Current Hospice Residents: 3
Residents Age 60 or Older: 58
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 36
Residents with Physical Disability: 0
Inspection Report
Follow-Up
Census: 55
Capacity: 105
Deficiencies: 7
Jun 6, 2022
Visit Reason
The inspection visit on 06/06/2022 was a partial, unannounced monitoring inspection to follow up on the plan of correction submissions related to previous incidents and compliance issues at Sunrise Senior Living of Dresher.
Findings
The inspection identified multiple medication-related deficiencies including failure to report incidents timely, inaccurate medication administration records, failure to follow prescriber's orders, and medication error reporting deficiencies. Plans of correction were accepted but not fully implemented as of the inspection date.
Deficiencies (7)
| Description |
|---|
| Failure to report an incident involving residents within 24 hours to the Department. |
| Inaccurate documentation of resident's glucometer readings in medication administration records. |
| Failure to administer prescribed Glucagen Hypokit medication when resident's blood sugar was low and symptomatic. |
| Failure to notify physician of abnormal blood sugar readings and withholding insulin without explanation. |
| Medication error not immediately reported to resident, designated person, or prescriber. |
| Medication record inaccuracies related to Vitamin D3 dosing and administration frequency. |
| Resident administered Vitamin D3 daily instead of weekly as prescribed for 18 days. |
Report Facts
License Capacity: 105
Residents Served: 55
Secured Dementia Care Unit Capacity: 30
Residents Served in Dementia Unit: 14
Total Daily Staff: 91
Waking Staff: 68
Residents with Mobility Need: 36
Residents 60 Years or Older: 54
Inspection Report
Follow-Up
Census: 60
Capacity: 105
Deficiencies: 2
Jan 24, 2022
Visit Reason
The inspection was conducted as a follow-up review of the submitted plan of correction for the facility based on previous incident-related findings.
Findings
The facility was found to have implemented the submitted plan of correction fully, with ongoing monitoring and training to maintain compliance. Specific deficiencies related to annual medical evaluations and conspicuously posted directions for key-locking devices were addressed and accepted.
Deficiencies (2)
| Description |
|---|
| Resident 1’s most recent medical evaluation was not completed annually as required. |
| Directions for operating the home's locking mechanism were not conspicuously posted near the elevator to the Secure Dementia Care Unit (SDCU). |
Report Facts
License Capacity: 105
Residents Served: 60
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 27
Hospice Current Residents: 4
Residents Age 60 or Older: 58
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 36
Inspection Report
Renewal
Census: 56
Capacity: 105
Deficiencies: 12
Sep 1, 2021
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 09/01/2021 and 09/02/2021 to assess compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including staff qualification issues, incomplete direct care training, improper food storage and handling, incomplete medical evaluations, medication management errors, and missing resident support plan signatures. Plans of correction were accepted and implemented with follow-up audits and training scheduled.
Deficiencies (12)
| Description |
|---|
| Direct care staff person A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| Direct care staff person A provided unsupervised ADL services without completing required training including demonstration of job duties followed by supervised practice. |
| Trash outside the home was not kept in covered receptacles; food boxes were accumulated on the ground outside the kitchen door. |
| Four uncovered slices of cake were stored on a ledge in the dining room, not protected from contamination. |
| Leftover food (frozen peas and cake slices) were not labeled or dated. |
| Food (bag of beef franks) was stored opened and not sealed in the refrigerator. |
| Resident #1's medical evaluation did not include a mobility needs assessment. |
| Resident #2's most recent medical evaluation was overdue. |
| Medications for residents #3, #4, and #5 were found in the medication cart despite being discontinued or expired. |
| Resident #6's prescribed Morphine Sulfate medication was not available in the home. |
| Resident #2's preadmission screening form did not include a determination that the resident's needs could be met by the home. |
| Residents #2, #7, and #8 participated in support plan development but did not sign the support plans. |
Report Facts
License Capacity: 105
Residents Served: 56
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 20
Hospice Residents: 4
Residents 60 Years or Older: 54
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 31
Total Daily Staff: 87
Waking Staff: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Coordinator | BOC | Named in relation to obtaining GED certificate and conducting audits of direct care staff qualifications. |
| Executive Director | ED | Involved in reviewing plans of correction and monitoring compliance. |
| Director of Sales | DOS | Involved in reviewing medical evaluation documentation and coordinating with physicians. |
| Resident Care Director | RCD | Responsible for medical evaluations, medication audits, and coordination of care. |
| Dinning Service Coordinator | DSC | Responsible for training culinary staff and ensuring food safety compliance. |
| Neighborhood Coordinators | Responsible for scheduling support plan meetings and obtaining signatures. | |
| Wellness Nurses | Involved in audits and review of medical evaluations and medication management. | |
| Lead Care Manager | Provided supervised practice training to direct care staff. |
Notice
Capacity: 105
Deficiencies: 0
Feb 5, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Sunrise Senior Living of Dresher, confirming receipt of the renewal application and advising of a required annual inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative notice of license renewal and compliance certificate issuance.
Report Facts
Maximum capacity: 105
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
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