Inspection Reports for
The Community at Rockhill
3250 STATE ROAD,, SELLERSVILLE, PA, 18960
Back to Facility Profile24 Reports
Inspection Report — Feb 25, 2026
Monitoring
Date: Feb 25, 2026
Visit Reason
The visit was a partial, unannounced monitoring inspection conducted to review compliance and verify the submitted plan of correction.
Findings
Two deficiencies were identified: some direct care staff lacked required qualifications, and medication storage practices did not meet manufacturer guidelines. The facility submitted and implemented a plan of correction for both issues.
Citations (2)
54a - Direct care staff persons did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
183e - A medication (Lantus insulin) was found without an opening date and was not stored according to manufacturer instructions requiring refrigeration before use.
Report Facts
Residents served: 41
Total daily staff: 41
Waking staff: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| clinical coordinator (licensed RN) | Educated nurses and med techs on insulin storage and completed education on 4/10/2026 | |
| Personal Care Administrator | Will review audit results and monitor ongoing compliance | |
| HR Coordinator | Performed audit of staff qualifications and will send weekly notifications of new hires |
Inspection Report — Dec 16, 2025
Renewal
Date: Dec 16, 2025
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for THE COMMUNITY AT ROCKHILL.
Findings
The inspection identified multiple deficiencies related to staff qualifications, training, resident equipment safety, food storage, medication management, resident assessments, and support plan revisions. Plans of correction were submitted and fully implemented by April 14, 2026.
Citations (18)
54a - Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
63a - No staff person certified in first aid and CPR was present during the night shift when 45 residents were in the home.
64c - The administrator completed only 22 hours of Department-approved training in 2024, less than the required 24 hours.
65d - Direct care staff persons A and C provided unsupervised ADL services before completing required training and competency testing.
65e - Direct care staff person D did not receive any required annual training in 2024.
81b - Resident's bedside mobility device was not securely attached, creating an 8 inch entrapment zone with an uncovered opening measuring 18 x 20 inches.
100b - Snow and ice obstructed walkways and emergency exit stairs with approximately 2 inch accumulation.
103e - Opened cartons of ice cream in the freezer were not labeled with a date.
103f - Freezer temperature was 2°F, above the required 0°F for frozen food storage.
121a - Snow blocked emergency exit #22, obstructing egress.
183e - Two opened insulin pens for a resident were not labeled with the date opened as required.
185a - Resident's glucometer was not calibrated to the correct time and medication administration was not documented on the narcotic record.
185a - A prescribed medication was not available in the home due to resident hospitalization and order discontinuation.
187b - Medication administration records did not include initials of staff administering controlled medications at specified times.
187d - Resident was administered medication without documenting vital signs as required and medication was omitted without documentation of reason.
225a - Initial assessment was not completed within 15 days of admission for a resident.
225c - Resident's most recent additional assessment was not completed as required.
227c - Resident's support plan was not revised within 30 days after hospice services were accepted.
Report Facts
Residents served: 47
Staff: 47
Waking Staff: 35
Current Hospice Residents: 1
Residents aged 60 or older: 47
Residents without first aid/CPR certified staff present: 45
Snow accumulation: 2
Ice cream cartons unlabeled: 3
Freezer temperature: 2
Entrapment zone size: 8
Opening size: 18
Opening size: 20
Inspection Report — Jan 28, 2025
Monitoring
Date: Jan 28, 2025
Visit Reason
The visit was a monitoring inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to review compliance with licensing requirements and verify the submitted plan of correction.
Findings
The facility was found to have medication storage deficiencies, including expired eye drops and punctured blister packs exposing medication to contamination. A plan of correction was submitted and fully implemented by the facility, including staff training and pharmacy consultation to prevent future violations.
Citations (2)
Medication drops were kept beyond the 90-day discard period after opening.
Medication blister packs were punctured, exposing medication to contamination or improper sanitation.
Report Facts
Residents Served: 43
Total Daily Staff: 43
Waking Staff: 32
Inspection Report — Nov 13, 2023
Renewal
Date: Nov 13, 2023
Visit Reason
The inspection was an unannounced renewal inspection conducted on 11/13/2023 to assess compliance with licensing requirements and verify correction of previous deficiencies.
Findings
The facility was found to have multiple deficiencies including unlocked nurse's station with unattended resident charts, missing or incomplete medical evaluations, medication management issues such as discontinued medications remaining in carts, incorrect medication labeling, failure to follow prescriber's orders, incomplete preadmission screening forms, incomplete support plans, and unsigned support plans by residents. Plans of correction were submitted and deemed fully implemented by 01/17/2024.
Citations (12)
Nurse's station on the 1st floor was unlocked with residents' charts unattended and accessible to anybody.
Resident medical evaluation was not completed within 60 days prior to admission or within 30 days after admission.
Resident medical evaluation did not include special health or dietary needs and immunization history.
Resident annual medical evaluations were not on file.
Discontinued medication was found in the home's medication cart.
Pharmacy label for medication did not match prescribed dosage and instructions.
Controlled substance log was incomplete for medication after resident's death.
Medication administration record did not include initials of staff who administered medication.
Resident was administered medication twice in one day contrary to prescriber's orders.
Resident preadmission screening form did not include determination that the needs of the resident can be met by the home.
Resident support plans did not indicate need for dental, vision, hearing, mental health or other behavioral care services.
Residents participated in support plan development but did not sign the support plan.
Report Facts
Residents Served: 47
Staffing Hours - Resident Support Staff: 42
Staffing Hours - Total Daily Staff: 89
Staffing Hours - Waking Staff: 67
Inspection Report — Apr 13, 2023
Complaint Investigation
Date: Apr 13, 2023
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on 04/13/2023, 04/14/2023, and 04/17/2023.
Complaint Details
The inspection was complaint-related as indicated by the reason 'Complaint' in the inspection information. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 44
Waking Staff: 33
Residents Served: 44
Residents Diagnosed with Mental Illness: 1
Residents Aged 60 or Older: 44
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 0
Residents with Physical Disability: 0
Inspection Report — Mar 17, 2023
Complaint Investigation
Date: Mar 17, 2023
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial review of the facility on 03/14/2023, 03/16/2023, and 03/17/2023.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The submitted plan of correction was determined to be fully implemented.
Findings
The inspection found multiple deficiencies including failure to review and sign resident-home contracts, missing signed statements acknowledging receipt of resident rights, malfunctioning wander guard alarm system leading to a resident wandering off, lack of resident education on the right to refuse medication, incomplete preadmission screening forms, and failure to document refusal or inability to sign support plans. A plan of correction was submitted and fully implemented by 04/11/2023.
Citations (7)
Resident #1 did not review the resident-home contract dated [redacted].
Resident-home contract for resident #1 was not signed by the resident.
Resident #1's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.
Resident #1, with a history of wandering, was missing for 20 minutes due to a malfunctioning wander guard alarm system.
Resident #1 has not been educated on the right to refuse medication if a medication error is suspected.
Resident #1’s preadmission screening form did not include a determination that the resident's needs can be met by the home.
Resident #1 did not sign the support plan and the home did not document refusal or inability to sign.
Report Facts
Residents Served: 45
Total Daily Staff: 45
Waking Staff: 34
Duration Resident Missing: 20
Inspection Report — Jun 22, 2022
Renewal
Date: Jun 22, 2022
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 06/22/2022 and 06/23/2022 to assess compliance with licensing requirements for THE COMMUNITY AT ROCKHILL.
Findings
The inspection identified multiple deficiencies including missing signatures on resident contracts, lack of resident notification about video surveillance, incomplete staff training records, medication administration errors, obstructed egress routes, and incomplete resident records. Plans of correction were accepted and documented for all deficiencies with follow-up submissions completed.
Citations (11)
Resident-home contract for resident #1 was not signed by the administrator or a designee.
Residents 1, 2, 3, and 4 were not informed at admission about video recording devices at entrances and exits.
Staff persons A and B did not complete required training on emergency medical plan and reporting of incidents within 40 scheduled work hours.
Training records for staff members C and D did not include any training after orientation.
Window screen in room 124 was popped out and leaning against the outside wall.
Expandable net blocked stairway egress from Garden View and Sky View to fitness center and fire exit.
Medication error: Resident #2 received 2 units of insulin instead of 1 unit due to incorrect glucometer reading recorded in MAR.
Staff person C administered insulin without current Department-approved diabetes education certification.
Medication administration training record for staff person C lacked documentation of successful diabetes education completion.
Resident #2's preadmission screening form was not completed.
Resident #2's record did not include the preadmission screening.
Report Facts
Residents Served: 36
Staffing Hours: 36
Waking Staff: 27
Hospice Residents: 1
Deficiency Repeat Violation Date: Apr 5, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Keller | Administrator | Named as facility administrator. |
| Staff person A | Named in training deficiency for incomplete emergency medical plan and incident reporting training. | |
| Staff person B | Named in training deficiency for incomplete emergency medical plan and incident reporting training. | |
| Staff member C | Named in medication administration and training record deficiencies related to diabetes education. | |
| Staff member D | Named in training record deficiency for lack of training after orientation. |
Inspection Report — Mar 15, 2022
Follow-Up
Date: Mar 15, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to staffing and resident safety issues, including call bell response times, bed safety, and resident assessments. Continued compliance was required.
Citations (3)
Resident #1 was left on the floor after a fall until staff assistance was available, not meeting the resident's assessment and support plan requirements.
The facility failed to ensure the safety of resident #1's hospital bed, specifically that the wheels were locked, leading to a fall during transfer.
Resident #2's assessment was not updated to reflect the use of a walker after a significant change in mobility.
Report Facts
Residents Served: 40
Current Hospice Residents: 3
Total Daily Staff: 40
Waking Staff: 30
Inspection Report — Sep 17, 2021
Complaint Investigation
Date: Sep 17, 2021
Visit Reason
The inspection was conducted as a complaint investigation at THE COMMUNITY AT ROCKHILL on 09/17/2021.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 42
Total Daily Staff: 43
Waking Staff: 32
Residents Age 60 or Older: 42
Residents with Mobility Need: 1
Residents with Physical Disability: 1
Inspection Report — Apr 5, 2021
Renewal
Date: Apr 5, 2021
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for THE COMMUNITY AT ROCKHILL.
Findings
The inspection found several deficiencies including delayed refund processing after a resident's death, sanitary condition issues with ice machines and refrigerators, uncovered trash receptacles, and medication documentation errors. Plans of correction were accepted and implemented for all deficiencies.
Citations (5)
Refund to resident's estate after death was completed more than 30 days late.
Sanitary conditions not maintained: white residue and mold found on ice machines, refrigerators, and water fountains in serving kitchen areas.
Uncovered, unattended trash can found in dining room serving kitchen.
Medication administration record discrepancy: glucometer reading 470 vs documented 460.
Medication administration date/time not recorded at time of administration on narcotics log.
Report Facts
Residents Served: 38
Current Hospice Residents: 1
Medication Glucometer Reading: 470
Medication Documentation Reading: 460
Medication Administration Time Recorded: 1015
Notice — Apr 2, 2021
Date: Apr 2, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for The Community at Rockhill Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it confirms the issuance of a regular license following the renewal application and outlines the Department's obligation to conduct an annual inspection.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Notice — Dec 30, 2019
Date: Dec 30, 2019
Visit Reason
This document serves as a renewal notification and license issuance for The Community at Rockhill Personal Care Home. It informs the facility administrator of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and outlines the Department's plan to conduct an annual inspection within twelve months.
Report Facts
Inspection Report — Aug 27, 2019
Annual Inspection
Date: Aug 27, 2019
Visit Reason
The visit was the Department’s Bureau of Human Services Licensing annual inspection of The Community at Rockhill.
Findings
The facility was found to be in compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes. No deficiencies or violations were noted in the report.
Notice — Jan 10, 2019
Date: Jan 10, 2019
Visit Reason
The document serves as a renewal notification and license issuance for The Community at Rockhill Personal Care Home following receipt of the renewal application.
Findings
No inspection findings are reported. The letter states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Sep 25, 2018
Annual Inspection
Date: Sep 25, 2018
Visit Reason
The visit was an annual inspection conducted by the Department's Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with the applicable regulations during the annual inspection.
Inspection Report — Aug 29, 2018
Complaint Investigation
Date: Aug 29, 2018
Visit Reason
The inspection was conducted as a complaint investigation (incident) at The Community at Rockhill Personal Care Home on August 29, 2018.
Complaint Details
The visit was triggered by an incident complaint. Specific violations involved medication errors and incomplete pre-admission screening documentation.
Findings
Multiple violations related to medication administration, medication records, and pre-admission screening were found. Plans of correction included staff retraining, disciplinary actions, and review of resident records to ensure compliance.
Citations (4)
Regulation 2600.182(c): Staff member did not identify the correct resident during a medication pass, resulting in Resident #1 receiving medications prescribed for Resident #2.
Regulation 2600.186(b): Resident #1 was administered medications prescribed for Resident #2, violating prescription use requirements.
Regulation 2600.187(a): Medication administration record for Resident #1 was initialed as administered at 9:00am on 8/24/18, but medications were not actually administered.
Regulation 2600.224(a): Pre-admission screening form for Resident #1 did not include a determination that the home can meet the resident's service needs.
Report Facts
Number of Residents Served: 50
Total Daily Staff: 50
Waking Staff: 38
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carol N. Delancey | Executive Director | Signed plan of correction documents related to medication and screening violations |
| Michele Swisher | Inspector conducting the complaint investigation |
Notice — Dec 19, 2017
Date: Dec 19, 2017
Visit Reason
The document serves as a renewal approval notice for the Personal Care Home license of The Community at Rockhill, confirming receipt of the renewal application 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 only confirms the issuance of a regular license following the renewal application.
Inspection Report — Nov 13, 2017
Complaint Investigation
Date: Nov 13, 2017
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident at The Community at Rockhill.
Complaint Details
The visit was complaint-related due to an incident involving medication errors. The plan of correction was partially implemented with adequate progress as of February 2018.
Findings
Two violations related to medication administration were found, including failure to identify the correct resident for medication administration and failure to follow prescriber directions. A plan of correction involving staff reeducation and monitoring was partially implemented.
Citations (2)
55 Pa.Code §2600.185(a): Staff did not follow the home's Safe Medication Administration policy and failed to identify the resident to whom medications were administered.
55 Pa.Code §2600.187(d): Staff administered multiple medications to the wrong resident, including Banophen, Aspirin Chewable, Amlodipine, Metoprolol, Fish Oil, Hydrochlorothiazide, and Docusate Sodium.
Report Facts
Number of Residents Served: 47
Total Daily Staff: 48
Waking Staff: 36
Number of Hospice Residents in Past Year: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carol N. DeLancey | Executive Director | Signed plan of correction documents |
| Tahesia Thomas | Inspector conducting the inspection |
Inspection Report — Feb 15, 2017
Annual Inspection
Date: Feb 15, 2017
Visit Reason
The inspection was an annual licensing inspection conducted on February 15, 2017, for The Community at Rockhill as part of the renewal process.
Findings
Violations related to medication storage and administration procedures were found, including an uncalibrated glucometer and discrepancies in resident #1's glucose readings. A plan of correction was submitted and partially implemented.
Citations (2)
Regulation 55 Pa.Code §2600 2600.185(a): The home failed to develop and implement procedures for safe storage, access, security, distribution, and use of medications and medical equipment by trained staff. Resident #1's glucometer was not calibrated to the correct date on 02/16/17.
Regulation 55 Pa.Code §2600 2600.187(a): Medication records for resident #1 had glucose readings that did not correspond to the resident's glucometer readings on multiple dates in February 2017.
Report Facts
Number of Residents Served: 63
Total Daily Staff: 54
Walking Staff: 41
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 2
Number of Residents Age 60 or Older: 53
Number of Residents with Mobility Need: 1
Number of Residents with Physical Disability: 1
Notice — Dec 15, 2016
Date: Dec 15, 2016
Visit Reason
The document serves as a renewal license certificate and letter confirming receipt of the renewal application to operate the Personal Care Home, with a notice that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document; it is a licensing renewal notice with no compliance or deficiency information.
Inspection Report — Nov 22, 2016
Complaint Investigation
Date: Nov 22, 2016
Visit Reason
The inspection was conducted as a partial, unannounced investigation triggered by an incident.
Complaint Details
The visit was complaint-related due to an incident. Specific substantiation status is not stated.
Findings
Two violations related to medication administration were found, including failure to correctly identify a resident before medication administration and administration of medication prescribed for another resident.
Citations (2)
Regulation 55 Pa.Code §2600.182(c) - Staff member A did not correctly identify Resident #1 before administering medications on 11/18/16 at 9:00 am.
Regulation 55 Pa.Code §2600.186(b) - Resident #1 was administered medications prescribed for Resident #2 on 11/18/16.
Report Facts
Date of inspection: Nov 22, 2016
Date of violation: Nov 18, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carol N. DeLancey | CEO | Signed plan of correction documents |
| Tahesia Thomas | Inspector conducting off-site inspection on 11/22/2016 |
Inspection Report — May 23, 2016
Renewal
Date: May 23, 2016
Visit Reason
The document serves as a renewal of the facility license for The Community at Rockhill due to a change in the facility's name and legal entity name.
Findings
The license renewal was issued under the authority of 55 Pa.Code Chapter 2600 relating to Personal Care Homes. The expiration date of the license remains unchanged.
Notice — Mar 9, 2016
Date: Mar 9, 2016
Visit Reason
The document is a response to a waiver request for qualifications of direct care staff persons under Pennsylvania Code Chapter 2600.
Findings
The waiver request for 55 Pa.Code § 2600.54(a) is not needed as the staff member's education exceeds the criteria for a high school diploma. The facility must obtain a certified English translation of the staff member's college transcript and keep copies of the educational documentation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the waiver response letter. |
Inspection Report — Jan 27, 2016
Renewal
Date: Jan 27, 2016
Visit Reason
The inspection was a renewal licensing inspection conducted by the Department of Human Services on January 27, 2016, to assess compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
Violations were found related to trash receptacles not being properly covered and incomplete documentation of annual medication training and observations. A plan of correction was submitted with partial implementation noted.
Citations (2)
REGULATION 55 Pa.Code §2600.85(d) - Trash in kitchens and bathrooms was found in uncovered receptacles with circular holes in the main kitchen on 1/27/16.
REGULATION 55 Pa.Code §2600.190(a) - Staff medication administration training lacked documentation for the annual practicum and medication pass observations for 5/2015 - 5/2016.
Report Facts
Residents Served: 53
Total Daily Staff: 53
Waking Staff: 40
Number of Hospice Residents in past year: 1
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