Inspection Reports for The Heritage of Green Hills Care Center
400 TRANQUILITY LANE,, READING, PA, 19067
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
98% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
78% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 70
Capacity: 90
Deficiencies: 10
Aug 5, 2025
Visit Reason
The inspection visit on 08/05/2025 was a full, unannounced inspection conducted for renewal, complaint, and incident reasons, including a follow-up on a previously submitted plan of correction.
Findings
The inspection found multiple deficiencies including breaches in record confidentiality, unsecured poisonous materials accessible to residents, combustible storage hazards, incomplete or delayed medical evaluations, lack of self-administration assessments for medications, medication record discrepancies, failure to follow prescriber's orders, inconsistent resident assessments, and incomplete preadmission cognitive screenings. The facility submitted and implemented plans of correction for all deficiencies.
Deficiencies (10)
| Description |
|---|
| Transportation binder containing resident information was left unattended and accessible to unauthorized persons at the 3rd floor nurse's station. |
| A bottle of hand sanitizer labeled as poisonous was unlocked and accessible to residents in the Secured Dementia Care Unit. |
| Accumulated lint behind clothes dryer and fabric recliner stored near hot water heater in mechanical room. |
| Initial medical evaluation for Resident #3 was completed over 60 days prior to admission. |
| Residents #3 and #4 were not assessed by a physician or qualified practitioner regarding ability to self-administer medications and need for reminders. |
| Medication administration record for Resident #1 had conflicting dosage instructions compared to medication packaging. |
| Resident #2 was prescribed multiple medications that were not available in the home and one medication was not administered as prescribed. |
| Resident Assessment and Support Plan for Resident #4 indicated minimal mobility need, but medical evaluation indicated moderate need. |
| Resident #7 admitted to Secure Dementia Care Unit lacked a completed written cognitive preadmission screening within 72 hours prior to admission. |
| Resident #6's assessment did not indicate the need for secured dementia unit services despite admission to the facility. |
Report Facts
License Capacity: 90
Residents Served: 70
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 20
Hospice Residents: 5
Resident Mobility Need: 40
Residents with Physical Disability: 1
Total Daily Staff: 111
Waking Staff: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Director of Wellness (DOW) | Named in multiple findings related to education, audits, and plan of correction implementation. |
| Personal Care Administrator | Personal Care Administrator (PCA) | Named in multiple findings related to education, audits, and plan of correction implementation. |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 90
Deficiencies: 0
Apr 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
Total Daily Staff: 67
Waking Staff: 50
Resident Support Staff: 0
License Capacity: 90
Residents Served: 67
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 18
Current Hospice Residents: 0
Residents Age 60 or Older: 67
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 0
Residents with Physical Disability: 0
Inspection Report
Complaint Investigation
Census: 70
Capacity: 90
Deficiencies: 0
Dec 4, 2024
Visit Reason
The inspection was conducted as a result of an incident, classified as a partial, unannounced inspection on 12/04/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The visit was incident-related, but no deficiencies or citations were found, indicating no substantiated complaints.
Report Facts
License Capacity: 90
Residents Served: 70
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 20
Hospice Current Residents: 10
Residents Age 60 or Older: 70
Residents with Mobility Need: 36
Residents with Physical Disability: 2
Inspection Report
Follow-Up
Census: 67
Capacity: 90
Deficiencies: 5
Sep 12, 2024
Visit Reason
The inspection visit on 09/12/2024 was conducted as a full, unannounced renewal and incident review of THE HERITAGE OF GREEN HILLS CARE CENTER.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies related to poisonous materials storage, menu posting, self-administration medication assessments, medication storage procedures, and medication record accuracy were identified and corrected with training and procedural improvements.
Deficiencies (5)
| Description |
|---|
| In the Secured Dementia unit, the public bathroom was unlocked and a disinfectant cleaning spray was found in the top drawer. |
| The menu posted in the Secured Dementia unit was not posted for the required 1 week in advance. |
| Resident 1's assessment indicated they cannot self-administer medications, but over the counter medications were found in their room without proper verification. |
| Medications ordered for Residents 3 and 4 were not available on the medication cart as prescribed. |
| Resident 2's Medication Administration Record incorrectly indicated medication to be given every 4 hours instead of every 6 hours as prescribed. |
Report Facts
License Capacity: 90
Residents Served: 67
Secured Dementia Unit Capacity: 20
Secured Dementia Unit Residents Served: 19
Hospice Current Residents: 12
Residents Age 60 or Older: 67
Residents with Mobility Need: 22
Residents with Physical Disability: 2
Total Daily Staff: 89
Waking Staff: 67
Inspection Report
Census: 51
Capacity: 90
Deficiencies: 0
Jan 3, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility on 01/03/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 88
Waking Staff: 66
Residents Served: 51
License Capacity: 90
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 16
Residents 60 Years or Older: 51
Residents with Mobility Need: 37
Inspection Report
Census: 58
Capacity: 90
Deficiencies: 0
Oct 30, 2023
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 58
Total Daily Staff: 139
Waking Staff: 104
License Capacity: 90
Residents Served: 58
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 3
Residents Receiving Supplemental Security Income: 1
Residents Age 60 or Older: 58
Residents with Mobility Need: 23
Residents with Physical Disability: 2
Inspection Report
Renewal
Census: 58
Capacity: 90
Deficiencies: 12
Oct 18, 2023
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at THE HERITAGE OF GREEN HILLS CARE CENTER.
Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies were identified related to contract signatures, staff training, resident personal equipment, fire safety notifications, medication labeling, resident assessments, support plans, and documentation of no objection statements, all of which have been addressed with corrective actions.
Deficiencies (12)
| Description |
|---|
| Resident home contracts for some residents were not signed by the residents, with no documentation of inability to sign. |
| Direct care staff persons did not complete the required 12 hours of annual training for training year 2022. |
| Direct care staff persons did not complete required training topics including medication self-administration, infection control, personal care needs, and safe management techniques for training year 2022. |
| Direct care staff persons did not receive training in emergency preparedness, resident rights, Older Adult Protective Services Act, falls prevention, and new population groups during training year 2022. |
| Bedside mobility devices in multiple rooms were not firmly secured to beds, posing potential hazards. |
| The letter to the fire department incorrectly stated the home's capacity as 87 instead of 90. |
| Fire drills were routinely conducted between the 23rd and 28th of the month, not on varied days and times as required. |
| An insulin medication pen was not dated when opened, considered expired medication. |
| Resident #3's initial assessment was completed more than 15 days after admission. |
| Resident Assessment Support Plans for residents using bedside mobility devices did not include specific need, intended use, risks, ability to use safely, device identification, or FDA guideline compliance. |
| Consent form for resident #1 to reside in secured Memory Care Unit was not signed, with no documentation of no objection. |
| Staff person A did not complete 6 hours of dementia training for training year 2022. |
Report Facts
License Capacity: 90
Residents Served: 58
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 15
Current Hospice Residents: 1
Total Daily Staff: 83
Waking Staff: 62
Residents Age 60 or Older: 58
Residents with Mobility Need: 25
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 40
Capacity: 90
Deficiencies: 2
Mar 9, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review the facility's compliance with regulatory requirements.
Findings
The inspection found that the submitted plan of correction was fully implemented. Two specific violations were noted: failure to complete preadmission screening within 30 days prior to admission, and failure to document assistive devices and accurate physical assistance needs in the resident's support plan. Both issues were addressed with staff training and review of current residents' charts.
Complaint Details
The visit was complaint-related, with the complaint reason explicitly stated. The plan of correction was accepted and fully implemented.
Deficiencies (2)
| Description |
|---|
| Resident's preadmission screening was completed more than 30 days prior to admission. |
| Resident's support plan did not address assistive devices and inaccurately documented physical assistance needs. |
Report Facts
License Capacity: 90
Residents Served: 40
Secured Dementia Care Unit Capacity: 20
Secured Dementia Care Unit Residents Served: 7
Hospice Current Residents: 5
Residents 60 Years or Older: 40
Residents with Mobility Need: 15
Residents with Physical Disability: 3
Total Daily Staff: 55
Waking Staff: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Director of Wellness | Named in plan of correction training responsibility for preadmission screening and support plans. |
| Director of Personal Care | Director of Personal Care | Named in plan of correction training responsibility for preadmission screening and support plans. |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 90
Deficiencies: 2
Feb 7, 2023
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 02/07/2023.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. Deficiencies were noted related to annual medical evaluations and additional assessments for residents, with corrective actions implemented by the Director of Nursing.
Complaint Details
The inspection was triggered by a complaint and was unannounced. The plan of correction was accepted and fully implemented as of 03/16/2023.
Deficiencies (2)
| Description |
|---|
| Resident 1’s most recent medical evaluation was not completed timely as required annually. |
| Resident 1’s additional assessment was not completed timely as required annually. |
Report Facts
License Capacity: 90
Residents Served: 40
Secured Dementia Care Unit Capacity: 23
Secured Dementia Care Unit Residents Served: 5
Current Hospice Residents: 4
Total Daily Staff: 56
Waking Staff: 42
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Responsible for maintaining compliance with medical evaluations and assessments, keeper of due dates list |
Inspection Report
Follow-Up
Census: 42
Capacity: 90
Deficiencies: 5
Nov 8, 2022
Visit Reason
The inspection was an interim full inspection conducted on 11/08/2022 and 11/09/2022 to review the facility's compliance and the implementation of the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction. Several deficiencies were identified related to trash receptacles without lids, undated leftover food, improper refrigerator temperature, and incomplete medical documentation for residents in the secured dementia care unit, all of which were corrected by the time of the follow-up.
Deficiencies (5)
| Description |
|---|
| The home’s main kitchen and main dining room did not have trash containers with lids. |
| One bag of approximately 15 hardboiled eggs was found in the main walk-in refrigerator that were not dated when opened. |
| The apartment size refrigerator in the medication room had a thermometer reading of 50 °F, exceeding required refrigeration temperature. |
| Resident #1’s medical evaluation did not indicate the need to be served in a secured dementia care unit. |
| Resident #2’s record lacked documentation that the resident and designated person did not object to admission or transfer to the secured dementia care unit. |
Report Facts
License Capacity: 90
Residents Served: 42
Secured Dementia Care Unit Capacity: 20
Residents Served in Secured Dementia Care Unit: 0
Current Hospice Residents: 3
Supplemental Security Income Recipients: 1
Residents 60 Years or Older: 42
Residents with Mobility Need: 13
Residents with Physical Disability: 1
Total Daily Staff: 55
Waking Staff: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Director of Wellness | Named in relation to reviewing admission paperwork to assure compliance with medical evaluation and no objection documentation |
| Executive Sous Chef | Executive Sous Chef | Named in relation to monitoring compliance with food labeling and leftover requirements |
| Administrator | Administrator | Named in relation to monitoring compliance with trash receptacle lids regulation |
Inspection Report
Census: 70
Capacity: 90
Deficiencies: 0
Oct 7, 2022
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 70
License Capacity: 90
Secured Dementia Care Unit Capacity: 20
Secured Dementia Care Unit Residents Served: 8
Hospice Current Residents: 3
Resident Support Staff: 84
Waking Staff: 63
Inspection Report
Original Licensing
Capacity: 90
Deficiencies: 1
Aug 4, 2022
Visit Reason
The inspection was conducted as a new licensing inspection for The Heritage of Green Hills Care Center, which is a new facility not yet serving four or more residents.
Findings
The facility was found to be in substantial compliance with the applicable regulations, but the inspection was not fully completed due to the low census. One deficiency was cited related to key-locking devices preventing immediate egress without posted directions.
Deficiencies (1)
| Description |
|---|
| The home utilized a fabe electronic key system to operate the secured unit's patio door and exterior patio gate to egress. The home did not have a keypad system with codes posted as required, preventing immediate egress for visitors. |
Report Facts
License Capacity: 90
Residents Served: 0
Secured Dementia Care Unit Capacity: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Buchenauer | Deputy Secretary | Signed the licensing inspection report letter |
| Administrator | Named as responsible for ongoing compliance of the key-locking devices regulation |
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