Inspection Reports for The Hill at Whitemarsh
4000 Fox Hound Dr, Lafayette Hill, PA 19444, United States, PA, 19444
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Inspection Report
Plan of Correction
Census: 25
Capacity: 38
Deficiencies: 1
Oct 29, 2025
Visit Reason
The inspection was conducted as a new partial announced inspection on 10/29/2025, followed by a review of the submitted plan of correction.
Findings
The inspection found a deficiency related to insufficient fire extinguishers in the McKeown House dementia care unit due to its large floor area. The plan of correction was accepted and fully implemented by 11/10/2025.
Deficiencies (1)
| Description |
|---|
| Insufficient fire extinguishers in the McKeown House dementia care unit, which is approximately 9,223 square feet but had only one fire extinguisher. |
Report Facts
License Capacity: 38
Residents Served: 25
Memory Care Unit Area (sq ft): 9223
Memory Care Unit Capacity: 14
Staff Total Daily: 31
Staff Waking: 23
Inspection Report
Follow-Up
Census: 25
Capacity: 38
Deficiencies: 1
May 5, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident involving a resident holding knives and subsequent medical evaluation concerns.
Findings
The facility was found to have fully implemented the submitted plan of correction related to a resident's medical evaluation after an acute psychotic episode. The resident's medical evaluation was updated following the incident, and corrective actions including one-to-one supervision and removal of sharp objects were taken.
Deficiencies (1)
| Description |
|---|
| Failure to complete a new medical evaluation after a resident's acute episode and medication changes. |
Report Facts
License Capacity: 38
Residents Served: 25
Total Daily Staff: 47
Waking Staff: 35
Dose Increase: 30
Dose Increase: 60
Inspection Report
Renewal
Census: 22
Capacity: 38
Deficiencies: 8
Jan 3, 2025
Visit Reason
The inspection was conducted as a renewal inspection of THE HILL AT WHITEMARSH - OAKLEY HALL ASSISTED LIVING facility to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including unsecured narcotics log book and medication cart computer, lack of orientation for ancillary staff, missing fire safety training for a staff member, unsecured resident mobility device, missing emergency telephone numbers in a resident room, expired antiseptic in the first aid kit, incomplete medical evaluation for a resident, and improper storage and labeling of medications.
Deficiencies (8)
| Description |
|---|
| Narcotics log book left unsecured and unattended on medication cart; medication cart computer left unlocked and unattended exposing resident information. |
| Ancillary staff persons did not receive general orientation to their specific job functions. |
| Staff person did not receive in-person fire safety training during training year 2024. |
| Resident's bedside mobility device not securely attached to bed frame, creating a hazardous area. |
| No emergency telephone numbers posted on or by the telephone in resident room #408. |
| First aid kit in fourth floor office missing antiseptic; antiseptic wipes expired in 10/2024. |
| Medical evaluation for resident #1 missing information on emergency actions related to diagnoses. |
| Medications not properly labeled with open dates; punctured blister pack exposing medication to contamination. |
Report Facts
License Capacity: 38
Residents Served: 22
Current Hospice Residents: 1
Residents 60 Years or Older: 22
Residents with Mobility Need: 17
Total Daily Staff: 39
Waking Staff: 29
Inspection Report
Renewal
Census: 23
Capacity: 38
Deficiencies: 9
Jan 29, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements at The Hill at Whitemarsh - Oakley Hall Assisted Living.
Findings
The inspection identified multiple deficiencies including lack of required fire safety training for staff, incomplete dementia training for a staff member, hot water temperatures exceeding allowed limits, outdated food labeling, failure to submit emergency procedures annually, incomplete fire drill records, incomplete medical evaluations for a resident, medication storage issues, and incomplete resident support plans. Plans of correction were accepted and many deficiencies were noted as implemented or in progress with completion dates mostly by May 5, 2024.
Deficiencies (9)
| Description |
|---|
| Staff persons A and B did not receive required annual fire safety training completed by a fire safety expert or trained staff person. |
| Staff person A received only 3.5 hours of dementia-specific training within 30 days of hire instead of the required 4 hours. |
| Hot water temperature at bathroom sink in room 428 measured 127.5°F and kitchenette sink in room 402 measured 123.2°F, exceeding the 120°F limit. |
| Outdated or unlabeled food items (sandwich, bowl of sliced beets, cup of white liquid) found in the Country Kitchen refrigerator. |
| Written emergency procedures had not been submitted to the local emergency management agency since February 2022. |
| Fire drill record for 9/29/23 did not include problems encountered; two residents did not evacuate and reason was unknown. |
| Medical evaluation for resident #1 did not include health status; this section was blank. |
| Medications prescribed as needed for residents #1 and #2 were not available in the residence at times. |
| Resident support plans for residents #1 and #2 did not include specific need, intended use, risks, ability to use bedside mobility devices safely, device identification, or FDA cover requirements. |
Report Facts
License Capacity: 38
Residents Served: 23
Total Daily Staff: 41
Waking Staff: 31
Hot Water Temperature: 127.5
Hot Water Temperature: 123.2
Dementia Training Hours: 3.5
Fire Drill Date: Sep 29, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Named in relation to fire safety training deficiency and corrective actions. | |
| HR Manager | Named in relation to dementia training deficiency and corrective actions. | |
| Maintenance Technician | Named in relation to hot water temperature deficiency and corrective actions. | |
| Dietary Manager | Named in relation to outdated food deficiency and corrective actions. | |
| Assisted Living Administrator | Named in relation to medical evaluation, medication storage, and support plan deficiencies and corrective actions. | |
| Primary Care Physician | Named in relation to medical evaluation deficiency and corrective actions. | |
| LPN | Named in relation to medication storage deficiency and corrective actions. |
Inspection Report
Renewal
Census: 22
Capacity: 38
Deficiencies: 0
Sep 28, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection of THE HILL AT WHITEMARSH - OAKLEY HALL ASSISTED LIVING facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 22
License Capacity: 38
Total Daily Staff: 41
Waking Staff: 31
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 19
Residents 60 Years or Older: 22
Inspection Report
Renewal
Census: 24
Capacity: 38
Deficiencies: 3
Jul 14, 2021
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies were found related to emergency management plan submission timeliness, incomplete medical evaluation documentation for a resident, and discontinued medication present in the medication cart.
Deficiencies (3)
| Description |
|---|
| The residence’s written emergency procedures were not submitted timely for 2021. |
| The medical evaluation for resident #1 did not include an indication that a tuberculin skin test has been administered with negative results within 2 years. |
| Ondansetron (Zofran) Tab 4 Mg prescribed for resident #2 was in the medication cart but was discontinued in April 2021. |
Report Facts
License Capacity: 38
Residents Served: 24
Total Daily Staff: 25
Waking Staff: 19
Notice
Capacity: 38
Deficiencies: 0
Jan 15, 2021
Visit Reason
This document serves as a certificate of compliance and a license renewal notice for The Hill at Whitemarsh - Oakley Hall Assisted Living, confirming the facility's authorization to operate and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and advises that an annual inspection will be conducted within the next twelve months. Enforcement action will be taken if noncompliance is found during the inspection.
Report Facts
Maximum capacity: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-Term Living | Signed the renewal notice letter |
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