Inspection Reports for The Inn at Horsham Center for Jewish Life
1425 HORSHAM ROAD,, PA, 19454
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
10.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
126% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
50% occupied
Based on a July 2025 inspection.
Census over time
Inspection Report
Follow-Up
Census: 29
Capacity: 58
Deficiencies: 3
Jul 15, 2025
Visit Reason
The inspection visit on 07/15/2025 was conducted as a partial, unannounced follow-up to review the submitted plan of correction related to an incident.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies related to abuse allegation response, medical evaluation documentation, and medication labeling were addressed with corrective actions including supervision plans, staff training, audits, and policy updates.
Deficiencies (3)
| Description |
|---|
| Failure to immediately suspend or implement a supervision plan for staff involved in an abuse allegation. |
| Resident medical evaluation form incomplete regarding body positioning and movement despite resident using a rollator walker. |
| Medication container label did not accurately reflect prescribed dosage schedule, requiring a direction change sticker. |
Report Facts
License Capacity: 58
Residents Served: 29
Total Daily Staff: 35
Waking Staff: 26
Inspection Report
Complaint Investigation
Census: 31
Capacity: 58
Deficiencies: 9
Apr 17, 2025
Visit Reason
The inspection was conducted as a complaint investigation, as indicated by the reason stated in the inspection information section.
Findings
Multiple deficiencies were found related to sanitary conditions, food safety, equipment functionality, and meal quality. Issues included spills and odors in the kitchen, inoperable dishwasher, improper food storage and labeling, refrigerator temperature violations, and inadequate meal alternatives.
Complaint Details
The inspection was complaint-driven, as noted under Inspection Information with the reason 'Complaint'.
Deficiencies (9)
| Description |
|---|
| Spill of ice cream inside the freezer and foul-smelling odor with yellow substance in kitchen sink. |
| Dishwasher machine in the second-floor bistro kitchen was inoperable. |
| Cook cutting chicken on prep counter with a staff's bottle of juice on the same counter. |
| Uncovered box of chicken stored in the utility cart. |
| Refrigerator temperature was 55 degrees Fahrenheit, exceeding required temperature. |
| Boxes of cereal and sugar were opened and unsealed in food storage areas. |
| Unlabeled and undated bags of cheese, butter, and pasta found in refrigerators and pantry. |
| Dinner meal included only a hamburger with no alternative food item available. |
| Staff person cutting chicken with one glove and bare hand, violating sanitary practices. |
Report Facts
License Capacity: 58
Residents Served: 31
Current Hospice Residents: 1
Waking Staff: 26
Total Daily Staff: 35
Inspection Report
Renewal
Census: 30
Capacity: 58
Deficiencies: 8
Mar 20, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license.
Findings
The inspection found multiple deficiencies related to staff qualifications, training, documentation, emergency preparedness, menu posting, and medication storage procedures. The facility submitted a plan of correction which was determined to be fully implemented as of the inspection date.
Deficiencies (8)
| Description |
|---|
| Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| Staff person B did not complete required training on emergency medical plan and reporting of reportable incidents and conditions within 40 scheduled work hours. |
| Staff persons A and C did not receive training in resident rights during the training year January 2024 to December 2024. |
| The home's record of direct care staff training does not include the date, source, content or copies of certificates received for staff person A. |
| Staff persons D, E, and F did not know the location of the first aid kit. |
| The home does not have documentation of written notification to the local fire department of the address of the home, location of the bedrooms, and the assistance needed to evacuate in an emergency. |
| The home's menu for the week of 3/16/2025-3/22/2025 was posted; however, the menu for 1 week in advance was not posted. |
| Medication administration record (MAR) documentation errors for resident 1's blood sugar readings on 3/16/2025, 3/17/2025, and 3/20/2025. |
Report Facts
License Capacity: 58
Residents Served: 30
Staffing Hours: 33
Waking Staff: 25
Hospice Residents: 1
Residents Age 60 or Older: 30
Residents with Mobility Need: 3
Inspection Report
Renewal
Census: 30
Capacity: 58
Deficiencies: 7
Jun 6, 2024
Visit Reason
The inspection was conducted as a renewal visit with an incident noted, including a follow-up on the submitted plan of correction.
Findings
The facility had multiple deficiencies including incomplete staff lists, insufficient annual training hours and topics for direct care staff, hot water temperature violations, failure to submit emergency procedures to the local emergency management agency, and incomplete medical evaluation documentation for a resident. All deficiencies had plans of correction submitted and were implemented by the dates noted.
Deficiencies (7)
| Description |
|---|
| Staff list did not include two current resident assistants/med-techs. |
| Direct care staff person received only 7.75 hours of annual training instead of the required 12 hours. |
| Direct care staff person did not receive required training topics including medication self-administration, resident needs, dementia care, infection control, and personal care service needs. |
| Direct care staff person did not receive training on fire safety, emergency preparedness, and falls prevention. |
| Hot water temperature in resident bathroom sinks exceeded the maximum allowed 120°F, reaching 124.5°F. |
| Facility could not verify submission of written emergency procedures to the local emergency management agency. |
| Resident #1's medical evaluation documentation did not indicate cognitive functioning. |
Report Facts
License Capacity: 58
Residents Served: 30
Total Daily Staff: 38
Waking Staff: 29
Annual Training Hours: 7.75
Hot Water Temperature: 124.5
Inspection Report
Monitoring
Census: 24
Capacity: 58
Deficiencies: 0
Jun 26, 2023
Visit Reason
The inspection was an unannounced monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/26/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 29
Waking Staff: 22
Resident Support Staff: 0
Residents Served: 24
License Capacity: 58
Residents Age 60 or Older: 24
Residents with Mobility Need: 5
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Current Hospice Residents: 0
Inspection Report
Renewal
Census: 22
Capacity: 58
Deficiencies: 15
May 9, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance and verify the submitted plan of correction was fully implemented.
Findings
The facility had multiple deficiencies including furniture and equipment hazards, emergency preparedness plan issues, fire safety inspection and drill deficiencies, medical evaluation documentation errors, medication storage problems, and preadmission screening form inaccuracies. All deficiencies had accepted plans of correction with completion dates in May 2023 and were implemented by June 28, 2023.
Deficiencies (15)
| Description |
|---|
| Resident room had bed enablers not covered to prevent entrapment. |
| Accumulation of lint in lint trap of dryer in resident laundry room. |
| Administrator did not have a copy of the emergency preparedness plan for the local municipality. |
| Written emergency procedures not submitted to local emergency management agency since 2019. |
| Doors to stairwells leading to exits were locked and residents could not access independently. |
| No fire safety inspection and fire drill conducted by a fire safety expert in 2021. |
| Fire drill records did not include number of residents present or evacuation times for certain drills. |
| No maximum safe evacuation time specified in writing by a fire safety expert; evacuation times exceeded 2 minutes 30 seconds in multiple drills. |
| Some residents did not evacuate to designated meeting places during fire drills. |
| Resident #1's medical evaluation did not include ability to self-administer medications; Resident #2's evaluation did not include health status/cognitive functioning. |
| Resident #2's annual medical evaluation was outdated. |
| Resident #1 stored medications in an unlocked drawer and did not always lock door when leaving. |
| Resident #3's glucometer was not calibrated to correct time. |
| Resident #2's preadmission screening form was completed after admission date. |
| Resident #4's preadmission screening form did not include determination that needs could be met by the home. |
Report Facts
Residents served: 22
License capacity: 58
Staff total daily: 27
Staff waking: 20
Fire drill evacuation times: 15
Inspection Report
Complaint Investigation
Census: 26
Capacity: 58
Deficiencies: 2
Aug 25, 2022
Visit Reason
The inspection was conducted as a complaint investigation at THE INN AT HORSHAM CENTER FOR JEWISH LIFE on 08/25/2022 to review compliance with regulations following a complaint.
Findings
The facility was found to have deficiencies related to support plan signatures where residents participated in developing their support plans but did not sign them, and the assessor's signatures were missing. Additionally, the facility failed to document notations of inability or refusal to sign the support plans for residents unable to sign. The submitted plan of correction was accepted and fully implemented by 12/12/2022.
Complaint Details
The visit was complaint-related, and the submitted plan of correction was accepted and fully implemented. The Wellness Director or designee was responsible for ensuring proper signatures and documentation of refusals or inability to sign.
Deficiencies (2)
| Description |
|---|
| Residents participated in the development of their support plans but did not sign them; assessor's signatures were missing. |
| No notation of inability or refusal to sign the support plan was documented for residents unable to sign. |
Report Facts
License Capacity: 58
Residents Served: 26
Current Residents in Hospice: 1
Residents Age 60 or Older: 29
Residents with Mobility Need: 8
Inspection Report
Census: 28
Capacity: 58
Deficiencies: 0
Jul 6, 2022
Visit Reason
The inspection was an unannounced partial licensing inspection conducted on 07/06/2022, triggered by an incident.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 28
License Capacity: 58
Current Hospice Residents: 2
Residents Age 60 or Older: 28
Residents with Mobility Need: 7
Inspection Report
Complaint Investigation
Census: 31
Capacity: 58
Deficiencies: 3
Feb 4, 2022
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on multiple dates in February 2022, including an exit conference on 02/14/2022.
Findings
The facility was found to have deficiencies related to resident assessments and support plans, including failure to update assessments after significant changes in condition, missing signatures on support plans, and lack of notation when residents were unable to sign support plans. The submitted plan of correction was fully implemented.
Complaint Details
The inspection was complaint-driven, with a follow-up plan of correction submission and document review. The plan of correction was accepted and fully implemented.
Deficiencies (3)
| Description |
|---|
| Resident #1's assessment was not updated to include a plan to manage new diagnoses after a significant change in condition. |
| Resident #1 and assessor did not sign the support plan as required. |
| The home did not document notation of inability to sign the support plan for Resident #2 and Resident #3 who were unable to sign. |
Report Facts
License Capacity: 58
Residents Served: 31
Current Hospice Residents: 3
Total Daily Staff: 39
Waking Staff: 29
Residents with Mobility Need: 8
Residents 60 Years or Older: 31
Residents Diagnosed with Mental Illness: 1
Inspection Report
Renewal
Capacity: 58
Deficiencies: 0
Oct 22, 2021
Visit Reason
The document is a renewal application and license issuance for The Inn at Horsham Center for Jewish Life, a Personal Care Home, pursuant to Title 55, PA Code, Chapter 2600.
Findings
A regular license is being issued in response to the renewal application. The Department will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal letter and is identified as Deputy Secretary, Office of Long-term Living |
Inspection Report
Renewal
Census: 30
Capacity: 58
Deficiencies: 0
Oct 19, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection of THE INN AT HORSHAM CENTER FOR JEWISH LIFE.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 38
Waking Staff: 29
Residents Served: 30
License Capacity: 58
Residents 60 Years or Older: 30
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 8
Inspection Report
Plan of Correction
Census: 33
Capacity: 58
Deficiencies: 2
Jun 8, 2021
Visit Reason
The inspection visit on June 8, 2021, was conducted as a complaint investigation to review the facility's compliance and plan of correction submission.
Findings
The facility was found to have deficiencies related to quality management and medication storage. Specifically, the quality management plan lacked measures to address resident complaints about meals, and a resident was found storing medications unlocked and unattended in their room. The submitted plan of correction was determined to be fully implemented by October 4, 2022.
Complaint Details
The inspection was conducted due to a complaint, as indicated by the 'Rea on: Complaint' and the visit was unannounced.
Deficiencies (2)
| Description |
|---|
| The home's quality management plan does not include development and implementation of measures to address the residents complaints about meals being served and meal titles as described in the home's quality management review. |
| Resident #1 self administers medications and stores medications in his/her room. On 6/8/21, there were several unlocked, unattended medications in resident #1 bedroom. The resident does not lock the door when she leaves the room. |
Report Facts
License Capacity: 58
Residents Served: 33
Staffing Hours - Total Daily Staff: 37
Staffing Hours - Waking Staff: 28
Residents Diagnosed with Mental Illness: 1
Residents Age 60 or Older: 32
Residents with Mobility Need: 4
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Current Hospice Residents: 1
Inspection Report
Plan of Correction
Census: 33
Capacity: 58
Deficiencies: 2
Jun 8, 2021
Visit Reason
The inspection visit on June 8, 2021, was conducted as a complaint investigation and included a review of the submitted plan of correction.
Findings
The facility was found to have deficiencies related to quality management and medication storage, specifically the lack of measures addressing resident complaints about meals and unsecured medications stored in a resident's room. The submitted plan of correction was determined to be fully implemented as of October 4, 2022.
Complaint Details
The inspection was complaint-related with a follow-up on the plan of correction submission. The plan of correction was accepted and fully implemented.
Deficiencies (2)
| Description |
|---|
| The home's quality management plan did not include development and implementation of measures to address residents' complaints about meals served and meal titles. |
| Resident #1 self-administers medications and stores medications in their room which were found unlocked and unattended; the resident does not lock the door when leaving the room. |
Report Facts
License Capacity: 58
Residents Served: 33
Staffing Hours: 37
Staffing Hours: 28
Residents with Mobility Need: 4
Residents 60 Years or Older: 32
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Residents Receiving Supplemental Security Income: 0
Inspection Report
Complaint Investigation
Census: 33
Capacity: 58
Deficiencies: 2
Jun 8, 2021
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Findings
The inspection found deficiencies related to the quality management plan not addressing residents' complaints about meals and unsecured medications stored in a resident's room. Plans of correction were accepted and included formation of a Food Committee and securing medications with lock boxes.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The complaint was substantiated by findings related to quality management and medication storage violations.
Deficiencies (2)
| Description |
|---|
| The home's quality management plan does not include development and implementation of measures to address residents' complaints about meals being served and meal titles. |
| Resident #1 self-administers medications stored unlocked and unattended in the resident's room, which is not locked when the resident leaves. |
Report Facts
License Capacity: 58
Residents Served: 33
Current Residents on Hospice: 1
Residents 60 Years or Older: 32
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 4
Total Daily Staff: 37
Waking Staff: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mia Johnson | Signed the cover letter regarding the inspection results | |
| Wellness Director | Counseled Resident #1 on medication security following violation |
Loading inspection reports...
