Inspection Reports for The Village at Lifequest
2100 CHERRY BLOSSOM LANE,, QUAKERTOWN, PA, 18951
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
14.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
215% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
79% occupied
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 112
Capacity: 141
Deficiencies: 3
Date: Feb 26, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to a complaint and incident reported at the facility.
Complaint Details
The visit was complaint-related involving allegations of financial abuse where a resident's money was missing. The complaint was investigated, reported to the Department and State Police, and families and residents were notified.
Findings
The inspection identified deficiencies related to abuse/neglect involving a resident's missing money, incomplete criminal background checks for staff, and direct care staff qualifications. The facility submitted and implemented a plan of correction addressing these issues.
Deficiencies (3)
Resident reported missing money from purse; investigation and reporting to State Police initiated.
Staff members began working without completed criminal background checks by PA State Police and FBI prior to start date.
Direct care staff person lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Report Facts
Residents served: 112
License capacity: 141
Current hospice residents: 6
Residents with mobility need: 29
Residents with physical disability: 2
Residents aged 60 or older: 112
Total daily staff: 141
Waking staff: 106
Inspection Report
Renewal
Census: 112
Capacity: 141
Deficiencies: 0
Date: Dec 9, 2024
Visit Reason
The inspection was conducted as a licensing inspection on 12/09/2024 to review the facility's compliance and capacity status.
Findings
No regulatory citations or deficiencies were identified during the inspection. The facility's license capacity is 141 with 112 residents served at the time of inspection.
Report Facts
License Capacity: 141
Residents Served: 112
Staffing Hours - Total Daily Staff: 143
Staffing Hours - Waking Staff: 107
Current Residents: 4
Residents with Mobility Need: 31
Residents Age 60 or Older: 112
Inspection Report
Follow-Up
Census: 107
Capacity: 141
Deficiencies: 14
Date: Nov 6, 2024
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal and complaint reasons on 11/06/2024 and 11/07/2024, with an exit conference on 11/07/2024.
Complaint Details
The visit included complaint investigation as part of the renewal inspection. Specific complaint details are related to medication administration errors and reporting failures.
Findings
The facility was found to have multiple deficiencies related to medication administration errors, record confidentiality breaches, sanitary conditions, annual medical evaluations, menu postings, medication storage, labeling, administration timing, prescriber order adherence, medication error reporting, annual assessments, and support plan revisions. Plans of correction were accepted and implemented with ongoing audits and training.
Deficiencies (14)
Failure to report a medication incident involving prescribed liquid potassium not being available and administered.
Resident medication list and narcotic control log left unattended and accessible to residents and visitors.
Strong odor and dried feces observed around toilet bowl and seat in resident bathroom.
Resident's annual medical evaluation was not completed for 2023.
Weekly menu for the upcoming week was not posted in a conspicuous place.
Medication cards with punctured blister foil observed, risking medication error and contamination.
Medication label directions did not match physician orders or medication administration record.
Medications prescribed as needed were not available in the residence.
Medication administration record falsely indicated medication was given when it was not.
Failure to follow prescriber's orders due to medication not being administered because it was unavailable.
Medication error was not immediately reported to resident's designated person or prescriber.
Resident did not have an annual assessment completed in 2023.
Resident support plan was not reviewed quarterly as required.
Support plan did not document special dietary needs or mobility device requirements as determined by physician.
Report Facts
License Capacity: 141
Residents Served: 107
Current Residents in Hospice: 3
Residents Age 60 or Older: 107
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Total Daily Staff: 137
Waking Staff: 103
Inspection Report
Follow-Up
Census: 95
Capacity: 141
Deficiencies: 2
Date: Jan 17, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 01/17/2024 to review the submitted plan of correction related to an incident involving resident financial discrepancies.
Findings
The submitted plan of correction was determined to be fully implemented, with no unusual entries found in call bell or door fob reports, and no suspicious activity on camera footage. Staff training on abuse and neglect with a focus on financial exploitation was conducted, and ongoing education for residents, staff, and families on securing valuables was planned.
Deficiencies (2)
Resident reported missing money from their drawer and purse; despite having lockable storage, the resident was unfamiliar with its use and did not have access to a key.
Another resident reported missing money stored in a bank envelope in their walker basket; despite available lockable storage, the resident did not utilize it.
Report Facts
License Capacity: 141
Residents Served: 95
Current Hospice Residents: 4
Residents Age 60 or Older: 94
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 44
Total Daily Staff: 139
Waking Staff: 104
Inspection Report
Renewal
Census: 83
Capacity: 141
Deficiencies: 5
Date: Jul 10, 2023
Visit Reason
The inspection was conducted as a renewal inspection of THE VILLAGE AT LIFEQUEST facility on 07/10/2023 and 07/11/2023.
Findings
The inspection found multiple deficiencies related to fire drill records, evacuation procedures, medication self-administration records, and medication storage procedures. The facility submitted plans of correction which were accepted and implemented by 09/14/2023.
Deficiencies (5)
Fire drill records were incomplete for drills conducted on 4/10/2023, 5/26/2023, and 6/20/2023, missing evacuation route, evacuation time, and number of residents evacuated.
The residence exceeded the maximum safe evacuation time of 8 minutes and 30 seconds during fire drills on 8/18/2022 and 6/20/2023.
Residents did not evacuate to a designated meeting place away from the building or within the fire-safe area during multiple fire drills between 7/14/2022 and 6/20/2023.
Resident #1's medication record was not current; a recent prescription change was not reflected in the record on 7/11/2023.
Medications prescribed for Resident #2 and Resident #3 were not available in the residence on 7/11/2023.
Report Facts
License Capacity: 141
Residents Served: 83
Current Hospice Residents: 6
Residents 60 Years or Older: 82
Residents with Mobility Need: 44
Fire Drill Evacuation Time: 8.5
Fire Drill Evacuation Time: 22
Fire Drill Evacuation Time: 11.5
Inspection Report
Plan of Correction
Census: 87
Capacity: 141
Deficiencies: 2
Date: Mar 29, 2023
Visit Reason
The inspection was conducted as a partial, unannounced incident investigation related to financial exploitation and abuse allegations at the facility.
Complaint Details
The visit was complaint-related due to allegations of financial exploitation and abuse by a staff member. The submitted plan of correction was fully implemented as of the review dates 03/29/2023, 03/30/2023, and 04/11/2023.
Findings
The facility was found to have failed to report an incident of missing cash and financial exploitation by a staff member in a timely manner. The residence also neglected to notify residents and their designated persons of potential harm or theft after becoming aware of financial exploitation incidents. Plans of correction were submitted and determined to be fully implemented.
Deficiencies (2)
Failure to report an incident of missing cash to the Department in a timely manner.
Failure to notify residents and designated persons of potential harm or theft after awareness of financial exploitation by staff.
Report Facts
License Capacity: 141
Residents Served: 87
Current Hospice Residents: 4
Total Daily Staff: 127
Waking Staff: 95
Residents with Mobility Need: 40
Residents 60 Years or Older: 86
Inspection Report
Complaint Investigation
Census: 67
Capacity: 141
Deficiencies: 0
Date: Mar 8, 2023
Visit Reason
The inspection was conducted as a complaint investigation at THE VILLAGE AT LIFEQUEST nursing facility on 03/08/2023.
Complaint Details
The inspection was complaint-driven and the complaint was not substantiated as no deficiencies were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 141
Residents Served: 67
Current Hospice Residents: 2
Total Daily Staff: 88
Waking Staff: 66
Residents Age 60 or Older: 67
Residents with Mobility Need: 21
Residents with Physical Disability: 1
Inspection Report
Plan of Correction
Census: 84
Capacity: 141
Deficiencies: 3
Date: Mar 1, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation with multiple off-site review dates from 03/01/2023 to 03/09/2023 to assess compliance and the implementation of a plan of correction.
Complaint Details
The visit was complaint-related, investigating allegations of financial exploitation and abuse involving missing checks and cash from residents. The allegations were substantiated by findings of delayed reporting and unauthorized staff actions.
Findings
The facility was found to have deficiencies related to resident abuse reporting, incident reporting, and abuse/neglect involving missing checks and cash from residents, with delayed reporting to authorities. The submitted plan of correction was fully implemented by 05/22/2023.
Deficiencies (3)
Failure to immediately report suspected resident abuse involving missing checks and cash to the local Area Agency on Aging.
Failure to report incidents to the Department’s assisted living residence office or complaint hotline within 24 hours as required.
Resident neglect and abuse involving missing personal checks and cash, unauthorized entry by staff into residents' apartments without cause.
Report Facts
License Capacity: 141
Residents Served: 84
Staffing Hours - Total Daily Staff: 117
Staffing Hours - Waking Staff: 88
Residents Age 60 or Older: 83
Residents with Mobility Need: 33
Inspection Report
Complaint Investigation
Census: 70
Capacity: 141
Deficiencies: 3
Date: Oct 17, 2022
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 10/17/2022.
Complaint Details
The visit was complaint-related, with the complaint substantiated by findings of missing narcotic pills and improper incident reporting.
Findings
The inspection found deficiencies related to incident reporting and medication storage procedures, including failure to report a missing pill incident and leaving medication carts unlocked and unattended. The facility submitted plans of correction which were accepted and later determined to be fully implemented.
Deficiencies (3)
Failure to report an incident of a missing pill during the narcotic audit for resident 1 to the Department.
Medication treatment cart was left unlocked and unattended in the medication area.
Missing pills from narcotic medications during change of shift with no record of what happened to the medication.
Report Facts
License Capacity: 141
Residents Served: 70
Total Daily Staff: 95
Waking Staff: 71
Missing Pills Count: 2
Inspection Report
Complaint Investigation
Census: 67
Capacity: 141
Deficiencies: 5
Date: Apr 14, 2022
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Complaint Details
The inspection was complaint-driven, triggered by a complaint alleging inadequate resident care and staffing issues. The complaint was substantiated based on findings during the inspection.
Findings
The inspection identified multiple deficiencies related to resident care including inadequate assistance with activities of daily living (ADLs), personal hygiene, awake staff during overnight shifts, staffing levels, and failure to follow prescriber’s orders. A plan of correction was accepted and fully implemented by June 20, 2022. A follow-up monitoring inspection on June 23 and 30, 2022 found no regulatory citations.
Deficiencies (5)
Resident #1 was found with dried feces on finger/finger nails and a heavily soaked brief, and was wearing the same stained clothes as the previous day, indicating inadequate assistance with toileting and hygiene.
Resident #1 was observed in the same stained clothes during a family visit, indicating inadequate assistance with personal hygiene.
Agency staff were reported to sleep during overnight shifts, violating the requirement that direct care staff be awake at all times.
Resident #1's bowel movement checks prescribed three times daily were not performed during the night on 04/08 and 04/09/2022 due to absence of in-house med-tech/nurse.
Staffing levels were inadequate to meet the health and safety needs of residents as identified in their assessments and support plans.
Report Facts
License Capacity: 141
Residents Served: 67
Total Daily Staff: 88
Waking Staff: 66
Residents Served: 63
Total Daily Staff: 82
Waking Staff: 62
Inspection Report
Follow-Up
Census: 75
Capacity: 141
Deficiencies: 6
Date: Mar 30, 2022
Visit Reason
The inspection was a complaint-related partial unannounced visit conducted to review the submitted plan of correction and verify compliance.
Complaint Details
The visit was complaint-related and included substantiation of medication errors, staffing shortages, and failure to report incidents to the Department.
Findings
The facility was found to have multiple deficiencies related to medication administration errors, insufficient staffing to meet resident needs, failure to report incidents to the Department, and failure to provide required assisted living services including medication administration and housekeeping. The submitted plan of correction was accepted and fully implemented.
Deficiencies (6)
Resident #1 had not been receiving prescribed medication for low thyroid since admission and the incident was not reported to the Department.
Resident #1 did not receive Lorazepam medication as prescribed and narcotic medication counts were not completed every shift due to staff shortage.
Staffing levels were insufficient to meet resident needs, causing long wait times for call bells, dining, medication administration, and other services.
Medication procedures lacked proper documentation of administration and investigation of medication errors; resident's medication administration record was incomplete.
The home failed to follow prescriber's orders for medication administration and errors were attributed to insufficient staff.
The residence did not provide required assisted living services including assistance with medication administration and housekeeping based on resident needs.
Report Facts
License Capacity: 141
Residents Served: 75
Total Daily Staff: 101
Waking Staff: 76
Medication doses missed: 1
Inspection Report
Renewal
Census: 75
Capacity: 141
Deficiencies: 17
Date: Mar 3, 2022
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 03/03/2022 and 03/04/2022 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including incomplete medical evaluations, insufficient staff CPR certification, inadequate fire safety orientation for new staff, failure to evacuate residents to designated meeting places during fire drills, medication storage and labeling issues, and missing or outdated resident assessments. Plans of correction were accepted and documented as implemented.
Deficiencies (17)
Resident #1's medical evaluation was not completed within required time frames.
Insufficient number of staff trained in first aid and CPR during night shifts for 73 residents.
New staff did not receive orientation on fire safety and emergency preparedness topics.
Direct care staff did not complete required training on resident rights, emergency medical plan, abuse reporting, and core competencies within 40 hours.
Staff person A did not receive dementia-specific training within 30 days of hire.
Lint accumulation found in dryer lint trap, posing fire hazard.
Residents did not evacuate to designated meeting places during multiple fire drills.
Medical evaluations for residents #2 through #6 lacked medication regimen and related information.
Resident #2's most recent medical evaluation was overdue.
First aid kit in resident transport vehicle lacked protective eye coverings.
Discontinued medication found in medication cart for resident #7.
Medication packaging for resident #7 was tampered with (taped blister pack).
Pharmacy label missing from medication bottle for resident #9.
OTC medications for resident #10 were not labeled with resident's name.
Resident #1's prescribed medication for diarrhea was not present in the home.
Glucometer for resident #7 was not calibrated to correct time.
Resident #2's most recent assessment was overdue.
Report Facts
Residents served: 75
License capacity: 141
Staff persons trained in CPR: 2
Residents not evacuated: 58
Residents not evacuated: 72
Inspection Report
Follow-Up
Census: 78
Capacity: 141
Deficiencies: 12
Date: Feb 7, 2022
Visit Reason
The inspection was a follow-up review conducted on 02/07/2022 and 02/08/2022 to verify that the submitted plan of correction was fully implemented following a prior incident-related partial inspection.
Findings
The facility was found to have fully implemented the submitted plan of correction. Several deficiencies were identified in the prior inspection related to contract signatures, abuse/neglect, staff qualifications, staffing hours, fire safety orientation, medical evaluations, and support plan reviews, all of which had corrective actions accepted and documented as implemented.
Deficiencies (12)
The 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 #2 was physically abused by staff A who threw a urinal at the resident's hand causing a bruise.
Staff A threw a clean undershirt at resident #2 in response to a request to change it, showing lack of dignity and respect.
Direct care staff A lacked a high school diploma, GED, or active registry status on file.
Insufficient direct care staffing hours were provided for residents with mobility needs on 01/31/2022 and 02/02/2022.
Less than 75% of personal care service hours were provided during waking hours on 01/31/2022 and 02/02/2022.
Staff person A's orientation on fire safety and emergency preparedness was not on file.
Staff A's orientation on resident rights, emergency medical plan, abuse reporting, and core competency training was not on file.
Resident #2’s initial assessment was completed by staff person B without RN supervision.
Resident #1's support plan was not reviewed on a quarterly basis as required.
Resident #1's medical evaluation did not include a TB skin test or chest X-ray date.
Report Facts
License Capacity: 141
Residents Served: 78
Total Daily Staff: 104
Waking Staff: 78
Residents with Mobility Need: 26
Direct Care Staffing Hours Required: 99
Direct Care Staffing Hours Provided: 94
Direct Care Staffing Hours Required: 100
Direct Care Staffing Hours Provided: 94
Direct Care Staffing Hours During Waking Hours: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Byron Kareeb Crocket | Agency RCA | Named in abuse and neglect and staff qualification findings |
| Colleen Grove | Sales and Marketing Director | Named as staff person B who completed initial assessment without RN supervision |
Inspection Report
Plan of Correction
Census: 71
Capacity: 141
Deficiencies: 2
Date: Jan 5, 2022
Visit Reason
The inspection was a follow-up review of the submitted plan of correction for the facility, conducted off-site on 01/05/2022, related to an incident.
Findings
The plan of correction was determined to be fully implemented. Deficiencies included incomplete fire drill records and missing immunization history and tuberculin skin test results in a resident's medical evaluation, both of which were corrected and documented.
Deficiencies (2)
The fire drill record for the drill conducted on 12/20/21 does not include the amount of time it took for evacuation, the exit route used, and the number of residents evacuated.
The medical evaluation for resident #1, dated 1/28/21, does not include immunization history and does not have an indication that a tuberculin skin test has been administered with negative results within 2 years.
Report Facts
License Capacity: 141
Residents Served: 71
Current Residents in Hospice: 3
Total Daily Staff: 95
Waking Staff: 71
Residents 60 Years or Older: 70
Residents with Mobility Need: 24
Notice
Capacity: 141
Deficiencies: 0
Date: Aug 31, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for The Village at LifeQuest Assisted Living Home, following receipt of the renewal application dated July 29, 2021.
Findings
The Department confirms receipt of the renewal application and issuance of a regular license. It advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 141
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Delores Jones | Assisted Living Administrator | Recipient of the renewal license notification |
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
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