Inspection Reports for Welsh Mountain Home
567 SPRINGVILLE ROAD,, NEW HOLLAND, PA, 17557
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
67% occupied
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 35
Capacity: 52
Deficiencies: 1
Date: Jul 8, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 07/08/2025 to review the submitted plan of correction related to an incident at the facility.
Complaint Details
The visit was incident-related and involved a complaint investigation regarding staff treatment of residents, specifically verbal disrespect and potential abuse. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented, with steps taken including staff re-education on abuse, neglect, and resident rights, as well as leadership performance improvement plans. The facility was found to be in compliance at the time of this follow-up inspection.
Deficiencies (1)
On 5/5/25, staff member A responded disrespectfully to residents, including telling a resident with intellectual disability to cut a banana themselves and confronting another resident loudly inappropriately.
Report Facts
License Capacity: 52
Residents Served: 35
Residents Receiving Supplemental Security Income: 18
Residents 60 Years or Older: 31
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 11
Inspection Report
Renewal
Census: 32
Capacity: 52
Deficiencies: 2
Date: Feb 20, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found violations related to improper food storage and labeling, including food items not stored in sealed containers and food items without proper labeling of open or expiration dates. The facility submitted a plan of correction which was determined to be fully implemented.
Deficiencies (2)
Multiple food items were observed in dry food, refrigeration, and freezer storage which were not in sealed containers.
Multiple food items were observed that were opened but not labeled with the date they were opened or transferred.
Report Facts
License Capacity: 52
Residents Served: 32
Total Daily Staff: 32
Waking Staff: 24
Inspection Report
Renewal
Census: 33
Capacity: 52
Deficiencies: 7
Date: Apr 9, 2024
Visit Reason
The inspection was conducted as a full, unannounced renewal inspection with an incident review at Welsh Mountain Home on 04/09/2024 and 04/10/2024.
Findings
The inspection found several deficiencies including unlabeled bar soap in a shared bathroom, lint accumulation in a dryer lint trap, an out-of-date fire extinguisher, missing medications for residents, incomplete medication records, lack of resident education on the right to refuse medication, and a delayed preadmission screening form. Plans of correction were accepted and implemented by May 13, 2024.
Deficiencies (7)
Unlabeled, used bar of soap located on the sink counter in the shared bathroom of Resident Rooms 107 and 109.
Approximate 1/2-inch accumulation of lint in the lint trap of Dryer #3 in the basement laundry room.
Fire extinguisher next to Resident Room #108 on the first floor has not been inspected by a fire safety expert since September 2022.
Medications prescribed for Resident #2 and Resident #3 were not available in the home during inspection.
Medication administration records for Resident #2 and Resident #4 were incomplete or missing required information such as prescribed medication and diagnosis/purpose.
Resident #1 has not been educated on the right to refuse medication if a medication error is suspected.
Resident #1's preadmission screening form was completed after admission, not within 30 days prior as required.
Report Facts
License Capacity: 52
Residents Served: 33
Total Daily Staff: 33
Waking Staff: 25
Residents Receiving Supplemental Security Income: 5
Residents Age 60 or Older: 29
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 12
Residents with Mobility Need: 0
Residents with Physical Disability: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Named in multiple findings related to soap dispenser correction, lint removal, medication storage, medication record audits, and staff education. | |
| Director of Facilities | Named in fire extinguisher inspection finding and corrective actions. | |
| Director of Resident Services | Named in resident right to refuse medication education and notification. | |
| Administrator | Reviewed violation reports and conducted staff education meetings. |
Inspection Report
Renewal
Census: 39
Capacity: 52
Deficiencies: 2
Date: Nov 22, 2022
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and licensing status.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained. Specific deficiencies related to fire drill scheduling and medication storage procedures were addressed with corrective actions.
Deficiencies (2)
The last fire drill conducted during sleeping hours was not held within the required six-month interval.
Glucometer errors were observed for a resident, including incorrect entries and missing blood sugar readings on the medication administration record.
Report Facts
Licensed Capacity: 52
Census: 39
Staffing Hours: 39
Staffing Hours: 29
Residents Diagnosed with Mental Illness: 8
Residents Diagnosed with Intellectual Disability: 15
Residents Age 60 or Older: 39
Residents Receiving Supplemental Security Income: 1
Residents with Physical Disability: 1
Inspection Report
Routine
Deficiencies: 0
Date: Nov 1, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice
Capacity: 52
Deficiencies: 0
Date: May 14, 2021
Visit Reason
This document serves as a certificate of compliance and a license renewal notice for Welsh Mountain Home, a Personal Care Home, confirming the facility's authorized capacity 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 to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notice letter |
Inspection Report
Renewal
Census: 36
Capacity: 52
Deficiencies: 4
Date: Mar 3, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Welsh Mountain Home facility to review compliance and the implementation of the submitted plan of correction.
Findings
The facility was found to have deficiencies related to medication procedures, refusal of medication reporting, following prescriber's orders, and discharge or transfer notice requirements. The submitted plan of correction was determined to be fully implemented.
Deficiencies (4)
The home's procedures for the safe use of medications and medical equipment did not include updated procedures for storing medications in locked boxes in resident rooms, documentation of receipt of prescription medications, and investigation of missing medications and medication errors.
Resident 2 refused administration of prescribed Lidocaine 4% patches on multiple dates and these refusals were not reported to the prescriber.
Resident 1 was prescribed Alive Gummy MVI daily, but the medication was not administered from 2/20/2021 to 2/22/2021 due to unavailability in the home.
The home discharged Resident 3 without a 30-day advance written notice and without certification by a physician or the Department, despite the resident jeopardizing own health, safety, or well-being and that of others.
Report Facts
License Capacity: 52
Residents Served: 36
Staffing Hours: 36
Waking Staff: 27
Medication refusal dates: 9
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