Horsham Center for Jewish Life

In the surveyor’s words

From the most serious findings on record at Horsham Center for Jewish Life, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 8, 2025

  Based on the review of clinical records, facility documentation, facility policies, and interview with residents and staff, it was determined the facility failed to ensure a resident's environment was free of accident hazards, and failed to ensure hazardous materials were not accessible to one of nine residents (Resident R1). Staff failed to provide supervision for Resident R1 with documented history of suicidal ideation and who voiced suicidal thoughts. This failure resulted in Resident R1 obtaining a disposable razor and cutting her/his wrist. This failure placed Resident R1 at risk for serious injury and resulted in an Immediate Jeopardy situation for Resident R1. This deficiency is cited as past non-compliance. […]

• Immediate jeopardy, isolatedF689Aug 20, 2024

  Based on interviews, review of clinical records and facility documentation, it was determined that the facility failed to ensure that adequate supervision was provided to a resident who verbally expressed to nursing staff that she wanted to kill herself, which resulted in an Immediate jeopardy to Resident R1 who ingested acetaminophen, was transferred out to the hospital, had elevated blood levels of acetaminophen, and received treatment for intentional acetaminophen overdose (Resident R1). […]

• Immediate jeopardy, isolatedF689Aug 23, 2022

  Based on review of clinical records, interview with resident and staff, review of facility policies, it was determined that the facility failed to adequately supervise one of six residents reviewed (Resident R1) who was able to board a taxicab and elope from the facility. This failure placed Resident R1 at high risk for injury and resulted in an Immediate Jeopardy situation. Findings include: Review of the facility's policy title Elopements (undated) revealed that the facility assesses to identify residents who are at risk for elopement and strive to prevent harm while maintaining the least restrictive environment for residents. […]

• Actual harm, isolatedF698Feb 7, 2025

  Based on review of clinical records, interviews with staff, and facility policy, it was determined the facility failed to ensure residents who require dialysis treatment receive such services, consistent with professional standards of practice, including ongoing assessment of the resident's condition and monitoring for complications before, during, and after dialysis treatments for one of three dialysis resident's reviewed (Resident R104). The facility's failure to properly monitor Resident R104's right arm fistula (used for dialysis access) resulted in actual harm to Resident R104 who required an emergent transfer to the hospital from the dialysis center when the resident's fistula was assessed as swollen, infected with purulent (thick, yellowish substance that occurs with infection)… […]

• No harm, potential for more than minimal, widespreadF812Dec 8, 2021

  Based on observations, interviews with staff, and a review of facility policies and documentation, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. Findings include: A review of the facility Food and Supply Storage Procedures, with a revised date of January 2015, revealed that dry and staple items be stored at least 6 from the floor and 18 from the ceiling, and in a clean and dry location; Refrigerated Storage to Date and Rotate items; Frozen Storage to wrap food tightly to prevent cross contamination; Proper Refrigerator Storage chart shows that ground meat should be stored over poultry, which is to be on the lowest shelf. […]