Masonic Village at Lafayette Hill

In the surveyor’s words

From the most serious findings on record at Masonic Village at Lafayette Hill, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 17, 2025

  Based on observations, review of facility policy and interviews with staff, it was determined that the facility did not ensure that food stored in the refrigerator and freezer was stored by professional standards for food service safety. Findings Include:The facility policy titled Production, Purchasing, Storage - Food and Supply Storage Procedure, last revised in January 2024, states: All food, non-food items, and supplies used in food preparation shall be stored in such a manner as to prevent contamination and to maintain the safety and wholesomeness of the food for human consumption. Under the procedures section, it further specifies: Most, but not all, products contain an expiration date. The words ‘sell-by,' ‘best-by,' ‘enjoy-by,' or ‘use-by' should precede the date. […]

• No harm, potential for more than minimal, isolatedF689Jun 18, 2026

  Based on review of clinical records, observations, and staff interview, it was determined that the facility failed to ensure safety interventions for falls were in place for one of three residents reviewed (Resident R21).Findings include:Clinical record review revealed Resident R21 was admitted to the facility on [DATE] with a diagnosis of Alzheimer's disease (brain disease that causes memory loss and other cognitive impairment), lack of coordination, and repeated falls. Review of Resident R21's care plan, revised February 10, 2026, revealed floor mat was to be in place. Observation on June 17, 2026, at 9:50 a.m., revealed Resident R21 was lying in bed and did not have a floor mat on the floor next to the bed. […]

• No harm, potential for more than minimal, isolatedF585Jul 17, 2025

  Based on the Resident Council meeting and interviews with residents and staff, it was determined that the facility failed to ensure the grievance process was posted in a location visible and understandable to residents, grievance forms were not readily available for residents to complete for 7 out of 7 residents reviewed (Residents R26, R18, R39, R30, R42, R14 and R23). During the Resident Council meeting held on July 15, 2025, at 1:30 PM, seven alert and oriented residents (R26, R18, R39, R30, R42, R14, and R23) indicated that they were unaware of how to file a grievance if they had a concern. When Resident R26 was asked if she knew the grievance procedure, she responded that she would talk to the receptionist. […]

• No harm, potential for more than minimal, isolatedF628Jul 17, 2025

  Number of residents sampled:13Number of residents cited:1 Based on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident and resident representative received written notice of the facility bed-hold policy at the time of a facility-initiated transfer and the reason for the move in writing and in a language and manner they understand for one of 13 residents reviewed for hospitalization. (Resident R54)Findings include:Review of nursing note for Resident R54, dated May 3, 2025, revealed that Resident R54 was transferred to hospital emergency room for evaluation after a fall.Review of Resident R54's clinical record revealed that there was no documented evidence that the resident and his representative were provided with a written… […]

• No harm, potential for more than minimal, isolatedF655Jul 17, 2025

  Number of residents sampled:13Number of residents cited:1Based on review of facility policies, clinical records and staff interviews, it was determined that the facility failed to ensure that a written summary of the baseline care plan was provided to the resident and/or the resident's representative for one of 13 residents reviewed (Residents R3).Findings include:Review of Resident R3's clinical record revealed that the resident was admitted to facility on May 30, 2025.Interview with Resident R3's representative on July 14, 2025, stated the facility did not provide a copy of the baseline care plan after the admission.Review of the clinical record revealed no documented evidence that resident and/or the resident's representative received a written summary of the baseline care plan… […]