Horsham Center For Jewish Life
Inspection Findings
F-Tag F0740
F 0740 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Based on clinical record review, and staff interviews it was determined that the facility failed to ensure each resident is provided with the necessary behavioral health care in a timely manner to attain or maintain the highest practicable mental and psychosocial well-being for one of five resident records reviewed (Resident Resident R1).Findings Include: Review of care plan for Resident Resident R1 dated August 4, 2025, revealed that the resident was at risk to be verbally aggressive (yelling/cursing when redirected) related to dementia. Interventions included, Psychiatric/Psychogeriatric consult as indicated.Review of clinical record for Resident Resident R1 dated July 1, 2025, revealed that the resident noted to be agitated, resident was going into other residents' rooms, several attempts were made to redirect the resident, and it was unsuccessful. Staff remained with resident for supervision, and the residents were not cooperative with therapy.Review of physician progress note dated July 9, 2025, revealed that staff reported patient had wandering and some inappropriate behaviors.
Some agitation was noted related to living situation.Review of clinical record for Resident Resident R1 dated August 4, 2025, revealed that resident's sister-in-law, called the social worker and reported that resident was angry, mean and cursing at her and his niece, over the weekend. Resident appears calm today. Social Worker sent referral to psych for consultReview of clinical record for Resident Resident R1 dated August 16, 2025, revealed that
the resident became increasingly agitated and verbally aggressive toward staff when approached regarding bedtime routine. At around 7 a.m., the nurse was notified by the front desk that resident had called 911.
Dispatch reported that the resident appeared confused and stated he was located outside of the facility. The resident was reorientated. Continued review of clinical record revealed that the resident did not leave the facility.Review of clinical record for Resident Resident R1 dated August 23, 2025, revealed that the resident observed to be agitated and combative. Resident was verbally redirected at times.Review of psych consult binder available at the nurses station revealed that the resident was not on the list to be seen or documentation that the resident was seen.Review of facility electronic communication log between the facility staff and psych provider revealed that a request for psych consultation for Resident Resident R1 was sent 30 days ago. 12 days ago a follow up message was sent for consultation. Both of the messages were unanswered.Interview with director of nursing, Employee E2 on September 3, 2025, at 1:17 p.m. confirmed that the resident was not seen by psychiatric services and should have been seen as soon as possible.28 Pa. Code 211.12(d)(1)(3)(5) Nursing services.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
HORSHAM CENTER FOR JEWISH LIFE in NORTH WALES, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NORTH WALES, PA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HORSHAM CENTER FOR JEWISH LIFE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.