Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hcc At White Horse Village during CMS and state inspections, most recent first.
The facility failed to maintain and inspect its sprinkler system, affecting the entire facility. Documentation was missing for a 3-year dry system full flow test and a 5-year internal valve and pipe inspection. This was confirmed during an interview with the Administrator and Maintenance Director.
The facility did not maintain and inspect portable fire extinguishers as required by NFPA 10. Documentation review revealed the absence of certification for the technician performing annual maintenance. This issue was confirmed during an exit interview with the Administrator and Maintenance Director.
The facility failed to maintain the fire resistance rating of common wall fire separations, affecting one of three levels. The rated double doors near the basement loading dock did not fully close and positively latch when tested. This was confirmed during an exit interview with the Administrator and Maintenance Director.
The facility did not maintain emergency battery back-up lighting in operable condition, affecting one of three floors. An observation revealed that the emergency light near the generator in the South Hall basement Generator Room failed to illuminate when tested. This was confirmed during an exit interview with the Administrator and Maintenance Director.
A heater fan was found blocking access to an electrical panel in the basement next to the kitchen storage room, compromising safety protocols. This was confirmed during an interview with the Administrator and Maintenance Director.
The facility failed to maintain smoke doors according to NFPA 101 standards, as observed when the double corridor smoke doors at room 108 did not close smoke tight. This issue was confirmed during an interview with the Administrator and Maintenance Director.
The facility was found to be in violation of NFPA standards due to improper use of surge protectors. A refrigerator and a microwave were plugged into surge protectors in the basement level offices, which is unauthorized. This was confirmed during an exit interview with the Administrator and Maintenance Director.
The Healthcare Center at White Horse Village was found deficient in its Emergency Preparedness Plan, failing to address the resident population, persons at-risk, and continuity of operations. This was confirmed during a survey and an exit interview with the Administrator and Maintenance Director.
The facility failed to develop emergency preparedness policies and procedures that include a system of medical documentation to preserve patient information, protect confidentiality, and maintain record availability. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director.
The facility's emergency preparedness plan was found deficient due to missing policies and procedures for using volunteers and integrating State and Federally designated health care professionals during emergencies. This deficiency, affecting the entire facility, was confirmed during a document review and exit interview with the Administrator and Maintenance Director.
The facility failed to provide documentation on its role under a waiver declared by the Secretary, as required by section 1135 of the Act. This deficiency was confirmed during a document review and an exit interview with the Administrator and Maintenance Director, affecting the entire facility's emergency preparedness.
The facility's emergency preparedness communication plan was found lacking a method for sharing patient information and medical documentation with other health care providers, affecting the entire facility. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director.
The facility's emergency preparedness communication plan was found lacking as it did not include a means of providing information about the ASC's needs and its ability to provide assistance to the authority having jurisdiction. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director.
The facility did not maintain an emergency preparedness communication plan that includes a method for sharing information with residents and their families. This deficiency was identified during a document review and confirmed in an interview with the Administrator and Maintenance Director.
The facility failed to store food in a sanitary manner, as required by policy. Surveyors found expired lime juice and illegible dates on liquid egg cartons in the main kitchen walk-in refrigerator. Additionally, unsealed frozen salmon was observed in the walk-in freezer. The Nursing Home Administrator and staff confirmed the issues, and the expired items were discarded.
Failure to Maintain and Inspect Sprinkler System
Penalty
Summary
The facility failed to maintain and inspect its sprinkler system as required, affecting the entire facility. During a document review on January 13, 2025, it was found that the facility could not provide documentation for a 3-year dry system full flow test and a 5-year internal valve and pipe inspection. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director.
Plan Of Correction
The proper documentation for the 3-year dry system full flow test and 5-year internal valve and pipe inspection was obtained from Metropolitan Fire Protection Co., Inc. The documentation will be kept on file and included in each annual documentation set as needed. Monthly audits will be done by the Maintenance Manager to ensure all documentation is current. All audits will be reviewed by the Director of Facilities and Plan Operations and submitted to the Quality Assurance Performance Improvement Committee monthly ongoing.
Failure to Maintain and Inspect Portable Fire Extinguishers
Penalty
Summary
The facility failed to maintain and inspect portable fire extinguishers in accordance with NFPA 10, affecting the entire facility. During a documentation review, it was found that the facility could not provide the certification for the technician responsible for the annual maintenance of the portable fire extinguishers. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director.
Plan Of Correction
The proper documentation was obtained from Clark Fire Protection. The certificate will be kept on file and updated as needed. Monthly audits will be done by the Maintenance Manager to ensure all documentation is current. All audits will be reviewed by the Director of Facilities and Plan Operations and submitted to the Quality Assurance Performance Improvement Committee monthly ongoing.
Fire Resistance Deficiency in Facility
Penalty
Summary
The facility failed to maintain the fire resistance rating of common wall fire separations, specifically affecting one of the three levels within the facility. During an observation on January 13, 2025, at 9:00 a.m., it was noted that the rated double doors near the basement loading dock did not fully close and positively latch when tested. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director at 10:15 a.m. on the same day.
Plan Of Correction
Rated Double Door has been adjusted to ensure the doors are smoke tight, close and positively latch to maintain their fire rating. Maintenance will conduct weekly audits for 4 weeks, then monthly audits to ensure doors are smoke tight. All audits will be reviewed by The Senior Director of Property and Facilities and submitted to the Quality Assurance Performance Improvement Committee on a monthly basis for 12 months.
Emergency Battery Back-Up Lighting Failure
Penalty
Summary
The facility failed to maintain emergency battery back-up lighting in operable condition, affecting one of three floors. During an observation on January 13, 2025, at 9:30 a.m., it was noted that the emergency battery back-up light nearest the generator in the South Hall basement Generator Room did not illuminate when tested. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day at 10:15 a.m.
Plan Of Correction
The emergency battery back-up light was replaced and tested as fully operable. Maintenance will conduct weekly audits for 4 weeks, then monthly audits to ensure the battery back-up light is fully operational. All audits will be reviewed by The Senior Director of Property and Facilities and submitted to the Quality Assurance Performance Improvement Committee on a monthly basis for 12 months.
Obstructed Access to Electrical Panel
Penalty
Summary
The facility failed to maintain clear accessibility to an electrical panel, which is a requirement for safety and compliance. During an observation on January 13, 2025, at 8:50 a.m., it was noted that a heater fan was obstructing access to an electrical panel located in the basement, adjacent to the kitchen storage room. This obstruction could potentially hinder quick access to the panel in case of an emergency, which is a critical safety concern. The deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day at 10:15 a.m. The interview verified that the blockage of the electrical panel was unauthorized, indicating a lapse in the facility's adherence to safety protocols. This oversight affected one of the three levels in the facility, highlighting a specific area where compliance with safety regulations was not met.
Plan Of Correction
The heater fan was removed at the time of survey on 1/13/2025 to ensure clear access to an electrical panel. Maintenance will conduct a daily audit for 30 days, then weekly audits are ongoing to ensure clear access to the electrical panel. Housekeeping, Laundry, Transportation, Maintenance, and Dining Staff will be in-serviced on keeping the electrical panels clear at all times. All audits will be reviewed by The Senior Director of Property and Facilities, and results submitted to the Quality Assurance Performance Improvement Committee on a monthly basis ongoing.
Smoke Doors Not Closing Smoke Tight
Penalty
Summary
The facility failed to maintain smoke doors in compliance with NFPA 101 standards, specifically affecting one of the three levels. During an observation on January 13, 2025, at 10:15 a.m., it was noted that the double corridor smoke doors at room 108 did not close smoke tight. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director at the same time and date.
Plan Of Correction
Both sets of doors have been adjusted to ensure doors are smoke tight and maintain their fire rating. Maintenance will conduct weekly audits for 4 weeks, then monthly audits to ensure doors are smoke tight. All audits will be reviewed by The Senior Director of Property and Facilities, and results submitted to the Quality Assurance Performance Improvement Committee on a monthly basis ongoing.
Improper Use of Surge Protectors in Facility
Penalty
Summary
The facility failed to comply with the National Fire Protection Association (NFPA) standards regarding the use of surge protectors, as observed during a survey. Specifically, the deficiency was noted on the basement level of the facility, where a refrigerator was plugged into a surge protector inside the Driver's Office, and a microwave was plugged into a surge protector inside the Security Office. These actions were identified as improper and unauthorized uses of surge protectors, which do not meet the required safety standards for electrical equipment in patient care areas. The deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director.
Plan Of Correction
The refrigerator and microwave plugs were removed from surge protectors at the time of inspection. The staff were in-serviced on proper use of outlet strips for electronics only. Maintenance will conduct weekly audits for 4 weeks, then monthly audits to ensure outlet strips are not used improperly. All audits will be reviewed by The Senior Director of Property and Facilities and submitted to the Quality Assurance Performance Improvement Committee on a monthly basis for 12 months. Emergency Plan - Plan of Correction
Deficiency in Emergency Preparedness Plan
Penalty
Summary
The Healthcare Center at White Horse Village was found to have deficiencies in its Emergency Preparedness Plan during a survey conducted on January 13, 2025. The facility failed to ensure that its policies and procedures adequately addressed the resident population, including persons at-risk, the type of services the facility could provide in an emergency, and the continuity of operations, including delegations of authority and succession plans. This deficiency was identified through a document review and confirmed during an exit interview with the Administrator and the Maintenance Director. The survey revealed that the facility's Emergency Preparedness Plan did not include the necessary documentation to address these critical areas, affecting the entire facility. The lack of documentation was confirmed during the exit interview, indicating a failure to comply with the requirements set forth in 42 CFR 483.73(a)(3). This deficiency has the potential for minimal harm, as it pertains to the facility's ability to effectively manage emergencies and ensure the safety and well-being of its residents.
Plan Of Correction
Facility established policy to define the patient population served, patients at risk and the types of services that the community can provide in an emergency to ensure continuity. The Senior Director of Property and Facilities will ensure the Emergency Operations Manual and related policies are reviewed on an annual basis. Results of review will be submitted by The Senior Director of Property and Facilities to the Quality Assurance and Performance Improvement Committee on an annual basis.
Deficiency in Emergency Preparedness Documentation
Penalty
Summary
The facility was found to be deficient in developing and implementing emergency preparedness policies and procedures that include a system of medical documentation. This system is required to preserve patient information, protect the confidentiality of patient information, and secure and maintain the availability of records. During a document review conducted on January 13, 2025, it was revealed that the facility failed to establish such a system, affecting the entire facility. An exit interview with the Administrator and the Maintenance Director confirmed the lack of documentation. This deficiency indicates that the facility did not comply with the regulatory requirements for emergency preparedness, specifically in maintaining a system that ensures the protection and availability of patient records. The absence of these policies and procedures could potentially impact the facility's ability to manage patient information effectively during emergencies.
Plan Of Correction
Facility established a policy for protection of privacy with appropriate users and disclosures of protected Health information during an emergency. The Senior Director of Property and Facilities will ensure the Emergency Operations Manual and related policies are reviewed on an annual basis. Results of review will be submitted by The Senior Director of Property and Facilities to the Quality Assurance and Performance Improvement Committee on an annual basis.
Deficiency in Emergency Preparedness Plan
Penalty
Summary
The facility was found deficient in its emergency preparedness plan due to the absence of policies and procedures addressing the use of volunteers and other emergency staffing strategies during an emergency. Specifically, the plan lacked documentation on the process and role for integrating State and Federally designated health care professionals to address surge needs during an emergency. This deficiency was identified during a document review conducted on January 13, 2025, at 8:00 a.m. During an exit interview with the Administrator and the Maintenance Director later that morning, the lack of documentation was confirmed. The deficiency affects the entire facility, as the emergency preparedness plan is a critical component in ensuring adequate staffing and resource allocation during emergencies. The absence of these policies and procedures indicates a gap in the facility's ability to effectively manage and respond to emergency situations.
Plan Of Correction
Facility established policy for the use of volunteers in an emergency or other staffing strategies. The Senior Director of Property and Facilities will ensure the Emergency Operations Manual and related policies are reviewed on an annual basis. Results of review will be submitted by The Senior Director of Property and Facilities to the Quality Assurance and Performance Improvement Committee on an annual basis.
Lack of Emergency Preparedness Documentation Under Waiver
Penalty
Summary
The facility failed to provide the necessary policy and procedure documentation regarding its role under a waiver declared by the Secretary, in accordance with section 1135 of the Act. This deficiency was identified during a document review conducted on January 13, 2025, at 8:00 a.m. The review revealed that the facility did not have an Emergency Preparedness Plan that included the required documentation concerning the roles under a waiver declared by the Secretary. An exit interview with the Administrator and the Maintenance Director confirmed the absence of this critical documentation. The lack of documentation affects the entire facility, as it pertains to the provision of care and treatment at an alternate care site identified by emergency management officials. This deficiency highlights a significant gap in the facility's emergency preparedness policies and procedures.
Plan Of Correction
Facility established policy to establish roles for providing care during emergencies under blanket or specific $1135 waivers. The Senior Director of Property and Facilities will ensure the Emergency Operations Manual and related policies are reviewed on an annual basis. Results of review will be submitted by The Senior Director of Property and Facilities to the Quality Assurance and Performance Improvement Committee on an annual basis.
Deficiency in Emergency Preparedness Communication Plan
Penalty
Summary
The facility's emergency preparedness communication plan was found to be deficient as it did not include a method for sharing information and medical documentation for patients with other health care providers. This deficiency was identified during a document review conducted on January 13, 2025, at 8:00 a.m. The absence of this critical component in the communication plan affects the entire facility, as it is essential for maintaining the continuity of care during emergencies. During an exit interview with the Administrator and the Maintenance Director on the same day at 10:30 a.m., it was confirmed that the facility lacked the necessary documentation to support the sharing of patient information and medical documentation. This oversight in the emergency preparedness communication plan indicates a failure to comply with the regulatory requirements, which mandate the inclusion of such methods to ensure effective communication and continuity of care in emergency situations.
Plan Of Correction
The facility established policy to share appropriate information from the facility's emergency plan with residents and their representatives. The Senior Director of Property and Facilities will ensure the Emergency Operations Manual and related policies are reviewed on an annual basis. Results of the review will be submitted by the Senior Director of Property and Facilities to the Quality Assurance and Performance Improvement Committee on an annual basis.
Deficiency in Emergency Preparedness Communication Plan
Penalty
Summary
The facility's emergency preparedness communication plan was found to be deficient as it did not include a means of providing information about the Ambulatory Surgical Center's (ASC) needs and its ability to provide assistance to the authority having jurisdiction, the Incident Command Center, or designee. This deficiency was identified during a document review conducted on January 13, 2025, at 8:00 a.m. During an exit interview with the Administrator and the Maintenance Director on the same day at 10:30 a.m., it was confirmed that the facility lacked the necessary documentation in its emergency preparedness communication plan. This oversight affects the entire facility, as it fails to comply with the requirement to maintain a comprehensive communication plan that includes the ASC's needs and capabilities.
Plan Of Correction
Facility established policy to provide information about the community's occupancy, needs and its ability to provide assistance, to authorities having jurisdiction. The Senior Director of Property and Facilities will ensure the Emergency Operations Manual and related policies are reviewed on an annual basis. Results of review will be submitted by The Senior Director of Property and Facilities to the Quality Assurance and Performance Improvement Committee on an annual basis.
Deficiency in Emergency Preparedness Communication Plan
Penalty
Summary
The facility failed to maintain and update an emergency preparedness communication plan that includes a method for sharing information from the emergency plan with residents and their families or representatives. During a document review on January 13, 2025, at 8:00 a.m., it was revealed that the emergency communications plan lacked this essential component, affecting the entire facility. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day at 10:30 a.m., where the lack of documentation was acknowledged.
Plan Of Correction
Facility established policy to share appropriate information from the facility's emergency plan with residents and their representatives. The Senior Director of Property and Facilities will ensure the Emergency Operations Manual and related policies are reviewed on an annual basis. Results of review will be submitted by The Senior Director of Property and Facilities to the Quality Assurance and Performance Improvement Committee on an annual basis.
Deficiency in Food Storage Practices
Penalty
Summary
The facility failed to store food in a sanitary manner in the kitchen, as observed during a survey. The facility's policy requires all food items in the refrigerator or freezer to be covered, labeled, dated, and discarded once expired. However, during an inspection of the main kitchen walk-in refrigerator, surveyors found an opened container of expired lime juice without a date of first use and three unopened expired containers of lime juice. Additionally, a case of liquid egg cartons was found with illegible dates, and a box with a bag of unsealed frozen salmon was observed in the walk-in freezer. The Nursing Home Administrator and Employee E3 confirmed the illegible dates and expired items, which were discarded at the time of the findings. Employee E3 stated that the expired eggs had recently arrived from the distributor and were dated at the facility. The Nursing Home Administrator confirmed that all food should be sealed, labeled, and dated appropriately, and discarded once expired.
What surveyors are citing around you — mapped
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What surveyors actually found near you
We read the 1,648 citations issued within 25 miles in the last 12 months — including the 19 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Newtown Square
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willowbrooke Court-granite | 2.8 mi | ★★★★★ | 0 | 0 |
| Willowbrooke Court Skd Care Center At Lima Estates | 3.5 mi | ★★★★★ | 0 | 0 |
| Fair Acres Geriatric Center | 3.5 mi | ★★★★★ | 17 | 0 |
| Aventura At Pembrooke | 4.1 mi | ★★★★★ | 18 | 1 |
| Sterling Health Care And Rehab Center | 4.4 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.