Above average — CMS composite of the measures below.
The next survey window likely opens around April 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 Lifequest Nursing Center during CMS and state inspections, most recent first.
A resident with Parkinson's Disease and dysphagia was dependent on staff for ADLs, including eating, per the MDS and care plan. During a meal observation, the resident spilled food on his chest, clothes, and face while trying to feed himself; staff briefly fed a few spoonfuls and left, and the resident was not assisted with the remainder of the meal or cleaned afterward. An LPN and the administrator/RNAC confirmed the resident was totally dependent on staff for meal assistance.
A resident with Parkinson's Disease, muscle weakness, dysphagia, and cognitive impairment was dependent on staff for ADLs and had a restorative nursing program for passive ROM during morning and evening care. The clinical record lacked documentation showing the resident was offered or received the ROM program for 14 of the last 30 days, and the Administrator confirmed the missing evidence.
A resident with dementia, weakness, abnormal gait/mobility, and repeated falls was identified as cognitively impaired and high risk for falls, with a care plan calling for staff assistance with ambulation. Despite this, the resident repeatedly wandered, was difficult to redirect, had an unsteady gait, and fell 21 times over four months in common areas, the room, hallway, bathroom, and while trying to sit in a recliner occupied by another resident.
A resident with opioid dependence and chronic pain syndrome was ordered PRN oxycodone-acetaminophen for moderate to severe pain, and the care plan included rest periods, quiet, and a calm environment. The MAR showed the PRN narcotic was administered multiple times without documented evidence that these non-pharmacological interventions were attempted first.
The facility failed to submit direct care staffing data in the PBJ system for one reviewed quarter. Review of the PBJ staffing report showed no data was submitted for Quarter one, and the Administrator confirmed the facility did not submit staffing data to CMS for that quarter.
Surveyors found that food and equipment were not stored or maintained under sanitary conditions in the kitchen and on one nursing unit. Issues included lack of hand soap at a handwashing station, uncovered and overflowing garbage cans near food prep areas, expired food items in storage, improper storage of gloves and clean mugs near garbage, dirty equipment, and uncovered or improperly sealed food in refrigerators and freezers. Additionally, a microwave on a nursing unit was found to be dirty and corroded.
The facility did not complete MDS assessments within the required time frames for two residents. One resident's quarterly assessment was not completed by the due date, and another resident's admission assessment remained incomplete past the required period, as confirmed by the Administrator.
A resident with dementia and hemiplegia, identified as being at risk for falls and requiring staff assistance for mobility, was observed in bed multiple times without the prescribed floor mats in place, despite a care plan specifying their use. The DON confirmed the mats should have been present.
Staff did not attempt or document non-pharmacological pain interventions before administering as-needed tramadol to two residents with dementia and chronic pain, despite facility policy requiring such steps. The DON confirmed the lack of documentation for these interventions in the medication administration records.
A resident with hypertension, congestive heart failure, and chronic kidney disease did not receive care as per physician's orders. Elastic stockings were not applied as scheduled, and daily weights were not recorded on multiple occasions. The DON confirmed these deficiencies.
The facility failed to document the rationale for continued PRN psychotropic medication use for four residents with dementia, major depressive disorder, and Alzheimer's. Orders for medications like lorazepam, Ativan, and trazodone lacked time frames for use beyond 14 days, and the medications were administered multiple times without appropriate documentation. The DON confirmed the absence of time frames for these medications.
A resident with spastic hemiplegia, cerebral palsy, and muscle weakness did not receive podiatry care since admission, despite being alert and oriented. The resident expressed the need for toenail cutting, and the facility administrator confirmed the lack of scheduled podiatrist visits, indicating a deficiency in nursing services.
The facility did not act on pharmacy recommendations for two residents prescribed Seroquel without appropriate diagnoses. A pharmacist identified the need for diagnosis changes to justify the medication use, but the physicians failed to document these changes. The DON confirmed the oversight.
Failure to Assist Dependent Resident With Meals
Penalty
Summary
The facility failed to provide care and services to maintain activities of daily living, specifically eating, for one resident with Parkinson's Disease and dysphagia. The resident's MDS showed cognitive impairments and dependence on staff for ADLs, including eating, and the care plan directed staff to assist with eating and personal hygiene. During observation, the resident was in bed with a lunch tray, attempted to feed himself, and spilled food onto his chest, clothes, and face. Staff briefly entered, fed a few spoonfuls, and left, after which the resident continued trying to eat with his fingers and remained unassisted for the rest of the meal. Later, when the resident asked a nurse aide for help, the aide returned and laid the resident down without assisting him to clean food from his face or chest/clothing. LPN and administrative staff confirmed the resident was totally dependent on staff for meal assistance.
Failure to Document Restorative ROM Services
Penalty
Summary
The facility failed to provide restorative nursing services to maintain or improve range of motion on a consistent basis for one resident. The resident had diagnoses including Parkinson's Disease, muscle weakness, and dysphagia, and the MDS showed cognitive impairments with dependence on staff for ADLs, including personal hygiene and eating. The care plan identified an ADL self-care deficit with staff assistance interventions, and a restorative nursing program for passive range of motion during morning and evening care was recommended. Clinical record review showed there was no documentation supporting that the resident was offered or provided the passive range of motion restorative nursing program for 14 of the last 30 days, and the Administrator confirmed the lack of documented evidence that the program was provided with morning and evening cares.
Failure to Supervise a High-Fall-Risk Resident
Penalty
Summary
The facility failed to ensure adequate supervision to prevent falls for Resident 102, a cognitively impaired resident with diagnoses including dementia, weakness, abnormalities of gait and mobility, and repeated falls. The resident’s MDS assessment indicated cognitive impairment, the care plan identified the resident as at risk for falls, and the care plan included an intervention for staff to assist with ambulation. A fall risk assessment identified the resident as high risk for falls. Facility documentation showed that Resident 102 fell repeatedly over a four-month period, including falls in the common area, room, hallway, bathroom, outside the room doorway, against a fire door, and while attempting to sit in a recliner occupied by another resident. The resident was also documented as wandering, difficult to redirect, restless, anxious, agitated, and unable to be redirected, with notes describing an unsteady gait, non-stop wandering, moving chairs and tables, nearly falling on multiple occasions, and self-ambulating without assistance. The report states that the resident fell 21 times in four months.
Failure to Document Non-Pharmacological Pain Interventions Before PRN Narcotic Use
Penalty
Summary
The facility failed to attempt non-pharmacological interventions to relieve pain before administering an as-needed narcotic pain medication for one resident. The resident had diagnoses including opioid dependence and chronic pain syndrome, and the physician ordered oxycodone-acetaminophen every six hours as needed for moderate to severe pain. The resident’s care plan included interventions for staff to provide rest periods, quiet, and a calm environment to help relieve pain, but the medication administration record showed the as-needed narcotic was given without documented evidence that these non-pharmacological interventions were attempted seven times in March 2026 and 18 times in April 2026.
Failure to Submit PBJ Staffing Data
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information in the Payroll Based Journal (PBJ) system for one reviewed quarter. Review of the PBJ staffing data report showed that no staffing data was submitted for Quarter one, covering October 1, 2025 through December 31, 2025. During an interview on April 30, 2026 at 1:50 p.m., the Administrator confirmed that the facility failed to submit staffing data to CMS for the PBJ report for Quarter one of 2026.
Failure to Maintain Sanitary Food Storage and Preparation Conditions
Penalty
Summary
Surveyors observed multiple failures to maintain sanitary conditions in the facility's kitchen and on one nursing unit. In the main kitchen, there was no hand soap at a handwashing station, and an uncovered garbage can was placed next to a food preparation surface. Garbage was overflowing and in contact with a table top can opener. The vent cover to the ice machine was dusty, and the top of the ice machine had debris, rust, and water. In dry storage, a dented can of pumpkin was found, along with containers of cereal and cous cous that were past their use by dates. At the beverage station, an uncovered garbage can was present with boxes of gloves stored above it, and clean gloves were hanging out of the boxes and touching the garbage can. Clean mugs used for resident trays were stored next to the uncovered garbage can. There was also a brown substance on the flour bin cover, and in the walk-in refrigerator, a pan of pickles was left uncovered. In the walk-in freezer, opened packages of turkey bacon and ground beef patties were not resealed and left exposed to air. On the DEF nursing unit, the microwave was found to have an accumulation of splatter from unknown substances on the inside of the door and walls, and the top of the inside was discolored, chipped, and corroded. These observations indicate that food and equipment were not stored, prepared, or maintained in accordance with professional standards, as required by regulations.
Failure to Complete MDS Assessments Within Required Time Frames
Penalty
Summary
The facility failed to complete Minimum Data Set (MDS) assessments within the federally required time frames for two residents. According to the Resident Assessment Instrument (RAI) user manual, admission MDS assessments must be completed within 13 days of entry, and quarterly assessments must be completed every quarter. Clinical record review showed that one resident did not have a quarterly MDS assessment completed by the required reference date, and another resident's admission MDS assessment was still in progress and not completed within the specified time frame. The Administrator confirmed that these assessments were not completed as required.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to implement required safety interventions for a resident with dementia and hemiplegia who was assessed as being at risk for falls. Clinical records showed that the resident required staff assistance for bed mobility and transfers and had a history of multiple falls, as documented in progress notes over several months. The resident's care plan specified that the bed should be kept in a low position with floor mats on both sides while the resident was in bed. However, during multiple observations over three days, the resident was found in bed without the floor mats in place. The DON confirmed that the mats should have been present according to the care plan.
Failure to Attempt Non-Pharmacological Pain Interventions Prior to PRN Medication
Penalty
Summary
The facility failed to follow its pain management policy, which required staff to attempt non-pharmacological interventions before administering as-needed pain medication. For two residents with dementia and chronic pain conditions, clinical record reviews showed that staff administered tramadol on multiple occasions without any documented evidence that non-pharmacological methods were tried first. There were also no records indicating that the residents refused such interventions. Specifically, one resident with dementia, mobility issues, and pain in the right arm and left lower leg received tramadol as needed for moderate pain, but the medication administration records for two months showed no documentation of attempted non-pharmacological interventions prior to medication administration. Another resident with dementia, weakness, and low back pain also received tramadol as needed for all levels of pain, with similar lack of documentation for non-pharmacological interventions. The Director of Nursing confirmed that such interventions should have been documented but were not.
Failure to Implement Physician's Orders for Resident Care
Penalty
Summary
The facility failed to implement physician's orders for a resident with diagnoses including hypertension, congestive heart failure, and chronic kidney disease. A physician's order required the application of elastic stockings to the resident's lower extremities every morning for fluid retention, scheduled for 6:00 a.m. On October 1, 2024, the resident was observed without the stockings, and she confirmed that staff had not offered or applied them for some time. The nurse aide also confirmed the stockings were not in place. Additionally, physician's orders required daily weight monitoring for the resident. However, the treatment administration record for September 2024 showed no evidence of weight being obtained on several specified dates, with no indication of resident refusal. The Director of Nursing confirmed the failure to apply the stockings and obtain daily weights as ordered.
Failure to Document PRN Psychotropic Medication Use
Penalty
Summary
The facility failed to document the rationale and justification for the continued use of as-needed (PRN) psychotropic medications for four residents who had orders for anti-psychotic medications. Resident 4, diagnosed with dementia, had a physician's order for lorazepam every four hours PRN for anxiety, but the order lacked a time frame for continued use beyond 14 days. The medication was administered three times over three months without appropriate documentation. Similarly, Resident 10, also diagnosed with dementia, had an order for Ativan every six hours PRN for anxiety, with no time frame for continued use beyond 14 days, and the medication was administered once in April 2024. Resident 16, with major depressive disorder and anxiety, had a PRN order for trazodone at night for insomnia, again lacking a time frame for continued use beyond 14 days. Resident 77, diagnosed with Alzheimer's disease, had an order for Ativan every six hours PRN for agitation/restlessness, with no time frame for continued use beyond 14 days. The medication was administered multiple times from December 2023 to April 2024. The Director of Nursing confirmed the absence of a time frame for the continued use of these PRN psychotropic medications.
Failure to Provide Timely Podiatry Care
Penalty
Summary
The facility failed to provide adequate and timely podiatry care for a resident diagnosed with spastic hemiplegia, cerebral palsy, and muscle weakness. The resident, who was alert and oriented, expressed on May 7, 2024, that he had not received any foot care from a podiatrist since his admission. A review of the clinical records confirmed the absence of documented podiatry visits since the resident's admission. The facility administrator acknowledged on May 9, 2024, that the resident had not been scheduled for any monthly podiatrist visits, confirming the deficiency in providing necessary nursing services as per 28 Pa. Code 211.12(d)(1)(5).
Failure to Act on Pharmacy Recommendations for Anti-Psychotic Medication Use
Penalty
Summary
The facility failed to ensure timely action on pharmacy recommendations for two residents. According to the facility's policy, a consultant pharmacist is required to perform a medication regimen review (MRR) for each resident receiving medication and report any irregularities to the attending physician. For Resident 10, who was diagnosed with dementia and prescribed Seroquel for generalized anxiety disorder, the pharmacist noted that the diagnosis did not justify the use of an anti-psychotic medication. The pharmacist recommended changing the diagnosis to one that would justify the use of Seroquel. Although the physician acknowledged the MRR, there was no documented evidence that the diagnosis was changed as recommended. Similarly, Resident 85, who was prescribed Seroquel for behaviors, lacked an allowable diagnosis to support its continued use. The pharmacist recommended using the diagnosis of depression with psychotic features to justify the medication. The physician acknowledged the MRR but did not respond to the recommendation, and there was no documented evidence of a diagnosis change. The Director of Nursing confirmed that the diagnoses for both residents had not been updated to reflect the pharmacist's recommendations.
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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.
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Nursing homes near Quakertown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belle Terrace | 1.9 mi | ★★★★★ | 15 | 0 |
| Quakertown Center | 2.4 mi | ★★★★★ | 8 | 0 |
| Phoebe Richland Hcc | 4 mi | ★★★★★ | 6 | 0 |
| Valley Manor Rehabilitation And Healthcare Center | 5.6 mi | ★★★★★ | 7 | 0 |
| Pennsburg Manor | 6.3 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.