Starfile

Starfile / Pennsylvania

COMPLETE CARE AT HARSTON HALL LLC

350 HAWS LANE, FLOURTOWN, PA 19031 · CCN 395791

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
120
Avg residents/day
103.6
Phone
2152330700

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityPennsylvania avgNational avgvs state
12025-04-252610.19.5+15.9 worse
22024-06-212810.99.8+17.1 worse
32023-09-213610.59.3+25.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation5
Quality of life and care5
Resident assessment and care planning2
Nursing and physician services3
Resident rights4
Nutrition and dietary2
Pharmacy service2
Environmental2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.5960.3%
RN staffing (reported)0.6263.2%
Total nurse staffing (adjusted)3.50

Fines & penalties

Total fines
$17,113
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
COMPLETE CARE
Facilities in chain
85
Chain avg overall
3.20 / 5

Inspection citations (90)2 immediate jeopardy

  1. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2026-01-20 · Health

    Potential for more than minimal harm

  2. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-09-17 · Health · corrected 2025-10-10

    Potential for more than minimal harm

  3. DF0610Respond appropriately to all alleged violations.2025-09-17 · Health · corrected 2025-10-10

    Potential for more than minimal harm

  4. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  5. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  6. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  7. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  8. DF0610Respond appropriately to all alleged violations.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  10. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  11. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  12. DF0692Provide enough food/fluids to maintain a resident's health.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  14. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  15. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  16. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  17. EF0730Observe each nurse aide's job performance and give regular training.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  18. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  19. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  20. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  22. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  23. EF0880Provide and implement an infection prevention and control program.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  24. DF0908Keep all essential equipment working safely.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  25. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  26. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-04-25 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-21 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  28. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-05 · Health · corrected 2024-11-24

    Potential for minimal harm

  29. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-08-15 · Health · corrected 2024-09-20

    Potential for more than minimal harm

  30. DF0583Keep residents' personal and medical records private and confidential.2024-08-15 · Health · corrected 2024-09-20

    Potential for more than minimal harm

  31. KF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-08-15 · Health · corrected 2024-08-01

    Immediate jeopardy

  32. JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-15 · Health · corrected 2024-08-01

    Immediate jeopardy

  33. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-08-15 · Health · corrected 2024-09-20

    Potential for more than minimal harm

  34. EF0895Have a Compliance and Ethics Program.2024-08-15 · Health · corrected 2024-09-20

    Potential for more than minimal harm

  35. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  36. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  37. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  38. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-06-21 · Health · corrected 2024-08-12

    Potential for minimal harm

  39. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  40. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  41. DF0679Provide activities to meet all resident's needs.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  42. DF0685Assist a resident in gaining access to vision and hearing services.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  43. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  44. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  45. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  46. EF0730Observe each nurse aide's job performance and give regular training.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  47. EF0732Post nurse staffing information every day.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  48. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  49. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  50. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  51. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  52. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  53. EF0881Implement a program that monitors antibiotic use.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  54. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-06-21 · Health · corrected 2024-08-12

    Potential for more than minimal harm

  55. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

  56. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  57. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  58. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  59. DF0567Honor the resident's right to manage his or her financial affairs.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  60. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  61. DF0583Keep residents' personal and medical records private and confidential.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  62. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  63. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  64. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  65. DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  66. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  67. EF0610Respond appropriately to all alleged violations.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  68. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  69. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  70. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  71. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  72. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  73. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  74. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  75. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  76. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  77. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  78. EF0730Observe each nurse aide's job performance and give regular training.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  79. DF0732Post nurse staffing information every day.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  80. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  81. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  82. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  83. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  84. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  85. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  86. DF0880Provide and implement an infection prevention and control program.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  87. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  88. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  89. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  90. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-28 · Health · corrected 2023-07-20

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PC PA OPCOS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-05-01
PC WTA OPCO HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-05-01
PEACE CAPITAL HOLDINGS LLC (DE)Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-05-01
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-05-01
AUGE, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-01
LEVY, JOSHUAIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-01
SCHWARTZ, HERSHELIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-01
SHAND, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-01
WILLIAMS, CAMERONIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-01
STEIN, SHALOMIndividualCORPORATE OFFICER2021-05-01
WELLTOWER INCOrganization5% OR GREATER SECURITY INTEREST2021-05-01

Other facilities in FLOURTOWN

NameOverallBeds
SAINT JOSEPH VILLA★★★★★106

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.