CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3955742026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Belle Terrace

1320 Mill Road · Quakertown, PA 18951 · Bucks County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds59CMS provider file
Recent citation rows44current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-12-0572025-12-059
Cycle 22025-01-16142025-01-163
Cycle 32023-12-2852023-12-286
02 / CITATION DETAIL

44 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-06-17 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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.

Correction field: Deficient, Provider has date of correction · 2026-07-01 · complaint
2025-12-05 · FIREE0004Severity C · widespread; potential for minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-12-05 · FIREE0006Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-12-05 · FIREE0018Severity C · widespread; potential for minimal harm

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-12-05 · FIREE0026Severity C · widespread; potential for minimal harm

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-12-05 · FIREE0034Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-12-05 · FIREE0035Severity C · widespread; potential for minimal harm

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-12-05 · FIREE0036Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-12-05 · HEALTHF0554Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Correction field: Deficient, Provider has date of correction · 2026-01-12
2025-12-05 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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.

Correction field: Deficient, Provider has date of correction · 2026-01-12
2025-12-05 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-01-12
2025-12-05 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2026-01-12
2025-12-05 · HEALTHF0806Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Correction field: Deficient, Provider has date of correction · 2026-01-12
2025-12-05 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-01-12
2025-12-05 · FIREK0222Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-12-05 · FIREK0911Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Correction field: Deficient, Provider has date of correction · 2026-02-05
2025-04-23 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-05-23 · complaint
2025-04-23 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2025-05-23 · complaint
2025-01-16 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2025-02-17
2025-01-16 · HEALTHF0607Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2025-02-17
2025-01-16 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2025-02-17
2025-01-16 · HEALTHF0623Severity B · pattern; potential for minimal harm

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction field: Deficient, Provider has date of correction · 2025-02-17
2025-01-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-02-17
2025-01-16 · HEALTHF0691Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2025-02-17
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • METROPOLITAN COMMERCIAL BANKOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 02/15/2022
  • FENSTERHEIM, AVROHOMIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/07/2024
  • MCBREARTY HINDSON, ASHLEYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/07/2024
  • OAKWOOD MANAGEMENT GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/07/2024
  • FENSTERHEIM, AVROHOMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/07/2024
  • MCBREARTY HINDSON, ASHLEYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/07/2024
  • WEISZ, MORDECHAIIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/07/2024
  • ML FAMILY TREE TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/15/2022
  • ML KIDS HOLDINGS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/15/2022
  • OAKWOOD MANAGEMENT GROUP LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/07/2024
  • UB LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/12/2025
  • FENSTERHEIM, AVROHOMIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/07/2024
  • MCBREARTY HINDSON, ASHLEYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/07/2024
  • WEISZ, MORDECHAIIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/07/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.11per resident day
RN hours0.58per resident day
Weekend nurse hours2.94per resident day
Staff turnover71.2%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.