01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-01 | 2 | 2026-04-01 | 4 |
| Cycle 2 | 2025-03-20 | 3 | 2025-03-20 | 3 |
| Cycle 3 | 2024-04-04 | 4 | 2024-04-04 | 0 |
CMS CCN 3956342026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Souderton Mennonite Homes
207 West Summit Avenue · Souderton, PA 18964 · Montgomery County
Certified beds71CMS provider file
Recent citation rows16current 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.
02 / CITATION DETAIL
16 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-01 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-202026-04-01 · FIREK0133Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2026-05-272026-04-01 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-05-272026-04-01 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-05-272026-04-01 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-05-272025-12-02 · 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 · 2025-12-15 · complaint2025-03-20 · HEALTHF0607Severity B · pattern; potential for 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 · 2025-04-152025-03-20 · 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 · 2025-04-152025-03-20 · HEALTHF0810Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction field: Deficient, Provider has date of correction · 2025-04-152025-03-20 · FIREK0133Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-03-20 · 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 · 2025-05-012025-03-20 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-05-012024-04-04 · HEALTHF0575Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Correction field: Deficient, Provider has date of correction · 2024-05-272024-04-04 · 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 · 2024-05-272024-04-04 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-05-272024-04-04 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-05-2703 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ALDERFER, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/24/2008
- BERGEY, LUKEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2020
- BRUBAKER, EDWARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/24/2008
- DERSTEIN, MAURAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- DUERKSEN, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2011
- GINGRICH, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- HUNSBERGER, BRYANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/24/2008
- KOLB, AMYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/31/2017
- KOLB, LYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/24/2008
- MEYER, JOSHUAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- RUTH, JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/31/2017
- WEAVER, WENDELLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- FRIENDS SERVICES FOR THE AGINGOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2015
- LIVING BRANCHESOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/24/2008
- MATEVOSYAN INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/13/2013
- PHYSICIAN AND TACTICAL HEALTHCARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2012
- ARROYO, JILLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/05/2019
- COLE, MONIQUEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/05/2017
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 hours4.46per resident day
RN hours1.36per resident day
Weekend nurse hours4.01per resident day
Staff turnover35.9%CMS reported field
06 / LOCAL RECORDS
Open the Pennsylvania ledger →Other published facilities nearby
No second facility in the same city met the directory rule.