Home / Pennsylvania / Souderton
Souderton Mennonite Homes
207 West Summit Avenue, Souderton, PA 18964 · Montgomery County · (215) 723-9881
71 certified beds, about 65 residents a day · Non profit - Corporation · Medicare and Medicaid since 1984
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395634 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 1, 2026, inspectors cited 1 health deficiency (the Pennsylvania average is 10, the national average 9.2).
None of its 9 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.46 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.36 of those hours.
35.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
404/24
303/25
112/25
104/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
0F
Potential for minimal harm
0A
2B
0C
April 1, 2026Standard inspection · 1 citation · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, facility policy review and staff interview, it was determined that the facility failed to maintain clinical records that were complete for three of six sampled residents. (Resident 4, 5, 43)
December 2, 2025Complaint inspection · 1 citation
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to develop and/or implement a comprehensive care plan that addressed individual resident needs as identified in the comprehensive assessment for one of five sampled residents. (Resident 1)
March 20, 2025Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement physician's orders for one of 18 sampled residents. (Resident 24)
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that adaptive equipment was provided to one of two sampled residents who required adaptive equipment with meals. (Resident 6)
- B Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on facility policy review, personnel file review, and staff interview, it was determined that the facility failed to complete a reference check and verify a professional license/registration status prior to the start of employment for one of five newly hired employees. (E2)
April 4, 2024Standard inspection · 4 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to implement physician's orders and follow bowel protocol for one of 18 sampled residents. (Resident 44)
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on clinical record review, and resident and staff interview, it was determined that the facility failed to ensure that catheter care and services were consistently provided for one of one sampled residents with an indwelling urinary catheter. (Resident 47)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review, and staff interview, it was determined that the facility failed to adequately monitor and assess significant weight loss for one of two sampled residents at risk for weight loss. (Resident 2)
- B 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.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to post pertinent names, addresses, and phone numbers of the Office of the State/County Long-Term Care Ombudsman Program in an area that was accessible to all residents and resident representatives.
Fire safety inspections
7 fire safety citations on file: 4 on April 1, 2026, 3 on March 20, 2025.
Every fire safety citation7 citations
- E Install a two-hour-resistant firewall separation.
- E Install an approved automatic sprinkler system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have proper medical gas storage and administration areas.
- E Install a two-hour-resistant firewall separation.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.46 | 3.89 | 3.86 |
| Registered nurses | 1.36 | 0.79 | 0.69 |
| All nursing staff on weekends | 4.01 | 3.53 | 3.42 |
| Nurse aides | 2.61 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 35.9% | 44.5% | 45.8% |
| Registered nurse turnover | 17.4% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.65 on weekdays and 4.01 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.31 in April to June 2025 to 4.46 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.46 | 1.36 | 4.65 | 4.01 | 0.4% | 0 of 90 | 65 |
| Oct to Dec 2025 | 4.54 | 1.37 | 4.72 | 4.07 | 9.7% | 0 of 92 | 68 |
| Jul to Sep 2025 | 4.29 | 1.28 | 4.46 | 3.87 | 1.9% | 0 of 92 | 69 |
| Apr to Jun 2025 | 4.31 | 1.22 | 4.46 | 3.92 | 0.7% | 0 of 91 | 70 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.5 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.0 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.9 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.6 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.8 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.2 | 1.8 |
Owners and operators
Legal business name: SOUDERTON MENNONITE HOMES.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alderfer, James | Corporate director | Individual | 11/24/2008 | |
| Bergey, Luke | Corporate director | Individual | 07/01/2020 | |
| Brubaker, Edward | Corporate director | Individual | 11/24/2008 | |
| Derstein, Maura | Corporate director | Individual | 07/01/2024 | |
| Duerksen, John | Corporate director | Individual | 07/01/2011 | |
| Gingrich, John | Corporate director | Individual | 07/01/2021 | |
| Hunsberger, Bryan | Corporate director | Individual | 11/24/2008 | |
| Kolb, Amy | Corporate director | Individual | 01/31/2017 | |
| Kolb, Lyle | Corporate director | Individual | 11/24/2008 | |
| Meyer, Joshua | Corporate director | Individual | 07/01/2019 | |
| Ruth, Jane | Corporate director | Individual | 01/31/2017 | |
| Weaver, Wendell | Corporate director | Individual | 07/01/2018 | |
| Friends Services for the Aging | Operational/managerial control | Organization | 01/01/2015 | |
| Living Branches | Operational/managerial control | Organization | 11/24/2008 | |
| Matevosyan Inc | Operational/managerial control | Organization | 09/13/2013 | |
| Physician and Tactical Healthcare Services LLC | Operational/managerial control | Organization | 04/01/2012 | |
| Arroyo, Jill | Operational/managerial control | Individual | 03/05/2019 | |
| Cole, Monique | Operational/managerial control | Individual | 09/05/2017 | |
| Gody, Theodore | Operational/managerial control | Individual | 01/27/2025 | |
| McCabe, Michael | Operational/managerial control | Individual | 06/09/2021 | |
| Metricarti, Alexandra | Operational/managerial control | Individual | 04/08/2010 | |
| Moore, David | Operational/managerial control | Individual | 01/15/2024 | |
| Myers, Steven | Operational/managerial control | Individual | 09/01/2009 | |
| Thim, Kristin | Operational/managerial control | Individual | 01/21/2020 | |
| Baker Tilly Us LLP | Adp of the SNF | Organization | 05/10/2016 | |
| Covenant Alliance Rehab East LLC | Adp of the SNF | Organization | 10/01/2025 | |
| Friends Services for the Aging | Adp of the SNF | Organization | 11/04/2025 | |
| General Health Care Resources, Inc. | Adp of the SNF | Organization | 05/18/2018 | |
| Matevosyan Inc | Adp of the SNF | Organization | 06/28/2017 | |
| Nursing Care Services, Inc. | Adp of the SNF | Organization | 08/21/2017 | |
| Physician and Tactical Healthcare Services LLC | Adp of the SNF | Organization | 11/04/2025 | |
| Titan Medical Group, LLC | Adp of the SNF | Organization | 02/04/2022 | |
| Wellness Pharmacy Services LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Arroyo, Jill | Adp of the SNF | Individual | 03/05/2019 | |
| Brubaker, Edward | Adp of the SNF | Individual | 11/24/2008 | |
| Cole, Monique | Adp of the SNF | Individual | 09/05/2017 | |
| Gody, Theodore | Adp of the SNF | Individual | 01/27/2025 | |
| Haimowitz, Daniel | Adp of the SNF | Individual | 01/01/2014 | |
| McCabe, Michael | Adp of the SNF | Individual | 06/09/2021 | |
| Metricarti, Alexandra | Adp of the SNF | Individual | 04/08/2010 | |
| Moore, David | Adp of the SNF | Individual | 01/15/2024 | |
| Myers, Steven | Adp of the SNF | Individual | 09/01/2009 | |
| Thim, Kristin | Adp of the SNF | Individual | 01/21/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 20, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 1, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 20, 2025: "Provide special eating equipment and utensils for residents who need them and appropriate assistance."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on March 20, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
Other nursing homes nearby
- Lutheran Community at Telford Telford, 1.3 mi · 5 of 5 stars · 7 citations
- Community at Rockhill, the Sellersville, 2.6 mi · 5 of 5 stars · 1 citation
- Dock Terrace Lansdale, 3.8 mi · 5 of 5 stars · 0 citations
- Peter Becker Community Harleysville, 4.1 mi · 4 of 5 stars · 4 citations
- Elm Terrace Gardens Lansdale, 5.3 mi · 5 of 5 stars · 4 citations
- Harborview Rehabilitation and Care Center at Lansd Lansdale, 5.3 mi · 2 of 5 stars · 62 citations
- St. Mary Center for Rehabilitation & Healthcare Lansdale, 5.9 mi · 4 of 5 stars · 18 citations
- Montgomeryville Skilled Nursing and Rehabilitati Montgomeryville, 6.3 mi · 1 of 5 stars · 45 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Souderton Mennonite Homes's Medicare star rating?
- CMS rates Souderton Mennonite Homes 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Souderton Mennonite Homes get at its last inspection?
- 1 health deficiency at the standard inspection on April 1, 2026. The Pennsylvania average is 10.
- Has Souderton Mennonite Homes been fined?
- CMS lists no fines in the last three years.
- Does Souderton Mennonite Homes accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Souderton Mennonite Homes?
- CMS lists 43 owners and managers. Legal business name: SOUDERTON MENNONITE HOMES.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.