Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Belle Terrace

QUAKERTOWN, PA · 59 certified beds · Last Life Safety survey December 5, 2025

CMS Certification Number 395574 · first certified June 1983

Ownership

Operated by MORDECHAI WEISZ · For profit - Limited Liability company

  • Ownership changed February 15, 2022 (change of ownership)from GUARDIAN ELDER CARE AT QUAKERTOWN I LLC
18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within PA

18 citations — more than 78% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026 — about 1 month from now. This facility’s last Life Safety survey was December 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

10 of the 18 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 18 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility18PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-1232025-0192025-12
Citations at each Life Safety survey
Survey dateCitations
December 28, 20236
January 16, 20253
December 5, 20259

Most-cited tags

Most-cited tags at this facility
E-00042E-00062E-00352K-09232E-00361E-00261E-00341E-00181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0004Develop and maintain an Emergency Preparedness Program (EP).22025-12-05
E-0006Conduct risk assessment and an All-Hazards approach.22025-12-05
E-0035Provide family notifications of emergency plan.22025-12-05
K-0923Have proper medical gas storage and administration areas.22025-01-16
E-0036Establish emergency prep training and testing.12025-12-05
E-0026Establish roles under a Waiver declared by secretary.12025-12-05
E-0034Provide a means of sharing information on occupancy/needs.12025-12-05
E-0018Establish procedures for tracking staff and patients during an emergency.12025-12-05

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 3
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies3
Smoke Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 5, 2025 — 9 citations

Citations issued on December 5, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (February 5, 2026)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (February 5, 2026)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (February 5, 2026)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (February 5, 2026)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (February 5, 2026)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (February 5, 2026)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (February 5, 2026)
K-0222Add 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.Deficient, Provider has date of correction (February 5, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (February 5, 2026)

January 16, 2025 — 3 citations

Citations issued on January 16, 2025
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 17, 2025)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (February 17, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 17, 2025)

December 28, 2023 — 6 citations

Citations issued on December 28, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 15, 2024)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (March 15, 2024)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (March 15, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 15, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 15, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 15, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.