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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.37·(225)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.4
Meals
4.4
Amenities
4.4
Value
3.4
Pros
Compassionate and attentive staff
Engaging and varied activities program
High-quality, resident-informed dining
Clean, bright, well-maintained common areas
Spacious, well-lit apartment-style rooms
Secured memory-care wing with wayfinding aids
On-site physical, occupational, and speech therapy
Prompt maintenance and housekeeping response
Active executive and marketing leadership
Frequent live music, concerts, and social events
Attractive grounds and outdoor seating
Kitchenette and private-bathroom apartment options
On-site salon and personal-care services
Transportation and scheduled outings
Hotel-like interior design and ambiance
Pet-friendly programming and animal visits
Short-term/respite stay capability
Variety of apartment floorplans and amenities
Cons
Inconsistent clinical staffing levels
Delays in clinical response and incident follow-up
Gaps in medication administration and end-of-life management
Variable competency and training among direct-care staff
Communication gaps with families and medical updates
Incontinence-care delays and intermittent sanitation concerns
Occasional billing and deposit disputes
Limited visitation flexibility during infection-control periods
Variability in memory-care practices and oversight
Allegations of inappropriate medication administration in isolated incidents
Summary of reviews
The Birches at Harleysville presents as a socially active, well-appointed assisted-living community with many strengths alongside a set of operational inconsistencies. Common positives throughout the reviews include a warm, family-like staff culture; a broad and creative activities program that emphasizes music, live entertainment, trips and themed events; and a dining program that many residents describe as varied and resident-responsive (including regular chef feedback meetings). Physically, the building is regularly described as bright, clean, and hotel-like, with spacious, well-lit apartments, private-bath/kitchenette options, attractive grounds, and visible investments in communal spaces and safety features (walk-in showers, grab bars, secured memory-care access, and photo/ID verification systems). On-site rehabilitation, salon services, transportation, and short-term respite options are additional practical strengths.
Care quality narratives are mixed. Many families and residents praise attentive nursing, competent therapy teams, and supportive daily care that help residents regain mobility and enjoy social engagement. Conversely, a subset of reviews raise substantive concerns about clinical oversight: inconsistent staffing levels (particularly nights and some shifts), delays in recognizing or responding to acute events, and gaps in medication administration and end-of-life symptom management. These operational weaknesses are described as intermittent but consequential when they occur; several families stated they needed to advocate repeatedly to secure timely clinical attention or clarifications about medications. There are also isolated but serious allegations concerning medication practices that prospective families should clarify with administration.
Staff, management, and communication show a dichotomy. Executive leadership, marketing, and many frontline staff receive frequent praise for being welcoming, helpful, and organized—families cited effective placement, smooth transitions, and visible engagement from managers. At the same time, some reviewers experienced communication breakdowns: slow or inconsistent updates about clinical changes, difficulty reaching nursing leadership, and occasional disagreements over billing or deposit resolution. Training variability among direct-care staff and uneven housekeeping/room-cleaning consistency were also noted as operational gaps that affect comfort and confidence.
Dining and activities are consistent selling points: residents report generous meal choices, three-course dinners on occasion, and many opportunities for socialization and stimulation. A few reviewers mentioned monotony in certain menu items (for example, frequent bread/carbohydrate-heavy offerings) and extra charges for guest meals. The memory-care wing is described as secure and thoughtfully designed by many, though other accounts highlight variability in dementia-specific clinical practices and safety oversight. Overall patterns suggest a community with strong social, culinary, and environmental assets but with intermittent and important operational weaknesses in clinical staffing, medication and incident response, family communication, and some aspects of day-to-day care delivery. Prospective residents and families would benefit from targeted questions at tour/contract stage about staffing ratios by shift, incident/ER protocols, medication management procedures, visitation policies during infection-control events, housekeeping schedules, and billing/deposit terms to better match the community’s strengths to individual care needs.
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Location
The Birches at Harleysville is located at 691 Main St, Harleysville, PA, 19438.
About The Birches at Harleysville
The Birches at Harleysville sits in a welcoming spot with a stately clocktower and a close-knit feel where people see friendly faces each day, and you'll find a lot of comforts here from open gardens, peaceful walking paths, and indoor relaxation spaces to an art studio, aviary, and a movie theater, so folks have places to enjoy whether they like being inside or outside, and the dining room serves hearty meals three times daily with choices for folks with allergies or special diets so everyone gets something that suits them. The staff speak English and help out with personal care, medication, bathing, dressing, and getting around, and licensed nurses and internal medicine staff are here for health needs, with Fox Therapy Program offering expert therapy like occupational and physical rehab right in the community, and there's a memory care unit for people with dementia that's got specially trained staff to give the right level of care. You'll see the beauty salon and barbershop for anyone who enjoys a fresh haircut or manicure and there's a library, a computer room, a game room, and places for arts and crafts, plus coffee and snacks at the café, and if you need to get somewhere, you can take the community's transportation to stores or appointments, with guest parking available when family visits. People can pick from Personal Care or Daybreak Memory Care apartments, and all the rooms come with cable TV, kitchenettes, and laundry, and the monthly lease covers housekeeping, meals, laundry, and amenities that let folks keep active like the fitness room, swimming pool, workshops, outings, games, religious services in the chapel, and therapy visits even from Gus, a therapy visitor, plus events for holidays and kids, so there's always something happening if you want to join. The Birches at Harleysville offers many levels of care-assisted living, memory care, independent living, nursing care, even adult day services-with fees starting at $4,390 for assisted living and $6,190 for memory care, and everything's licensed under state license number 142660 with a community score of 3.8, so it's a place where people can get the help they need without feeling like they're giving up their independence or comforts, and it's run by Heritage Senior Living which helps keep the place supportive and organized, with specialized programs set up to make sure everyone's needs can be met while still letting people enjoy their daily routines and social life.
People often ask...
The Birches at Harleysville offers competitive pricing, with rates starting at a cost of $5,530 per month.
The Birches at Harleysville offers assisted living and memory care.
There are 28 photos of The Birches at Harleysville on Mirador.
The full address for this community is 691 Main St, Harleysville, PA 19438.
No, The Birches at Harleysville does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Pennsylvania, the Department of Human Services licenses personal care homes and assisted living residences and publishes its licensing inspection summaries.
Identified deficiencies related to a bedroom door that would not lock and use of a common towel in memory care, with sanitation issues in a shared bathroom.
—Furniture and Equipment
—No Common Towel
22 Apr 2026Inspection
22 Apr 2026Inspection
Identified deficiencies in staff background checks, training documentation, and medication storage and handling.
2600.Criminal History Checks
2600.Training Records
2600.Prescription medications, OTC medications, CAM and syringes locked
2600.Storing Medications
2600.Implement Storage Procedures
03 Feb 2026Inspection
03 Feb 2026Inspection
Identified multiple deficiencies across abuse reporting, incident documentation, staffing background checks, medication management, and resident safety procedures.
Identified deficiencies in providing required ADL assistance and supervision for residents with mobility needs.
Type A2600.23.aADL assistance as indicated in assessment and support plan
Type A2600.23.aADL assistance as indicated in assessment and support plan
29 Jul 2025Inspection
29 Jul 2025Inspection
Determined that a resident's objection to admission to the secured dementia care unit was documented, and continued compliance must be maintained.
—Documentation that resident and designated person have not objected to admission or transfer to the secured dementia care unit
04 Apr 2024Inspection
04 Apr 2024Inspection
Cited deficiencies related to unsecured poisonous materials and unlabeled OTC/CAM items. Observed items in resident areas that were unlocked and not properly labeled.
2600.82.cPoisonous materials must be locked and inaccessible
2600.184.bOTC/CAM labeling
28 Feb 2024Inspection
28 Feb 2024Inspection
Identified multiple deficiencies including enabler bars not secured to beds, unlocked hazardous materials, a combustible item, expired medications, and incomplete preadmission screenings.
2600Resident Personal Equipment
2600Locking Poisonous Materials
2600Combustible Restrictions
2600Prescription Current
2600Implement Storage Procedures
2600Preadmission Screen Form
21 Dec 2023Inspection
21 Dec 2023Inspection
Found no deficiencies identified during licensing review conducted on December 21, 2023.
09 Aug 2023Inspection
09 Aug 2023Inspection
Cited deficiencies in developing and signing resident support plans. Also found the initial SDU support plan was not completed within the required 72 hours.
2600.227.gSupport Plan Signatures
2600.234.aAdmission Support Plan
22 Mar 2023Inspection
22 Mar 2023Inspection
Identified multiple deficiencies related to safety equipment, food storage temperatures, fire drill scheduling, and medication administration.
2600First Aid Kit
2600Refrigerator/Freezer Temps
2600Fire Drills Days/Times
2600Follow Prescriber’s Orders
17 Oct 2022Inspection
17 Oct 2022Inspection
Found no deficiencies related to incident reporting and staff training. The report described ongoing monitoring, daily sharing with leadership, and scheduled QA meetings.
23 Jun 2022Inspection
23 Jun 2022Inspection
Found no deficiencies.
13 May 2022Inspection
13 May 2022Inspection
Identified a Morphine dosing deviation during a medication review; a higher dose was administered contrary to prescriber directions.
2600.187.dFollow Prescriber's Orders
22 Apr 2022Inspection
22 Apr 2022Inspection
Found a deficiency in a resident's medical evaluation for lacking a medical diagnosis and emergency-related information.
2600.141.aMedical Evaluation Information
06 Apr 2022Inspection
06 Apr 2022Inspection
Found that a resident's prescribed Levothyroxine was not administered as directed for about a month.
2600.187.dFollow Prescriber's Orders
23 Mar 2022Inspection
23 Mar 2022Inspection
Identified life-safety deficiencies related to egress, locking devices, and hazardous storage, including obstructed exit paths and non-electronic locks on exit routes.
2600.121aUnobstructed Egress
2600.121bLocking Device Approval
2600.123aExit Doors
2600.125aCombustible Storage
2600.233dElectronic/Magnetic System
12 Jan 2022Inspection
12 Jan 2022Inspection
Investigated several incidents and safety concerns; found multiple deficiencies related to incident reporting, resident safety, background checks, and care planning.
2600.16.cWritten Incident Report
Type B2600.42.bAbuse
2600.51Criminal History Checks
2600.201Positive Interventions
Type B2600.234(b)Support Plan Needs Elements
28 Dec 2021Inspection
28 Dec 2021Inspection
Found deficiencies related to contract signatures, resident rights documentation, staff orientation, egress safety, and medication administration.
2600.25.bContract Signatures
2600.41.eSigned Statement
2600.65aFS Orientation 1st Day
2600.65bRights/Abuse 40 Hours
2600.121aUnobstructed Egress
2600.187bDate/Time of Medication Admin.
2600.187dFollow Prescriber's Orders
2600.191Resident Right to Refuse
2600.227gSupport Plan Signatures
08 Nov 2021Inspection
08 Nov 2021Inspection
Found multiple deficiencies in staff qualifications, training, resident rights, and care documentation.
2600Direct care staff qualifications
2600Current first aid training
2600FS Orientation - 1st Day
2600Rights/Abuse 40 Hours
2600Access to Bedroom
2600Encourage Nutrition
2600Record of Training
2600Support Plan Medical/Dental
2600Preadmission Screening
2600Treatment of Residents
23 Apr 2021Inspection
23 Apr 2021Inspection
Concluded deficiencies in assisting residents with medical appointments, treatment with dignity, and privacy were identified; the corrective actions were found to be fully implemented.
2600.23.bInstrumental Activities of Daily Living Assistance
2600.42.cTreatment of Residents
2600.42.sPrivacy
19 Mar 2021Inspection
19 Mar 2021Inspection
Issued a regular license upon renewal and granted a certificate of compliance.
02 Mar 2021Inspection
02 Mar 2021Inspection
Identified multiple deficiencies across records, medications, and safety practices.
2600.17Record Confidentiality
2600.82aPoisonous Materials
2600.82cLocking Poisonous Materials
2600.131fFire Extinguisher Inspection
2600.141b1Annual Medical Evaluation
2600.182cMedication Administration
2600.185bMedication Procedures
2600.187bDate/Time of Medication Admin.
2600.224aPreadmission Screen Form
2600.225aAssessment 15 Days
2600.227dSupport Plan Medical/Dental
2600.231bMedical Evaluation
04 Feb 2021Inspection
04 Feb 2021Inspection
Investigated identified multiple deficiencies across abuse reporting, privacy, training, sanitation, and medication management.
2600.15aResident Abuse Report
2600.16cWritten Incident Report
2600.18Applicable Health and Safety Laws
2600.42bAbuse
2600.42sPrivacy
2600.53cAdministrator Duties
2600.65e12 Hours Annual Training
2600.65fTraining Topics
2600.65gAnnual Training Content
2600.85aSanitary Conditions
2600.85dTrash Receptacles
2600.88aSurfaces
2600.103iOutdated Food
2600.162bMissed Meals
2600.183dPrescription Current
2600.185aImplement Storage Procedures
2600.186bMedication Used by Resident
2600.187dFollow Prescriber's Orders
2600.236Staff Training
19 Nov 2020Inspection
19 Nov 2020Inspection
Identified numerous deficiencies across hiring background checks, staff orientation and training, medication management, medical evaluations, and resident plan documentation.
2600.51; Older Adult Protective Services Act (35 P.S. § 10225.101—10225.5102) and 6 Pa. Code Chapter 15Criminal History Checks
2600.65aFire Safety Orientation 1st Day
2600.65bRights/Abuse 40 Hours
2600.65gAnnual Training Content
2600.82cLocking Poisonous Materials
2600.141.a1-10Medical Evaluation Information
2600.141.b1Annual Medical Evaluation
2600.182.cMedication Administration
2600.183.dPrescription Current
2600.183.eStoring Medications
2600.187.aMedication Record
2600.187.dFollow Prescriber's Orders
2600.188.bMedication Error Reporting
2600.225.aAssessment 15 Days
2600.225.cAdditional Assessment
2600.227.hSupport Plan Refuse Sign
11 Dec 2019Inspection
11 Dec 2019Inspection
The department renewed the license and issued a certificate of compliance, with an on-site inspection planned within the next year.
21 Nov 2019Inspection
21 Nov 2019Inspection
Determined that implemented measures were fully in place and ongoing compliance must be maintained.
04 Nov 2019Inspection
04 Nov 2019Inspection
Determined that the submitted plan of correction was fully implemented. Continued compliance must be maintained.
18 Sept 2019Inspection
18 Sept 2019Inspection
Identified violations of regulations during a September 2019 visit.
22 Aug 2019Inspection
22 Aug 2019Inspection
Identified violations of state rules related to resident rights, staff interactions, and documentation.
55 Pa. Code Ch. 2600Personal Care Homes requirements
08 Aug 2019Inspection
08 Aug 2019Inspection
Found violations cited under 55 Pa. Code Ch. 2600 during an August 2019 inspection.
55 Pa. Code Ch. 2600Personal Care Homes
19 Mar 2019Inspection
19 Mar 2019Inspection
Cited deficiencies under 55 Pa. Code Ch. 2600 after an on-site visit. Corrections were required by the dates specified.
18 Mar 2019Inspection
18 Mar 2019Inspection
Found no deficiencies identified during the March 18, 2019 visit.
14 Dec 2018Inspection
14 Dec 2018Inspection
Issued a certificate of compliance and renewed the license for the operation.
03 May 2018Inspection
03 May 2018Inspection
Investigated a complaint and identified a deficiency in the staff training plan for promoting cultural sensitivity toward older residents; a violation was cited.
65 Pa.Code §2600Training plan requirement
19 Dec 2017Inspection
19 Dec 2017Inspection
Found no deficiencies identified during the licensing inspection.
15 Dec 2017Inspection
15 Dec 2017Inspection
Granted a regular license and issued a certificate of compliance following the renewal application.
20 Jul 2017Inspection
20 Jul 2017Inspection
Identified multiple regulatory violations during a 2017 licensing action, including improper staff training requirements, unsecured medication storage, and incomplete medication records.
2600.85(d)Direct care staff training and competency
2600.183(b)Medication storage and security
2600.187(a)Medication records
27 Mar 2017Inspection
27 Mar 2017Inspection
Identified substantial compliance with regulations for personal care homes. No deficiencies cited.
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