Cedarwood Rehab: Fall Safety Violation Found - PA]
The citation, tagged F689, stems from an incident on April 9, 2025. F689 is among the more serious deficiency tags federal inspectors assign, covering a nursing home's obligation to identify hazards and keep residents free from preventable accidents, including falls.
Inspectors also cited two Pennsylvania state nursing regulations alongside the federal tag. One governs admission policy. The other covers nursing services, specifically the duties of nursing staff to assess residents, follow physician orders, and ensure care is properly delivered and documented.
The inspection was triggered by a complaint, meaning someone, whether a resident, family member, or other party, contacted regulators before inspectors arrived. Complaint inspections are targeted. Surveyors come in looking for something specific, and in this case, they found it.
What exactly happened on April 9 the report does not spell out. The narrative is brief and the underlying details, the resident involved, the nature of the accident, what staff did or did not do, remain in the investigative record that was not released in this summary. What the citation itself signals is a gap in the care environment that inspectors determined put at least one resident at risk of harm.
Cedarwood operates in Tyrone, a small city in Blair County in central Pennsylvania. Facilities in smaller markets sometimes face particular staffing pressures, though the inspection record here does not address staffing levels directly. The nursing services citation covers a broad range of duties, and its pairing with an accident-prevention tag suggests inspectors found a breakdown somewhere between how a resident's needs were identified and how staff responded to them.
The report covers four pages. The final page contains the citations. There is no indication of whether the facility contested the findings or what corrective steps, if any, were underway at the time the report was finalized.
For the resident at the center of the April 9 incident, the outcome is not recorded here.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cedarwood Rehabilitation & Healthcare Center from 2025-04-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
CEDARWOOD REHABILITATION & HEALTHCARE CENTER in TYRONE, PA was cited for violations during a health inspection on April 17, 2025.
The citation, tagged F689, stems from an incident on April 9, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.