Jersey Shore Skilled Nursing: Toileting Care Failures - PA
The falsified record was part of a broader pattern of toileting care failures that affected multiple residents at Jersey Shore Skilled Nursing and Rehabilitation Center, according to a complaint inspection completed August 14, 2025.
Resident 5 went without toilet, bladder or bowel assistance on 19 separate shifts during July alone. Staff skipped her care on July 1st during both day and evening shifts. They missed five more shifts between July 9th and 15th. The pattern continued through the end of the month, with staff failing to provide assistance on July 22nd, 23rd, 24th, 25th, 27th, 30th and 31st.
The facility's own documentation survey confirmed these lapses.
For Resident 7, inspectors witnessed the gap between policy and practice in real time. Her care plan, last revised in June 2022, required staff to transfer her out of bed using a mechanical lift and assist with daily hygiene, grooming, dressing and eating as needed. A separate incontinence plan from April 2019 specified toileting after breakfast, after lunch, before supper, after supper, at bedtime, and during all overnight rounds.
Employee 3 finished Resident 7's morning care at 10:43 AM on August 14th. The resident remained in bed until skilled therapy staff arrived before lunch to transfer her to a wheelchair and take her off the nursing unit at 11:09 AM.
When inspectors found Resident 7 sitting in her wheelchair outside her room at 1:46 PM, they asked Employee 3 about her care. The worker admitted she had not transferred the resident out of her wheelchair or provided any incontinence care since completing morning care more than three hours earlier.
Resident 7 remained in her wheelchair until 2:30 PM, when Employee 3 and Employee 2 finally transported her back to her room using a lift device to provide care. She had gone without toileting assistance for nearly four hours despite her individualized plan requiring help after lunch.
Yet at 2:59 PM, Employee 3 initialed the task list documentation claiming she had completed the "Individual Toileting Plan" intervention after lunch. The record showed she had supposedly followed the prescribed schedule of toileting "after breakfast and Lunch before super and after super."
The documentation was false. No staff had assisted Resident 7 with toileting after lunch on August 14th.
The facility's care plan for Resident 7 acknowledged her "activities of daily living self-care deficit." She required a mechanical full body lift for transfers and assistance getting to a geriatric lounge chair. Staff were supposed to help with all aspects of personal care.
Instead, she sat immobilized in her wheelchair for hours without the incontinence care her condition required.
The inspection revealed a systematic breakdown in basic care delivery. Residents who depended entirely on staff for toileting assistance were left sitting in soiled conditions while workers signed records claiming they had provided the required help.
Pennsylvania nursing regulations require facilities to provide adequate nursing services to meet residents' needs. The state code specifically mandates that nursing care must address residents' activities of daily living and incontinence management.
But at Jersey Shore Skilled Nursing, the gap between required care and actual delivery stretched across multiple residents and dozens of missed shifts. Staff documented care they never provided while residents with incontinence went without assistance for hours at a time.
The administrator and director of nursing were interviewed about these failures on August 14th at 3:30 PM. The inspection report does not detail their responses to questions about why staff were falsifying toileting records or how long residents had been going without required incontinence care.
For residents like Resident 7, who cannot transfer themselves or manage their own toileting needs, such lapses represent a fundamental breakdown in dignity and basic human care. The facility's own policies recognized these needs. Staff simply failed to meet them while documenting that they had.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Jersey Shore Skilled Nursing and Rehabilitation Ce from 2025-08-14 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
JERSEY SHORE SKILLED NURSING AND REHABILITATION CE in JERSEY SHORE, PA was cited for violations during a health inspection on August 14, 2025.
Resident 5 went without toilet, bladder or bowel assistance on 19 separate shifts during July alone.
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.