Abbeyville Skilled Nursing: Discharge Planning Failures - PA
The finding came out of a complaint inspection completed August 19, 2025, in which federal inspectors reviewed the clinical records of five residents, all of whom had already been discharged by the time investigators arrived. Every record told the same story: no discharge plan, from admission through the day each person walked out the door.
Resident R1's chart covered the full arc of a stay that ended July 1, 2025. Nothing. Resident R6 was discharged July 16, 2025. Nothing. Resident R7 left July 17. Resident R8 left July 24. Resident R15 also discharged July 16. Inspectors reviewed the complete care plans for all five, including every revision made during each stay, and found no plan of care developed for discharge in any of them.
The facility's own written policy, dated October 20, 2024, said discharge planning would begin on the day of admission and run through the entire care planning process. That policy had been in place for months before any of these residents arrived. It described an interdisciplinary team working alongside residents and their representatives to set goals, map out the type and frequency of care, and account for anything affecting whether that care was working.
None of that happened. Or if it did, nobody wrote it down.
On August 7, 2025, at approximately 2:30 in the afternoon, the nursing home administrator sat with inspectors and confirmed the failure outright. The facility had not developed a person-centered care plan related to discharge for any of the five residents reviewed.
That admission matters because discharge planning is not a formality. For a person leaving a skilled nursing facility, the weeks before discharge are often when decisions get made that shape what comes next: whether someone goes home with adequate support, whether medications are reconciled, whether follow-up care is arranged, whether a family caregiver knows what to watch for. A care plan for discharge is supposed to capture all of that in writing, with measurable goals and timelines, so that the resident, the family, and the clinical team are working from the same map.
These five residents left without one.
The violation was cited under F0656, which covers the requirement to develop and implement a complete, person-centered care plan. Inspectors tagged it at a level of harm described as minimal harm or potential for actual harm, meaning they could not point to a specific injury that resulted. That classification reflects what inspectors could document, not necessarily what each resident experienced after discharge.
What inspectors could document was a pattern. Five residents reviewed, five care plans missing the same thing. Not a single outlier, not one chart where someone had made the effort. The facility's own policy described a process that should have produced these plans automatically, starting at admission. Somewhere between that policy and actual practice, the process broke down entirely, and it broke down the same way every time.
The inspection report does not say whether any of the five residents or their families were aware that no discharge plan existed for them. It does not say whether anyone asked about one. It records only what was in the charts, and what was in the charts was nothing.
Abbeyville Skilled Nursing and Rehabilitation Center is located at 100 Abbeyville Road in Lancaster. The inspection was a complaint survey, meaning someone prompted the review, though the report does not specify the nature of the complaint that brought inspectors to the door.
Five people came to this facility needing skilled care. Five people left. Whether any of them got the coordinated, documented transition they were supposed to receive, the records cannot say, because the records were never made.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Abbeyville Skilled Nursing and Rehabilitation Cent from 2025-08-19 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: August 5, 2026 · Our methodology
ABBEYVILLE SKILLED NURSING AND REHABILITATION CENT in LANCASTER, PA was cited for violations during a health inspection on August 19, 2025.
Every record told the same story: no discharge plan, from admission through the day each person walked out the door.
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.