Embassy of East Mountain: Nutrition Failures Cited - PA
That is what a complaint inspection, completed August 21, 2025, found at the Wilkes-Barre nursing home. The resident, identified in inspection records as Resident CR1, had a documented nutritional need serious enough that his diet had been changed to pureed food. His representative told inspectors she remembered exactly one phone call from the facility about his weight, and that call came only when the diet change happened.
After that, silence.
The facility's own registered dietician confirmed it. During an interview at approximately 12:30 PM on the day of the inspection, the RD told inspectors she could not produce any documented evidence that the facility had discussed resident-specific nutritional interventions with Resident CR1's representative. Not a note. Not a care conference summary. Nothing showing the family had been brought in to help figure out how to keep him nourished.
The facility had ordered a frozen nutritional treat supplement for Resident CR1. The medication administration record showed he didn't receive it until February 20, 2025. Inspectors found no documentation explaining why it took that long to implement.
In the meantime, when Resident CR1 was eating less than 50 percent of his meals, staff were supposed to be offering him alternatives. The RD confirmed there was no documented evidence that anyone was doing that either, or recording it if they were.
Resident CR1's representative told inspectors the facility never discussed resident-specific interventions with her that might help maintain his nutritional status. She wasn't consulted about what he might accept, what he preferred, what had worked before. The diet restriction changed to puree, she got one call, and then the facility handled the rest internally. Except the inspection record suggests the facility wasn't handling it at all.
The nursing home administrator and director of nursing sat down with inspectors at 12:45 PM that same day. They confirmed what the dietician had already said: no documented evidence explaining the delay in starting the supplement, no documented evidence of alternative meal offerings when he ate poorly, and no documented evidence the facility made any effort to involve his representative in building a plan to keep him fed.
All three confirmed it in the same hour.
The deficiency was cited under the federal tag F0692, covering a resident's right to receive care that maintains acceptable nutritional status. Inspectors rated the level of harm as minimal harm or potential for actual harm, and noted the violation affected few residents. Pennsylvania state code citations covered medical records, resident care policies, and nursing services.
What the inspection does not contain is any documentation the facility produced after the fact to explain the gap. The administrator and director of nursing did not offer an alternative account of what happened. They confirmed the gaps were real.
Resident CR1's representative had been waiting for a conversation that never came. Her family member's weight was declining enough to require pureed food, a frozen supplement had been prescribed and then sat unimplemented for weeks, and the one person with standing to advocate for him in care planning was told nothing after that initial call about the diet change.
The record shows she asked. The facility couldn't show it answered.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Embassy of East Mountain from 2025-08-21 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: October 10, 2026 · Our methodology
EMBASSY OF EAST MOUNTAIN in WILKES-BARRE, PA was cited for violations during a health inspection on August 21, 2025.
That is what a complaint inspection, completed August 21, 2025, found at the Wilkes-Barre nursing home.
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.