Lock Haven Rehab: Wound Care Competency Failures - PA
Not for the two licensed practical nurses. Not for the two registered nurses. Not for any of the four staff reviewed. The facility had nothing.
This wasn't a paperwork gap at the margins of care. On the morning of September 19, 2025, the Director of Nursing told inspectors that 54 residents at the facility currently had dressing changes, and 12 had pressure ulcers. Wound care was happening every day, across dozens of residents, some of them with open wounds serious enough to require ongoing treatment. Whether the nurses performing that care had ever been formally assessed for competency in doing it, nobody could say, because no record existed to answer the question.
The facility's own assessment listed what LPN training would cover: blood glucose monitoring, finger sticks, hand hygiene, PPE donning and doffing, the Heimlich maneuver, urine specimen collection, foley catheter insertion, medication administration. The list went on. Wound care and dressing changes were not on it.
For registered nurses, the facility assessment said even less. It contained no competency requirements for RNs at all.
Inspectors flagged this under a federal standard requiring facilities to ensure nursing staff possess the skills necessary to care for the residents actually living there. The logic is direct: a facility first has to understand who its residents are, what conditions they have, and what care they need, and then make sure its staff can actually provide that care. Lock Haven's own records showed wound care was a service the facility provided. Its own Director of Nursing confirmed the scope of that need on the morning of the inspection. The competency documentation to match that need did not exist.
The Director of Nursing and the Nursing Home Administrator were both present when inspectors reviewed these findings at 10:14 that morning.
The deficiency was cited at a level of minimal harm or potential for actual harm, meaning inspectors did not find that a specific resident had been injured as a direct result. But the citation covers four of four employees reviewed, which is to say every nurse whose records were checked came up empty. This was not one oversight. It was a systemic absence.
Pressure ulcers, the wounds that develop when sustained pressure cuts off blood flow to skin and tissue, are among the most closely watched indicators of nursing home care quality. They are painful, they can become infected, they can deepen from surface irritation into wounds that reach bone. Proper wound assessment and dressing technique matter in ways that are not abstract. A dressing applied incorrectly can introduce infection. A wound assessed inaccurately can worsen without anyone recognizing the trajectory.
Lock Haven Rehabilitation and Senior Living sits at 22 Cree Drive in Lock Haven, a small city in Clinton County in north-central Pennsylvania. The inspection was a complaint survey, completed September 19, 2025.
Fifty-four residents were waiting for their dressing changes that day. The facility could not show that the nurses changing them had ever been checked for competency in doing so.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lock Haven Rehabilitation and Senior Living from 2025-09-19 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: June 28, 2026 · Our methodology
LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA was cited for violations during a health inspection on September 19, 2025.
Not for the two licensed practical nurses.
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.