Jersey Shore Skilled Nursing: Wound Care Gaps - PA
The inspection at Jersey Shore Skilled Nursing and Rehabilitation Center, conducted October 1, 2025, centered on a single resident identified in records as Resident 4. He required negative pressure wound therapy, a treatment that uses a sealed dressing and a machine to draw fluid away from a wound and promote healing. The problem was that the machine he needed wasn't the standard model the facility kept on hand. He used a different device, and when the supplies for that device weren't delivered on time, his treatments fell behind.
That much, the Director of Nursing acknowledged to inspectors during a meeting at 3:30 in the afternoon on the day of the inspection. What she could not provide was any documentation showing what had actually happened to those missed treatments. The records inspectors reviewed showed the treatments were noted but gave no indication they had been completed as ordered. There was nothing to show Resident 4 had refused them. There was nothing to show he was unavailable. There was nothing.
The Director of Nursing and the Nursing Home Administrator were both present for that conversation. Neither produced additional information.
The gap matters because negative pressure wound therapy is not a passive treatment. It is used for wounds that are not healing on their own, wounds that require consistent, uninterrupted intervention. Missing sessions doesn't simply mean a delay. It can mean a wound that was closing begins to deteriorate, that infection risk rises, that a patient who was progressing stops progressing. The inspection classified the harm level as minimal or potential, meaning inspectors did not find evidence that Resident 4 had suffered a documented injury as a result of the missed treatments. But the absence of documentation was itself the problem. If no one recorded what happened, no one can say with certainty what the outcome was.
The supply delay explanation offered by the Director of Nursing raises its own questions. Jersey Shore Skilled Nursing is a licensed facility responsible for ensuring residents receive the care their physicians prescribe. When a resident requires equipment that differs from what the facility routinely stocks, the facility carries the responsibility of securing that equipment reliably. A delayed shipment is a logistics problem. An undocumented gap in wound care treatment is a care problem. The inspection found both.
The deficiency was cited under Pennsylvania state nursing codes governing management and nursing services, which require that care be provided as ordered and that records accurately reflect what was and was not done.
Wound care documentation failures are not uncommon findings in nursing home inspections, but they are rarely trivial. The record of a wound treatment is the only way a physician, a specialist, or a family member can understand whether a treatment plan is working. When that record is incomplete, the clinical picture is incomplete. Decisions about whether to continue a treatment, change it, or escalate care get made on the basis of that record. A blank space where a completed treatment should be noted is not a neutral fact.
Resident 4's wound, his progress, and his current condition were not described in the publicly available inspection materials beyond what the deficiency citation contains. What is known is that he needed a machine his facility didn't reliably have supplies for, that his treatments were not documented as completed, and that when inspectors asked whether they had been done, the facility's top nursing official could not answer the question.
The facility was given the opportunity to submit a plan of correction. The details of that plan were not included in the inspection record reviewed for this report.
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 2025-10-01 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: September 11, 2026 · Our methodology
JERSEY SHORE SKILLED NURSING AND REHABILITATION CE in JERSEY SHORE, PA was cited for violations during a health inspection on October 1, 2025.
He required negative pressure wound therapy, a treatment that uses a sealed dressing and a machine to draw fluid away from a wound and promote healing.
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.