Elan Skilled Nursing: Fall Records Omitted from MDS - PA
Inspectors who visited Elan Skilled Nursing and Rehab, A Jewish Senior Living facility at 1101 Vine Street on November 21, 2025, found that the annual Minimum Data Set assessment for Resident 43 contained no mention of any of the three falls. The MDS is the standardized federal assessment that nursing homes complete for every resident and that Medicare and Medicaid use to track resident health, guide care planning, and flag facilities where residents are getting hurt.
The first fall happened on February 15, 2025. Resident 43 struck her forehead hard enough that blood collected outside the blood vessel, a hematoma visible to anyone who looked at her. She fell again on April 1, 2025, and again on April 22, 2025. Neither of those caused documented injury, but three falls in ten weeks for a single resident is the kind of pattern that should be driving care decisions, not disappearing from the record.
None of the three appeared on the annual MDS.
The facility's Registered Nurse Assessment Coordinator, the staff member whose job is to ensure the MDS accurately captures a resident's condition and history, acknowledged the omission directly when inspectors interviewed her on November 20, 2025. She confirmed the annual assessment did not reflect the fall history. She then entered a correction.
That a correction was possible at all does not resolve what the gap meant in the months before inspectors arrived. The MDS shapes how a resident's care plan is written, what fall prevention interventions get put in place, and how the facility is evaluated by regulators and by families trying to understand whether a loved one is safe. A resident with three falls in ten weeks, one of which sent blood pooling under the skin of her forehead, looks very different on paper than a resident with no documented falls at all.
Inspectors cited the deficiency under F0641, which covers the accuracy of resident assessments. The level of harm was listed as minimal harm or potential for actual harm, the lower end of the federal harm scale, affecting some residents. The violation was tied to Pennsylvania's own medical records and nursing services regulations as well.
Elan Skilled Nursing and Rehab is a Jewish senior living community serving Scranton and the surrounding region. The inspection was triggered by a complaint, not a routine survey, meaning someone raised a concern that brought inspectors to the building.
The inspection report does not say whether Resident 43's family was aware that her fall history had been omitted from her official assessment. It does not say whether her care plan was adjusted after the February fall, or after the April falls. It does not say whether anyone reviewed her record between the time of the last fall and the day inspectors walked in.
What it says is that a woman fell and was injured, fell again, fell a third time, and the document that is supposed to capture all of it showed nothing.
The RNAC corrected the MDS after the interview. Resident 43's forehead had already healed or hadn't, her fall risk had already been addressed or hadn't, and the months between February and November had already passed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Elan Skilled Nursing and Rehab, A Jewish Senior Li from 2025-11-21 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: August 26, 2026 · Our methodology
ELAN SKILLED NURSING AND REHAB, A JEWISH SENIOR LI in SCRANTON, PA was cited for violations during a health inspection on November 21, 2025.
The first fall happened on February 15, 2025.
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.