Caring Heart Rehab: Feces-Covered Floor Left Unclean - PA
A housekeeper was standing nearby. Employee E7 told the inspector: "I know he made a mess up in there but I am about to be going on break and he just went to the barber. Be back in about five minutes and I'm going to have that all cleaned up."
The resident was at the barber. The feces remained on the floor.
When inspectors spoke with a licensed nurse about what they had found, Employee E8 said this could be "a normal scene to walk into" because the resident had behaviors related to his colostomy bag. The nurse offered it as an explanation. Inspectors recorded it as a finding.
The November 25 inspection at the Germantown Avenue facility, filed as a complaint survey, documented conditions across two of the building's three nursing units. What inspectors found was not one bad room or one bad morning. It was room after room, floor after floor.
In Resident R1's room, inspected at 10:08 a.m., floor mats on both sides of the bed were dirty with spills on them. The baseboard along the exterior wall was peeling away from the wall. Under and around the head of the bed, inspectors found small blue plastic caps and residue from tube feedings. The trash can had no liner. It had trash in it.
Two minutes later, at 10:10 a.m., inspectors were in Resident R3's room. A floor mat had peeled apart and stuck to the floor beside the bed. In the bathroom, a trash can held soiled gloves. It also had no liner.
By 10:20 a.m., inspectors had reached Resident R4's room and found the feces.
At 10:31 a.m., they were in Resident R2's room, where the center of the floor was dirty and sticky.
Twenty-three minutes. Four residents. Two floors. Dirty mats, peeling baseboards, tube feed residue ground into the floor beside a person's bed, soiled medical waste sitting uncontained in a bathroom, and feces spread across a room that a housekeeper had decided could wait until after her break.
The facility's own policy, dated November 25, the same day as the inspection, states that the facility will provide residents with a "safe, clean, comfortable and homelike environment." The policy defines sanitary conditions as "preventing the spread of disease-causing organisms by keeping resident care equipment clean and properly stored." It lists equipment used in daily living activities as covered under that definition.
Tube feed equipment left to accumulate under a bed. Soiled gloves sitting in an unlined bathroom trash can. The policy and the rooms inspectors walked into that morning were not describing the same place.
Caring Heart Rehabilitation and Nursing Center operates at 6445 Germantown Avenue in Philadelphia's northwest corridor. The deficiency was cited under Pennsylvania's licensee responsibility code and tagged at a level indicating minimal harm or potential for actual harm, affecting a small number of residents.
The classification reflects regulatory categories, not the experience of living in a room where the floor mat has fused to the floor, or where the person who was supposed to clean up after you decided the task could wait until she returned from break.
Resident R4 came back from the barber to that floor.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Caring Heart Rehabilitation and Nursing Center from 2025-11-25 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 20, 2026 · Our methodology
CARING HEART REHABILITATION AND NURSING CENTER in PHILADELPHIA, PA was cited for violations during a health inspection on November 25, 2025.
A housekeeper was standing nearby.
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.