Park Lane Post Acute: Missed Pain Meds Unreported - PA
The resident, identified in inspection records only as Resident CL1, had a physician's order for Lyrica 25 mg three times daily, scheduled at 9 a.m., 1 p.m., and 9 p.m. On November 27, 2025, none of those doses were given. Nursing notes logged the problem three separate times: medication not yet in from pharmacy at 10:39 a.m., not available in the Pyxis dispensing system at 12:12 p.m., waiting for pharmacy to deliver at 11:07 p.m. The drug didn't arrive until the following day.
Nobody called the doctor.
The inspection report, filed after a January 2, 2026 complaint survey at Park Lane Post Acute LLC, found no record that the physician was ever notified that the patient had missed three consecutive doses of a medication prescribed to treat nerve pain.
It wasn't an isolated gap. A separate order for Hydrocodone-Acetaminophen 7.5-325 mg, prescribed every four hours for back pain, went undelivered on December 8, 2025, at 8 a.m. Nursing notes recorded the dose was finally given around 11:15 a.m., more than three hours late, again due to unavailability.
The Director of Nursing, interviewed by inspectors the day of the survey, confirmed both medications had been unavailable because of pharmacy supply problems.
Inspectors cited the facility under Pennsylvania nursing home regulations covering clinical records and nursing services. The violation was rated at the lowest level of harm, meaning inspectors found minimal harm or potential for actual harm rather than documented injury.
What the rating doesn't capture is the resident's experience: a spinal fracture, a full day without the medication ordered to manage the resulting nerve pain, and a care team that recorded the problem three times without once picking up the phone.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Park Lane Post Acute LLC from 2026-01-02 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 19, 2026 · Our methodology
PARK LANE POST ACUTE LLC in WEST CHESTER, PA was cited for violations during a health inspection on January 2, 2026.
On November 27, 2025, none of those doses were given.
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.