Richland Nursing and Rehab: Drug Storage Violations - PA
The resident, identified in inspection records as Resident 63, had suffered a cerebrovascular accident that left him with paralysis on his left side and limited range of motion in his upper extremities. He was also cognitively impaired and needed help getting set up for meals. His physician had ordered an inner lip plate, a dish designed with a raised edge to keep food from sliding off, on January 5, 2026. A nutrition note from January 13 confirmed the plate was part of his care. His meal ticket, sitting right there on his breakfast tray that morning, said the same thing.
None of it mattered at 8:38 a.m.
An inspector observed him eating from a regular plate, food on his chest, no adaptive equipment in sight.
Two minutes later, a licensed practical nurse identified as LPN 2 confirmed to the inspector that Resident 63 did not have his inner lip plate and should have, based on the meal ticket. She said she would address it with dietary.
Two minutes after that, the Director of Nursing confirmed the same thing. The resident should have had the plate as ordered.
The inspection, conducted January 30, 2026, was a health survey. This was the single deficiency cited. Inspectors classified it as causing minimal harm or potential for actual harm, affecting a small number of residents. One resident was identified in the findings.
What the records show is a gap that had every opportunity to be caught. The physician's order existed. The care plan, dated back to June 2025, called for adaptive equipment. The nutrition note from two weeks before the inspection documented that the resident used the plate. The meal ticket on his tray that morning listed it. The plate simply was not there.
The inner lip plate exists for exactly the situation Resident 63 was in. A person with one-sided paralysis, limited arm movement, and cognitive impairment trying to eat independently needs the food to stay on the plate long enough to get it to his mouth. Without it, the mechanics of eating become a losing effort.
Richland Nursing and Rehab operates at 349 Votech Drive in Johnstown. The facility reviewed 35 residents during this inspection cycle; Resident 63 was the one identified in this finding.
What the inspection does not record is whether anyone brought him the plate before his breakfast was finished, or whether he ate the rest of his meal the same way the inspector found him, working against a regular plate with food on his chest, a meal ticket on his tray that said something different than what was in front of him.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Richland Nursing and Rehab from 2026-01-30 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: August 4, 2026 · Our methodology
RICHLAND NURSING AND REHAB in JOHNSTOWN, PA was cited for violations during a health inspection on January 30, 2026.
He was also cognitively impaired and needed help getting set up for meals.
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.