Saunders Nursing and Rehab: Meal Cart Fractures Resident - PA
A nurse at the nursing station heard the screaming and came immediately. What she found was the resident with one foot trapped beneath the food cart the dietary aide had been pushing down the hallway, maneuvering around medication carts and other obstacles crowding his path. An X-ray taken the same day confirmed what the screaming had already made clear: a non-displaced fracture of the right distal third metatarsal.
Federal inspectors cited Saunders Nursing and Rehabilitation Center in Wynnewood for the March 2026 incident, classifying it as actual harm affecting a small number of residents. The citation covered the facility's failure to ensure the meal cart was handled safely.
The dietary aide was pulled from cart duties the day of the incident. He was retrained and completed a competency validation the following day, March 26, and returned to full duties. All dietary staff received mandatory training the same day, covering basics: keep a clear line of sight, move at a slow controlled speed, watch for resident feet and mobility devices, use caution in crowded hallways.
The facility's own plan of correction, presented to inspectors by the nursing home administrator on April 7, acknowledged the hallway was cluttered with medication carts when the aide lost control of the cart. Audits of dietary staff cart handling began within days.
Inspectors reviewed the training records and monitoring logs and determined the plan of correction had been carried out. The deficiency was classified as past non-compliance.
The resident's fractured toe, the pain assessments, the X-ray ordered and completed on the day she screamed from her doorway — none of that changed with the paperwork filed afterward.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Saunders Nursing and Rehabilitation Center from 2026-04-24 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
SAUNDERS NURSING AND REHABILITATION CENTER in WYNNEWOOD, PA was cited for violations during a health inspection on April 24, 2026.
A nurse at the nursing station heard the screaming and came immediately.
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.