Chestnut Hill Lodge: Insulin Monitoring Failure - PA
When inspectors arrived, the resident's blood sugar was 54. Her daughter was in the room. Staff administered Glucagon and called 911.
The facility's own physician, identified in the inspection report as Employee E3, confirmed that residents on Lantus, the long-acting insulin the resident was receiving, should have fingerstick checks before breakfast, before lunch, before dinner, and at bedtime. He said an order for that monitoring should have been in place. He called the absence of any such order "an oversight on the facility's part."
The Director of Nursing confirmed the same facts. No order for blood sugar testing had ever been written. No baseline glucose level had been recorded when the resident was admitted.
Clinical records showed none had been taken since.
A progress note dated April 11, 2026, documented that the resident had been admitted to a local hospital for hypoglycemia, sepsis, and wound evaluation. The inspection was conducted nineteen days later.
After the inspection, the facility audited all residents receiving insulin, conducted education for licensed nurses on blood glucose monitoring, and reported the plan of correction complete as of April 20, 2026, ten days before the inspection that documented the original failure.
The resident's daughter was standing beside her when the blood sugar reading came back at 54.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Chestnut Hill Lodge Health and Rehab Ctr from 2026-04-30 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 6, 2026 · Our methodology
CHESTNUT HILL LODGE HEALTH AND REHAB CTR in WYNDMOOR, PA was cited for violations during a health inspection on April 30, 2026.
When inspectors arrived, the resident's blood sugar was 54.
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.