The Pines at Philadelphia: Continence Care Failures - PA
The resident, identified in inspection records as Resident R7, came to the facility with a history of falls, chronic pain, back surgery, and knee and back limitations that left him unable to stand for more than a minute while gripping grab bars. He needed help with toileting, hygiene, clothing, and cleaning himself after bowel movements before he ever arrived. That was not a new development staff discovered after admission. It was documented from the start.
A therapist, identified as Employee E7, told inspectors that R7 was frequently observed with a wet brief or fecal matter on him during therapy sessions and needed staff to help him wipe after using the toilet. The therapist had been present on May 15, 2026, during family training, when R7's daughter told staff that her father preferred using a cup rather than a urinal. That preference, the therapist acknowledged, was relevant. Using a modified urinal or a device he was actually comfortable with might have helped. The therapist said additional interventions would be discussed and put in place going forward.
They had not been.
By the time inspectors sat down with the Director of Nursing and the Administrator on the afternoon of May 28, both confirmed that the facility had never implemented individualized interventions to address R7's toileting needs, his preferred method of urination, or the behaviors affecting his continence care. They said it themselves. The facility had failed to provide the treatment and services necessary to help R7 maintain bowel and bladder continence to the extent his condition allowed.
That acknowledgment matters. This was not a case where staff disputed what happened or offered an explanation inspectors found unconvincing. The two people responsible for nursing care and facility operations agreed, on the record, that R7's needs had not been met.
What the inspection does not answer is how long this went on. The family training happened May 15. The inspection was May 28. Whether R7 spent days or weeks being found in soiled briefs before anyone raised it as a formal concern, the report does not say. What it does say is that when a therapist noticed the problem and flagged that a simple accommodation, a cup instead of a urinal, might help, the facility did not act on it.
Continence care is not a peripheral issue in nursing home oversight. For residents with limited mobility, the inability to get to a toilet independently, combined with staff who don't respond to call lights promptly or don't know a resident's preferences, produces exactly what inspectors found here: a person sitting in waste during what was supposed to be a therapeutic session. The indignity is not incidental. It is the harm.
R7 could stand for less than a minute. He needed someone to help him wipe. His daughter came in for family training and told staff what her father preferred. None of that information made it into a care plan that changed how staff approached his toileting. The therapist who worked with him regularly was the one describing his condition to inspectors, not the nursing staff whose job it was to coordinate his continence care.
The inspection was filed as a complaint, meaning someone, whether a resident, family member, or staff, contacted regulators directly. The facility received a deficiency citation under Pennsylvania nursing home regulations governing resident care policies and nursing services. The harm level was classified as minimal harm or potential for actual harm, affecting few residents.
R7's daughter had already taken time to come in and explain what her father needed. She left believing staff had heard her.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Pines At Philadelphia Rehab and Healthcare Ctr from 2026-05-28 including all violations, facility responses, and corrective action plans.
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: August 13, 2026 · Our methodology
THE PINES AT PHILADELPHIA REHAB AND HEALTHCARE CTR in PHILADELPHIA, PA was cited for violations during a health inspection on May 28, 2026.
He needed help with toileting, hygiene, clothing, and cleaning himself after bowel movements before he ever arrived.
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.