Roosevelt Rehab: Resident Denied Showers, Records Falsified - PA
When a federal inspector visited the facility on August 26, 2025, the unit manager pulled up the resident's clinical record and found no documentation that showers had ever been provided on Mondays and Thursdays, the two days they were supposed to happen. The manager then entered the scheduled shower days into the system during the inspection itself.
The resident, identified in inspection records as Resident R1, was described as cognitively intact, scoring a 13 on a standardized mental status assessment. Her care plan, dated July 12, 2025, spelled out her preferences clearly: she preferred showers, she needed one staff member to assist, and she wanted them twice a week. The facility had apparently never set up the scheduling documentation to make that happen.
At 1:00 p.m. that afternoon, inspectors spoke with the resident directly. She said she receives showers only once a week, on Mondays. "I would like to get showers twice a week," she told them.
The unit manager confirmed the record had been missing documentation of the Monday and Thursday showers. The nursing home administrator and director of nursing confirmed it too, later that same afternoon, acknowledging the facility had not been providing showers twice a week as the resident's plan required.
Inspectors also noted the facility had failed to provide feeding assistance to a second resident, identified as Resident R3, though the inspection narrative did not detail the circumstances of that failure.
The shower gap had persisted at least since the care plan was written in mid-July, roughly six weeks before the inspection. During that time, a resident who could clearly articulate what she wanted, and whose care plan reflected exactly that, was getting half of it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Roosevelt Rehabilitation and Healthcare Center from 2025-08-26 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 22, 2026 · Our methodology
ROOSEVELT REHABILITATION AND HEALTHCARE CENTER in PHILADELPHIA, PA was cited for violations during a health inspection on August 26, 2025.
The manager then entered the scheduled shower days into the system during the inspection itself.
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.