Hermitage Nursing: Resident Missed Showers for Weeks - PA
The resident, identified only as Resident R1, required full staff assistance and a Hoyer lift to get out of bed and into the shower room. The care plan called for showers every Wednesday and Sunday on the evening shift. When inspectors interviewed the resident on September 16, R1 said the last shower had been the previous Wednesday, September 10, and that no shower had been offered the prior Sunday, September 14. If offered a real shower, R1 said, they would take it over a bed bath every time.
The records told a starker story. From August 16 through September 16, documentation showed one partial bath, given on August 27. The gap between documented shower sheets ran from July 30 to September 2, more than five weeks, with nothing in between to show the resident had been offered a shower or had refused one. On July 30, staff noted a refusal and gave a bed bath instead. After that, silence.
No refusals were documented during that stretch. No explanations. Bed baths were given, but the resident was not asked whether they wanted to be transferred to the shower room instead.
The Assistant Director of Nursing and the Nursing Home Administrator, interviewed together on September 5, confirmed there was no documented evidence that R1 had received or refused showers between July 30 and September 2.
Inspectors cited the facility for failing to provide care consistent with resident preferences. The violation was rated at the minimal harm level.
R1 told inspectors the shower schedule was Wednesdays and Sundays. R1 knew it. The facility knew it. For weeks, neither produced one.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hermitage Nursing and Rehabilitation from 2025-09-18 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 23, 2026 · Our methodology
HERMITAGE NURSING AND REHABILITATION in HERMITAGE, PA was cited for violations during a health inspection on September 18, 2025.
The resident, identified only as Resident R1, required full staff assistance and a Hoyer lift to get out of bed and into the shower room.
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.