Latest reports, citations, and penalties from CMS data
The excessive temperatures were found in every area tested during the inspection period from 10:57 AM to 12:47 PM on July 23, 2024....
Inspectors documented multiple instances where meals failed to meet established safety standards for serving temperatures....
The CNA eventually returned to the facility around 9:00 AM and reported the incident to the charge nurse, who then notified the Director of Nursing....
The first documented incident occurred February 16, 2025, when the resident opened a dining room window and climbed out into the courtyard....
Advance directives serve as a resident's voice when they cannot speak for themselves during medical emergencies....
The resident required emergency department treatment for these injuries....
The resident in question had been prescribed 50 milligrams of Seroquel daily for agitation....
The nurse confirmed that "unrefrigerated insulin pens were good for 28 days after opening" but failed to ensure proper dating protocols were followed....
State inspectors cited violations under multiple sections of the Pennsylvania Code, indicating systemic issues that required immediate attention....
Resident 208's morning medications, scheduled for 7:30 AM and 9:00 AM, were not administered until after 10:20 AM....
The medication remained visible and accessible in the open waste container as residents passed by unsupervised....
The resident was transported by an outside provider, but proper safety protocols were not followed....
**Nurse Aide 6**, hired on March 28, 2023, should have completed 12 hours of training between March 2023 and March 2024....
On July 13, 2024, at 5:24 a.m., the resident complained of pain extending from his groin down to his thigh....
These oversights can lead to outbreaks of foodborne pathogens such as Salmonella, E....
Inspectors documented soiled surfaces, contaminated equipment, and improper food storage that violated fundamental food safety protocols....
The contamination was so severe that it extended into the dining hall where residents were actively eating their lunch....
Inspectors found that licensed nurses repeatedly failed to rotate injection sites for residents receiving insulin therapy, a fundamental safety requirement....
The violations centered on expired medications remaining in active use and improperly labeled drugs throughout the facility's medication distribution system....
Federal surveyors identified immediate jeopardy conditions on March 3, 2025, with the violation dating back to February 26, 2025....