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Timber Ridge Health Center

📍 1555 East End Boulevard Plains Twp, Wilkes-barre, PA 18711 📞 (570) 826-1011 🛏️ 180 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

April 25, 2025 Health Inspection

Fines and Penalties by Year

2022 2 penalties totaling $1,645

$987
Jan 24, 2022

Fine

$658
Jan 17, 2022

Fine

2020 1 penalties totaling $7,525

$7,525
Oct 21, 2020

Fine

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Health Violations by Year

2025 9 violations

Tag 0578 D Apr 25, 2025

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jun 10, 2025
Tag 0600 E Apr 25, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 10, 2025
Tag 0610 D Apr 25, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Jun 10, 2025
Tag 0641 D Apr 25, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 10, 2025
Tag 0658 D Apr 25, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jun 10, 2025
Tag 0695 E Apr 25, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 10, 2025
Tag 0699 D Apr 25, 2025

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: Jun 10, 2025
Tag 0757 D Apr 25, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jun 10, 2025
Tag 0880 F Apr 25, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 10, 2025

2024 21 violations

Tag 0550 E Jun 14, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 12, 2024
Tag 0554 D Jun 14, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Aug 12, 2024
Tag 0583 D Jun 14, 2024

Keep residents' personal and medical records private and confidential.

✓ Corrected: Aug 12, 2024
Tag 0600 E Jun 14, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 30, 2024
Tag 0622 D Jun 14, 2024

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Aug 12, 2024
Tag 0623 B Jun 14, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Aug 12, 2024
Tag 0625 E Jun 14, 2024

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Aug 12, 2024
Tag 0640 D Jun 14, 2024

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: Aug 12, 2024
Tag 0656 D Jun 14, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 12, 2024
Tag 0688 E Jun 14, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Aug 12, 2024
Tag 0690 D Jun 14, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 12, 2024
Tag 0692 D Jun 14, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 12, 2024
Tag 0694 E Jun 14, 2024

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Aug 12, 2024
Tag 0698 D Jun 14, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Aug 12, 2024
Tag 0732 C Jun 14, 2024

Post nurse staffing information every day.

✓ Corrected: Aug 12, 2024
Tag 0758 D Jun 14, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Tag 0868 E Jun 14, 2024

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: Aug 12, 2024
Tag 0880 F Jun 14, 2024

Provide and implement an infection prevention and control program.

Tag 0585 E Apr 12, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Apr 26, 2024
Tag 0655 D Apr 12, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Apr 26, 2024
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2023 45 violations

Tag 0558 E Nov 7, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Dec 7, 2023
Tag 0600 E Nov 7, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag 0745 E Nov 7, 2023

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Dec 7, 2023
Tag 0755 D Nov 7, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Tag 0760 D Nov 7, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: Dec 7, 2023
Tag 0867 E Nov 7, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag 0580 D Sep 28, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0584 E Sep 28, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Tag 0661 D Sep 28, 2023

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Tag 0677 E Sep 28, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag 0684 D Sep 28, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Tag 0688 D Sep 28, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Tag 0689 E Sep 28, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0693 D Sep 28, 2023

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Tag 0726 E Sep 28, 2023

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Tag 0755 E Sep 28, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Tag 0812 E Sep 28, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag 0919 E Sep 28, 2023

Make sure that a working call system is available in each resident's bathroom and bathing area.

Tag 0584 E Aug 18, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Nov 7, 2023
Tag 0585 E Aug 18, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Sep 28, 2023

2022 36 violations

Tag 0580 D Sep 30, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Nov 3, 2022
Tag 0600 D Sep 30, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Nov 3, 2022
Tag 0604 D Sep 30, 2022

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Nov 3, 2022
Tag 0622 E Sep 30, 2022

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Nov 3, 2022
Tag 0623 B Sep 30, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 3, 2022
Tag 0625 B Sep 30, 2022

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Nov 3, 2022
Tag 0644 D Sep 30, 2022

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Nov 3, 2022
Tag 0656 D Sep 30, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 3, 2022
Tag 0688 E Sep 30, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Nov 3, 2022
Tag 0689 D Sep 30, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 3, 2022
Tag 0690 D Sep 30, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Nov 3, 2022
Tag 0692 D Sep 30, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Nov 3, 2022
Tag 0697 E Sep 30, 2022

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Nov 3, 2022
Tag 0698 D Sep 30, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Nov 3, 2022
Tag 0744 D Sep 30, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Nov 3, 2022
Tag 0756 E Sep 30, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Nov 3, 2022
Tag 0867 D Sep 30, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Dec 6, 2022
Tag 0880 E Sep 30, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 3, 2022
Tag 0881 D Sep 30, 2022

Implement a program that monitors antibiotic use.

✓ Corrected: Nov 3, 2022
Tag 0886 E Sep 30, 2022

Perform COVID19 testing on residents and staff.

✓ Corrected: Dec 6, 2022
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2021 12 violations

Tag 0557 E Oct 29, 2021

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Dec 14, 2021
Tag 0584 E Oct 29, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Dec 14, 2021
Tag 0623 B Oct 29, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Dec 14, 2021
Tag 0638 D Oct 29, 2021

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Dec 14, 2021
Tag 0695 D Oct 29, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Dec 14, 2021
Tag 0698 D Oct 29, 2021

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Dec 14, 2021
Tag 0710 E Oct 29, 2021

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

✓ Corrected: Dec 14, 2021
Tag 0755 D Oct 29, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 14, 2021
Tag 0758 D Oct 29, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Dec 14, 2021
Tag 0849 D Oct 29, 2021

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Dec 14, 2021
Tag 0584 E May 14, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jul 1, 2021
Tag 0600 D May 14, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 22, 2021

2020 4 violations

Tag 0689 G Dec 11, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 28, 2020
Tag 0690 E Dec 11, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Dec 28, 2020
Tag 0755 D Dec 11, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 28, 2020
Tag 0610 D Oct 21, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Dec 11, 2020
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2019 7 violations

Tag 0600 D Dec 12, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Dec 4, 2019
Tag 0744 D Oct 30, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Dec 4, 2019
Tag 0694 D Sep 10, 2019

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Sep 10, 2019
Tag 0600 D Jul 26, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 5, 2019
Tag 0679 E Jul 26, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Sep 5, 2019
Tag 0688 D Jul 26, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Sep 5, 2019
Tag 0744 E Jul 26, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Sep 5, 2019

2018 11 violations

Tag 0565 E Aug 3, 2018

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Oct 11, 2018
Tag 0600 E Aug 3, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Oct 11, 2018
Tag 0623 B Aug 3, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Oct 11, 2018
Tag 0641 D Aug 3, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Oct 11, 2018
Tag 0657 D Aug 3, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Oct 11, 2018
Tag 0658 D Aug 3, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 3, 2018
Tag 0688 D Aug 3, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Oct 11, 2018
Tag 0689 D Aug 3, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 11, 2018
Tag 0756 D Aug 3, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Oct 11, 2018
Tag 0758 E Aug 3, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Oct 11, 2018
Tag 0849 D Aug 3, 2018

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Oct 11, 2018
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2017 21 violations

Tag 0226 D Oct 31, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Dec 20, 2017
Tag 0281 E Oct 31, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 20, 2017
Tag 0157 B Sep 20, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 31, 2017
Tag 0309 D Sep 20, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Oct 31, 2017
Tag 0312 E Sep 20, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Oct 31, 2017
Tag 0364 E Sep 20, 2017

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Tag 0166 E Jul 28, 2017

Try to resolve each resident's complaints quickly.

✓ Corrected: Sep 20, 2017
Tag 0226 D Jul 28, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Sep 20, 2017
Tag 0241 D Jul 28, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Sep 20, 2017
Tag 0244 E Jul 28, 2017

Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.

✓ Corrected: Sep 20, 2017
Tag 0253 E Jul 28, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Sep 20, 2017
Tag 0309 E Jul 28, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Oct 31, 2017
Tag 0311 E Jul 28, 2017

Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

✓ Corrected: Sep 20, 2017
Tag 0314 D Jul 28, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Sep 20, 2017
Tag 0323 D Jul 28, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Sep 20, 2017
Tag 0469 E Jul 28, 2017

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Sep 20, 2017
Tag 0502 D Jul 28, 2017

Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.

✓ Corrected: Sep 20, 2017
Tag 0514 D Jul 28, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Sep 20, 2017
Tag 0279 D May 17, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 12, 2017
Tag 0364 E May 17, 2017

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

✓ Corrected: Jun 12, 2017
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