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Complaint Investigation

Rehab At Shannondell

April 28, 2026 · Audubon, PA · 5000 Shannondell Drive
Citations 2
CMS Rating 4/5
Beds 120
Provider ID 396101
Healthcare Facility
Rehab At Shannondell
Audubon, PA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

REHAB AT SHANNONDELL in AUDUBON, PA — inspection on April 28, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0610
Freedom from Abuse, Neglect, and Exploitation Deficiencies

downstairs after getting the resident from their room/unit.Further interview with Employee E4

resident arrives back from a LOA (leave of absence), Employee E4 stated that when they come back,

front lobby.

Employee E4 stated that the only situation where the resident does not have to sign out on the kiosk in the front lobby is when they go to the doctors because the nurse already knows about it.Interview with Nursing Home Administrator Employee E1 conducted on April 28, 2026, at 11:25AM confirmed that Resident R125 left the facility together with a friend without the knowledge of the staff.

Further, Employee E1 revealed that a concierge who was at the front desk saw the resident leave the building with a visitor.Further interview with the facility administrator revealed that the concierge does not have to inform the staff when residents leave the building.

Some residents just leave the building for fresh air and return back to the facility after.

The concierge knows the residents, so they let the residents go out for fresh air.

Further Employee E1 revealed that the concierge treats all residents as if they are in assistive living.Interview with the Director of Nursing, Employee E2 conducted on April 28, 2026, at 9:05 AM revealed that she did not investigate the incident where Resident R125 left the facility without staff knowledge because she did not think that it was an elopement because Resident R125 left the facility to go to church and returned.

Further Employee E2 confirmed that no staff or witness statements were taken.Further interview with Employee E2 also revealed that she did not report the incident to the department of health because she did not think it was an elopement. 28 Pa.

Code 201.14 Facility responsibility28 Pa.

Code 201.18 Management28 Pa.

Code 211.12 Administration

396101 04/28/2026

Rehab at Shannondell 5000 Shannondell Drive Audubon, PA 19403

where they are going.

When asked about visitors taking a resident for a LOA (leave of absence)

resident out when they are downstairs after getting the resident from their room/unit.Further

come down and sign themselves out and then wait in the lobby for their visitor/ride.

When asked what occurs when the resident arrives back from a LOA (leave of absence), Employee E4 stated that when they come back, they then have to sign themselves back in or the visitor must sign them back in on the kiosk in the front lobby.

Employee E4 stated that the only situation where the resident does not have to sign out on the kiosk in the front lobby is when they go to the doctors because the nurse already knows about it.Interview with Nursing Home Administrator Employee E1 conducted on April 28, 2026, at 11:25AM confirmed that Resident R125 left the facility together with a friend without the knowledge of the staff.

Further, Employee E1 revealed that a concierge who was at the front desk saw the resident leave the building with a visitor.Further interview with the facility administrator revealed that the concierge does not have to inform the staff when residents leave the building.

Some residents just leave the building for fresh air and return back to the facility after.

The concierge knows the residents, so they let the residents go out for fresh air.

Further Employee E1 revealed that the concierge treats all residents as if they are in assistive living.Interview with the Director of Nursing, Employee E2 conducted on April 28, 2026, at 9:05 AM revealed that she did not investigate the incident where Resident R125 left the facility without staff knowledge because she did not think that it was an elopement because Resident R125 left the facility to go to church and returned.

Further Employee E2 confirmed that no staff or witness statements were taken.Further interview with Employee E2 also revealed that she did not report the incident to the department of health because she did not think it was an elopement. 28 Pa.

Code 201.14 Facility responsibility28 Pa.

Code 201.18 Management28 Pa.

Code 211.12 Administration

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in AUDUBON, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from REHAB AT SHANNONDELL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.