Chambersburg Skilled Nursing And Rehabilitation Ce
CHAMBERSBURG SKILLED NURSING AND REHABILITATION CE in CHAMBERSBURG, PA — inspection on April 27, 2026.
Found 1 citation. 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
Review of facility procedure, titled Neurological Evaluation, with a last revised date of April 22, 2026, revealed, in part, 11.
Document: 11.1 LOC, orientation, ability to follow commands, response to sensation and/or pain, pupil reaction, motor function, temperature, pulse, respiration, and blood pressure on Neurological Assessment Flow Sheet.
Review of Resident 4's clinical record revealed diagnoses that included vascular dementia with mood disturbances (brain damage caused by multiple strokes, which causes memory loss in older adults), difficulty walking, and muscle weakness.
Review of Resident 4's facility provided incident report dated January 11, 2026, revealed that Resident 4 had a fall at 1:05 PM, and was complaining of left leg pain and was noted to have a hematoma to the left side of forehead.
Review of Resident 4's clinical record revealed that she had a fall on January 11, 2026, and was transferred to the hospital at 1:22 PM, and was admitted to the hospital for surgical repair of a hip fracture.
She remained hospitalized until January 17, 2026.
Review of Resident 4's neurological evaluation flow sheet revealed that her initial neurological status was documented as being evaluated post fall on January 11, 2026, at 1:15 PM.
Further review of Resident 4's neurological evaluation flow sheet revealed that her neurological status was also documented as being evaluated on January 11, 2026, at 1:30 PM; 1:45 PM; 2:00 PM; 2:15 PM; 2:30 PM; 2:45 PM; 3:00 PM; 3:15 PM; 3:45 PM; 4:15 PM; 4:45 PM; 5:15 PM; 6:15 PM; 7:15 PM; 8:15 PM; 9:15 PM, and once on the 11-7 shift.
Her neurological status was also documented as being evaluated on January 12 and 13, 2026, on the 7-3 shift, 3-11 shift, and 11-7 shift; and on January 14, 2026, on the 7-3 shift. Resident 4 was not present at the facility for any of these documented dates and times.
Review of Resident 4's clinical record revealed that she had a fall on March 25, 2026, and was transferred to the hospital on March 26, 2026, at 9:59 AM, after changes were noted in her status.
She remained hospitalized until March 28, 2026.
Review of Resident 4's neurological evaluation flow sheet revealed that her neurological status was documented as being evaluated on March 26, 2026, on the 3-11 shift, although Resident 4 was not present at the facility.
During a staff interview with the Nursing Home Administrator (NHA) and Director of Nursing (DON) on April 27, 2026, at 2:10 PM, the DON indicated that the neurological flow sheets get placed on a clipboard for the nursing supervisors to complete during their shift.
The NHA and DON confirmed that Resident 4 had neurological evaluations documented as being completed even though she was not present in the facility.
They both also confirmed that they would expect documentation to be completed accurately. 28 Pa.
Code 201.18(b)(1) Management.28 Pa.
Code 211.12(d)(1)(2)(5) Nursing services.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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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.