Mountain Laurel Healthcare And Rehabilitation Ctr
Inspection Findings
F-Tag F0558
F 0558
Reasonably accommodate the needs and preferences of each resident.
Level of Harm - Minimal harm or potential for actual harm
Based on observations and staff interviews, it was determined that the facility failed to provide a dining experience based upon resident's preference for 5 of 50 residents reviewed (Residents 46, 69, 81, 83, 95).Findings include:Observations of Resident 46 on August 11, 2025, at 12:35 p.m. revealed that the resident was eating lunch in her room at her bedside table. Interview with Resident 46 on August 11, 2025, at 12:35 p.m. revealed that the main dining room has been closed since the previous week, and the resident prefers to eat in the main dining room and not in her room. She was unaware why the main dining room is not open.Observations of Resident 69 on August 11, 2025, at 12:35 p.m. revealed that the resident was eating lunch in her room sitting on her bed at her bedside table. Interview with Resident 69 on August 11, 2025, at 12:35 p.m. revealed that the resident prefers to eat in the main dining room, but it has been closed since the previous week. She believes it has to do with not having enough staff.Observations of Resident 81 on August 11, 2025, at 12:40 p.m. revealed that the resident was eating lunch in her room.
Interview with Resident 81 on August 11, 2025, at 12:40 p.m. revealed that the resident always eats in the main dining room but hasn't been allowed to since it has been closed for several days. Residents were not told a reason why only that they were not allowed to eat in the main dining room. Observations of Resident 83 on August 11, 2025, at 12:49 p.m. revealed that the resident was eating lunch in her room. Interview with Resident 83 on August 11, 2025, at 12:49 p.m. revealed that the resident preferred to eat in the main dining room but hasn't been able to for several days because there was not enough nursing staff available to have
it open. Observations of Resident 95 on August 11, 2025, at 12:41 p.m. revealed that the resident was eating lunch in her room. Interview with resident 95 on August 11, 2025, at 12:41 p.m. revealed that the resident prefers to eat in the main dining room, which was closed, and she was told it was due to not being able to safely open it. Interview with Nurse Aide 1 on August 13, 2025, at 9:15 a.m. revealed that the main dining rooms on the first floor have not been opened since the previous week due to not having enough nursing staff.Interview with Nurse Aide 4 on August 13, 2025 at 9:30 a.m. revealed that they were told that
the main dining room would be closed, and they believe it was due to not having enough staff since nursing is required to be in the main dining room during service. Interview with the Dietary Director on August 13, 2025, at 12:32 p.m. confirmed that the main dining room has been closed since Monday August 11, 2025 because they could not safely open it due to a shortage of nursing staff. The Dietary Director also stated that residents should be able to eat where they prefer.28 Pa. Code 207.2(a) Administrator's responsibility.
Residents Affected - Some
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/14/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Mountain Laurel Healthcare and Rehabilitation Ctr
700 Leonard Street Clearfield, PA 16830
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0580
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0580 during a standard health inspection conducted on 2025-08-14.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0584
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-14.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0628
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-08-14.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0690
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-14.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0693
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2025-08-14.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0725
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
showers.Interview with Nurse Aide 3 on August 11, 2025, at 11:20 a.m. revealed that they do have enough staff to complete the necessary care for residents, including making sure they receive their preferred showers.Interview with Nurse Aide 4 on August 12, 2025, at 11:29 a.m. revealed that they do not have enough staff to complete care and residents are not receiving the care they need.Interview with the Director of Nursing on August 13, 2025, at 1:02 p.m. indicated that she had no input regarding having enough staff to provide showers to residents.An interview with a group of residents on August 12, 2025 at 1:30 p.m. revealed that the dining room has been closed due to a lack of nursing staff. The residents stated that they prefer to eat in the dining room for the socialization, however, they were told by the nursing staff that they do not have enough staff to keep the dining room open. Observations of Resident 46 on August 11, 2025, at 12:35 p.m. revealed that the resident was eating lunch in her room at her bedside table. Interview with Resident 46 on August 11, 2025, at 12:35 p.m. revealed that the main dining room has been closed since
the previous week, and the resident prefers to eat in the main dining room and not in her room. They were unaware why the main dining room is not open.Observations of Resident 69 on August 11, 2025, at 12:35 p.m. revealed that the resident was eating lunch in her room sitting on her bed at her bedside table.
Interview with Resident 69 on August 11, 2025, at 12:35 p.m. revealed that the resident prefers to eat in the main dining room, but it has been closed since the previous week. They were not told, but they believe it has to do with not having enough staff.Observations of Resident 81 on August 11, 2025, at 12:40 p.m. revealed that the resident was eating lunch in her room. Interview with Resident 81 on August 11, 2025, at 12:40 p.m. revealed that the resident always eats in the main dining room but hasn't been allowed to since it has been closed for several days and the residents were not given a reason why. Observations of Resident 83 on August 11, 2025, at 12:49 p.m. revealed that the resident was eating lunch in her room. Interview with Resident 83 on August 11, 2025, at 12:49 p.m. revealed that the resident preferred to eat in the main dining room but hasn't been able to for several days because it was closed due to not having enough nursing staff available. Observations of Resident 95 on August 11, 2025, at 12:41 p.m. revealed the resident eating lunch
in her room. Interview with Resident 95 on August 11, 2025, at 12:41 p.m. revealed that the resident prefers to eat in the main dining room, and was told it was due to not having enough nursing staff to safely open it.
Interview with Nurse Aide 1 on August 13, 2025, at 9:15 a.m. revealed that the main dining rooms on the first floor have not been opened since the previous week due to not having enough nursing staff.Interview with Nurse Aide 4 on August 13, 2025 at 9:30 a.m. revealed that they were told the main dining room would be closed, and they believe it was due to not having enough staff since they require nursing staff to be in
the main dining room during service. Interview with the Dietary Director on August 13, 2025, at 12:32 p.m. confirmed that the main dining room has been closed since Monday August 11, 2025 because there has not been enough nursing staff to safely open the main dining room on the first floor.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0756
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-14.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0760
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-08-14.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0761
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-14.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0807
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0807 during a standard health inspection conducted on 2025-08-14.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0812
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-14.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0867
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0867 during a standard health inspection conducted on 2025-08-14.
Category: Administration Deficiencies
The facility was found deficient in the following area: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0947
Federal health inspectors cited MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA for a deficiency under regulatory tag F-F0947 during a standard health inspection conducted on 2025-08-14.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR in CLEARFIELD, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 CLEARFIELD, 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 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.