Susquehanna Health And Wellness Center
SUSQUEHANNA HEALTH AND WELLNESS CENTER in COLUMBIA, PA — inspection on March 31, 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 documentation provided by the facility indicated LPN Employee E3 was suspended and will return to assignment once additional mentoring and a medication administration is completed.
Review of Resident R1's hospital records dated March 21, 2026, revealed Resident R1 was admitted on [DATE].
Hospital record revealed under section Impression/Plan Accidental drug ingestion: pt (patient) residents at Susquehanna N&R (Nursing&Rehabilitation) and was accidentally given (his/her) roommates medications including Ativan (lorazepam), Keppra (levetiracetam), Gabapentin, Morphine, and Xcorpi with resultant lethargy and hypotension.
Improving with Narcan, IVF (intravenous fluids) and time.
Monitor Telemetry.
May need additional fluids and reversal agents.
Interview conducted with the Nursing Home Administrator on March 31, 2026, at 12:30pm confirmed the above findings.
The facility self-identified the deficient practice at the time of the incident, March 21, 2026.
The facility implemented a corrective action of education and medication pass audits.
The facility's immediate action plan included the following: QAPI (Quality Assurance Performance Improvement) conducted March 21, 2026.
Reviewed LPN Employee E3's file to ensure she had received education on Medication Administration prior to the incident.
This was verified as completed on March 19, 2026.
Evaluated all other residents on the same unit as Resident R1 who had received medication from Employee E3 to observe for adverse effects, which included obtaining vitals.
This was verified and completed March 21, 2026.
Education was initiated for all facility nursing on the policy of Medication Administration, which includes proper identification of residents prior to medication administration and documentation of medication administration.
All nurses completed training by March 23, 2026.
Education was completed on March 23, 2026, by the DON (Director of Nursing) with RN supervisor Employee E4 regarding notification of the DON for significant medication errors and the RN's ability to transfer a resident to the hospital when a significant change in condition is noted.
Medication pass audits for competency will be completed by all current licensed nurses.
This was verified and completed March 28, 2026.
During an interview on March 31, 2026, at 10:20 a.m. LPN Employee E5 verified he received education on Medication Administration and was able to verbalize understanding.
During an interview March 31, 2026, at 10:30a.m. RN Employee E6 verified that she had received education on Medication Administration and was able to verbalize understanding.
During an interview on March 31, 2026, at 10:40 a.m. LPN Employee E7 verified that she had received education on Medication Administration and was able to verbalize understanding.
She added that all residents have an updated picture in their chart, and that if you cannot identify the resident, you can ask another staff member.
The facility has demonstrated compliance with the above since March 28, 2026.28 Pa Code 201.18(b)(1)(e)(1) Management28 Pa Code: 211.10 (c) Resident care policies
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 COLUMBIA, 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 SUSQUEHANNA HEALTH AND WELLNESS CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.