Dubois Nursing Home
Dubois Nursing Home in DUBOIS, PA — inspection on April 30, 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
prevent accidents.
facility failed to ensure that each resident received assistive devices to prevent accidents for one of
assessment (a mandated assessment of a resident's abilities and care needs) for Resident 75, dated March 13, 2026, revealed that the resident was cognitively intact, used a walker, required extensive assistance from staff for care, had a history of falls, and had diagnoses that included arthritis, muscle weakness, and an abnormal gait and mobility.
Physician's orders, dated March 7, 2026, included orders for the resident to transfer with one assist and a front wheeled walker. A care plan, dated April 1, 2026, revealed the resident was at risk for falls and staff were to keep the resident's call bell within reach and encourage her to use it for assistance as needed. A fall investigation, dated April 28, 2026, at 9:25 a.m. revealed the resident was found on the floor in her room after she attempted to self-transfer.
She stated that she couldn't sit in her wheelchair any longer and was trying to put herself into her recliner.
Observations of Resident 75 on April 30, 2026, at 10:26 a.m. revealed that the resident was in her wheelchair with leg rests on and positioned at the bottom of her bed, and her call bell was lying on the middle of the bed, out of the resident's reach.
Interview with Resident 75 at that time revealed that she had been waiting for someone to put her in her recliner chair and she couldn't reach her call bell to ring for help.
Interview with Nurse Aide 1 on April 30, 2026, at 10:27 a.m. confirmed that Resident 75's call bell was out of the resident's reach.
Interview with the Director of Nursing on April 30, 2026, at 12:38 p.m. confirmed that Resident 75's call bell should have been in the resident's reach. 28 Pa.
Code 211.10(c)(d) Resident care policies. 28 Pa.
Code 211.12(d)(3)(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.