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Complaint Investigation

Sapphire Care And Rehab Center

Inspection Date: August 15, 2025
Total Violations 11
Facility ID 395288
Location EAST STROUDSBURG, PA
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Inspection Findings

F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-08-15.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each 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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0627

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0627 during a complaint investigation conducted on 2025-08-15.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-15.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0688

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-15.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-15.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

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F-Tag F0909

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA for a deficiency under regulatory tag F-F0909 during a standard health inspection conducted on 2025-08-15.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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 11 deficiencies cited during this inspection of SAPPHIRE CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

πŸ“‹ Inspection Summary

SAPPHIRE CARE AND REHAB CENTER in EAST STROUDSBURG, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 EAST STROUDSBURG, 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 SAPPHIRE CARE AND REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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