Nightingale Nursing And Rehab Center
Inspection Findings
F-Tag F0605
F 0605 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Based on review of facility policy and clinical records and staff interview, it was determined that the facility failed to provide evidence that non-pharmacological interventions (interventions attempted to calm a resident other than medication) were attempted prior to the administration of a PRN (as needed) psychotropic (affecting the mind) medication for one of four residents reviewed for unnecessary medications (Closed Record Resident CR2)Findings include: Facility policy entitled Psychotropic Medication Use, dated 1/7/2025, indicated that Non-pharmacological approaches are used (unless contraindicated) to minimize the need for medications, permit the lowest possible dose, and allow for discontinuation of medications when possible. Resident CR2's clinical record revealed an admission date of 9/20/25, with diagnoses that included Diabetes (a health condition caused by the body's inability to produce enough insulin), Anxiety (a condition that causes a person to be nervous, uneasy, or worried about something or someone), and High Blood Pressure. Resident CR2's clinical record revealed a physician's order dated 9/20/25, for Lorazepam (anti-anxiety medication) 0.5 milligrams (mg) by mouth every eight hours PRN for anxiety and a physician's order dated 9/25/25, for Lorazepam 0.5 mg by mouth routinely at bedtime and every eight hours PRN for anxiety. Resident CR2's September 2025 Medication Administration
Record (MAR) revealed that the PRN Lorazepam was used six times (9/21/25 two times, 9/22/25, 9/23/25, 9/24/25, and 9/26/25). Review of September MAR and clinical record progress notes revealed that there was no evidence of non-pharmacological interventions being attempted prior to the administration of the PRN Lorazepam six of the six times it was used. During a telephone interview on 11/19/25, at 9:24 a.m.
Nursing Home Administrator confirmed that the facility lacked evidence of non-pharmacological interventions being attempted prior to the administration of a PRN anti-anxiety medication for each time it was administered. for Resident CR2. 28 Pa. Code 211.12(d)(1)(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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
NIGHTINGALE NURSING AND REHAB CENTER in ERIE, 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 ERIE, 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 NIGHTINGALE NURSING AND REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.