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Complaint Investigation

Nightingale Nursing And Rehab Center

November 25, 2025 · Erie, PA · 607 East 26th Street
Citations 2
CMS Rating 3/5
Beds 139
Provider ID 395042
Healthcare Facility
Nightingale Nursing And Rehab Center
Erie, PA  ·  View full profile →
Inspection Summary

NIGHTINGALE NURSING AND REHAB CENTER in ERIE, PA — inspection on November 25, 2025.

Found 2 citations. 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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During an interview on 10/23/25, at 4:05 p.m. the Director of Nursing (DON) confirmed that physician's orders were not followed for Resident R2 and R3 related to Cefepime and Daptomycin IV antibiotic medication administration respectively.

The DON further confirmed that Resident R2 and R3's clinical record lacked evidence that Residents R2 and R3 received the IV antibiotics as prescribed by their physician. 28 Pa.

Code 211.12(d)(1)(5)Nursing services

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Nightingale Nursing and Rehab Center

607 East 26th Street Erie, PA 16504

SUMMARY STATEMENT OF DEFICIENCIES

Review of facility provided nursing documentation, a nurse's written statement provided by the Nursing Home Administrator (NHA), for Resident CR1's care and treatment on 9/28/25, indicated per report resident non-compliant with oxygen therapy, oxygen low all day.

After report, resident vital signs obtained by this writer. RN aware.

Throughout shift resident assessed multiple times oxygen reapplied and education provided.

Overnight shift resident restless and removing oxygen, as needed medications offered at time refused.

This writer 1:1 resident in room [ROOM NUMBER]:00 a.m.-3:30 a.m. incontinence care provided by nursing assistant at 0330 this writer returned to desk 4:15 a.m. resident reassessed oxygen reapplied resident restless.

During an interview on 10/23/25, at 4:10 p.m. the NHA confirmed that the facility provided nursing documentation for Resident CR1's care and treatment provided 9/28/25, was not part of Resident CR1's permanent clinical record.

The NHA further confirmed that Resident CR1's clinical record lacked evidence of the nursing response to Resident CR1's change in condition including resident's progress, changes, and communication between the interdisciplinary team regarding the resident's condition and response to care. 28 Pa.

Code 211.5(f)(ii)(iii) Medical records 28 Pa.

Code 211.12(d)(1)(5) Nursing services

Facility ID:

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.


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