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Health Inspection

Pennknoll Village

January 15, 2025 · Everett, PA · 208 Pennknoll Road
Citations 6
CMS Rating 1/5
Beds 133
Provider ID 395422
Healthcare Facility
Pennknoll Village
Everett, PA  ·  View full profile →
Inspection Summary

PENNKNOLL VILLAGE in EVERETT, PA — inspection on January 15, 2025.

Found 6 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

FF585

F-F585, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to resolving grievances.

The facility's plan of correction for a deficiency regarding a failure to revise or update care plans, cited during the survey ending February 23, 2024, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.

The results of the current survey, cited under

F-F657, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to revising/updating care plans.

The facility's plan of correction for a deficiency regarding quality of care, following physician's orders, cited during the survey ending February 23, 2024, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.

The results of the current survey, cited under

F-F684, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to quality of care, following physician's orders.

The facility's plan of correction for a deficiency regarding a failure to conduct nurse aide performance reviews, cited during the survey ending February 23, 2024, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.

The results of the current survey, cited under

F-F730, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to conducting nurse aide performance reviews.

395422

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395422 B.

Wing 01/15/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Pennknoll Village 208 Pennknoll Road Everett, PA 15537

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F-F804.

28 Pa.

Code 201.14(a) Responsibility of Licensee.

28 Pa.

Code 201.18(e)(1) Management.

395422

F-F807, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to honoring residents food and drink preferences.

Refer to

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 EVERETT, 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 PENNKNOLL VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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