Pennknoll Village
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.
Inspection Findings
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.
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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
F-F804.
28 Pa.
Code 201.14(a) Responsibility of Licensee.
28 Pa.
Code 201.18(e)(1) Management.
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F-F807, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to honoring residents food and drink preferences.
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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.