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Complaint Investigation

Jersey Shore Skilled Nursing And Rehabilitation Ce

August 14, 2025 · Jersey Shore, PA · 1008 Thompson Street
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 395359
Healthcare Facility
Jersey Shore Skilled Nursing And Rehabilitation Ce
Jersey Shore, PA  ·  View full profile →
Inspection Summary

JERSEY SHORE SKILLED NURSING AND REHABILITATION CE in JERSEY SHORE, PA — inspection on August 14, 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

FF0677
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Observation of Resident 7 on August 14, 2025, at 10:43 AM revealed she was in bed.

Interview with Employee 3 on the date and time of the observation revealed that she just completed Resident 7's morning care.

Employee 3 stated that skilled therapy staff would arrive on the unit before lunch and staff would transfer Resident 7 out of bed to leave the nursing unit at that time.

Observation of the second-floor nursing unit on August 14, 2025, at 11:09 AM revealed staff transported Resident 7 in a wheelchair onto the elevator to leave the nursing unit.

Clinical record review for Resident 7 revealed a plan of care developed by the facility to address her activities of daily living self-care deficit (last revised June 1, 2022) that listed interventions that included: Transfer with mechanical full body liftOut of bed to geri (geriatric) lounge chairAssist with daily hygiene, grooming, dressing, oral care, and eating as needed Observation of Resident 7 on August 14, 2025, at 1:46 PM revealed she was in her wheelchair outside her room door.

Interview with Employee 3 on August 14, 2025, at 1:48 PM revealed that Resident 7 was not transferred out of her wheelchair (via a total lift) or provided incontinence care since she provided her morning care (completed at 10:43 AM).

Observation of Resident 7 on August 14, 2025, at 2:30 PM revealed that Employee 3 and Employee 2 transported Resident 7 into her room with a lift device to provide care. A plan of care developed by the facility to address Resident 7's incontinence of bowel and bladder (last revised April 1, 2019) revealed interventions that included to See Task list for individualized toileting plan.

Review of a Documentation Survey Report (Task list documentation) dated August 2025, for Resident 7 revealed the Intervention/Task of Individual Toileting Plan: after breakfast and Lunch before super and after super, HS (hour of sleep/bedtime), all rounds on 11-7 (11:00 PM to 7:00 AM) and as needed, was initialed as completed by Employee 3 on August 14, 2025, at 2:59 PM although no staff assisted Resident 7 with toileting after lunch on this date. Resident 7 did not receive incontinence care for the almost four hours reviewed or incontinence care after lunch per her toileting program.

The surveyor reviewed the above concerns regarding Resident 7's activities of daily living care during an interview with the Nursing Home Administrator and the Director of Nursing on August 14, 2025, at 3:30 PM. 28 Pa.

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/14/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Jersey Shore Skilled Nursing and Rehabilitation Ce

1008 Thompson Street Jersey Shore, PA 17740

SUMMARY STATEMENT OF DEFICIENCIES

During continued observation of Resident 1's room on August 14, 2025, at 2:42 PM Employee 5 requested additional assistance from Employee 4 to transfer Resident 1 to her bed.

Employee 4 entered the room, did not don an isolation gown, and with the extensive physical assistance of Employees 4 and 5 (neither wearing an isolation gown), Resident 1 transferred from her wheelchair to her bed.

Interview with Employee 7 (registered nurse) on August 14, 2025, at 2:42 PM while observing the staff transfer Resident 1, confirmed that the staff did not don an isolation gown to perform the high-contact activity.

Employee 7 indicated that she was not familiar with Resident 1 due to her recent admission; however, the facility's infection preventionist would want a resident with indwelling nephrostomy tubes to have EBP in place.

The surveyor reviewed the above concerns regarding the implementation of EBP for Resident 1 during an interview with the Nursing Home Administrator and the Director of Nursing on August 14, 2025, at 3:30 PM. 483.80 Infection ControlPreviously cited deficiency 5/16/25 28 Pa.

Code 211.10(d) Resident care policies 28 Pa.

Code 211.12(d)(1)(3)(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 JERSEY SHORE, 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 JERSEY SHORE SKILLED NURSING AND REHABILITATION CE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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