Oxford Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0684
F 0684
CFR 483.25 Quality of Care
Level of Harm - Minimal harm or potential for actual harm
Previously cited 11/15/24 28 Pa. Code 211.10(d) Resident care policies.
Residents Affected - Some 28 Pa. Code 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/14/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Oxford Rehabilitation and Healthcare Center
300 East Winchester Ave Langhorne, PA 19047
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0759
F 0759
Ensure medication error rates are not 5 percent or greater.
Level of Harm - Minimal harm or potential for actual harm
Based on clinical record review, observation, and staff interview, it was determined that the facility failed to maintain a medication error rate of less than five percent (%) during medication administration on two of three nursing units. (1st and 2nd floor)Findings include: Observations of medication administration on November 13, 2025, from 7:30 a.m. to 11:30 a.m., and November 14, 2025, from 9:30 a.m. to 10:00 a.m., revealed 28 medication opportunities with two medication errors that resulted in a medication administration error rate of 7.14%. Clinical record review revealed that Resident 51 had diagnoses that included atrial fibrillation (fast heart rate), hypertension, and heart failure. A physician's order dated November 8, 2025, directed staff to administer Losartan Potassium 25 milligrams (mg) daily. Observation of the medication pass on November 13, 2025, at 11:03 a.m., revealed that Licensed Practical (LPN) 1 administered a half tablet of losartan potassium to the resident, which was only 12.5 mg, half of the dose ordered by the physician. Clinical record review revealed that Resident 191 had diagnoses that included dementia and gastroesophageal reflux disease. A physician's order dated November 6, 2024, directed staff to administer Protonix delayed release tablet (a medication for gastroesophageal reflux disease). A review of the administration instructions for Protonix delayed release tablet revealed that the medication was not to be crushed. Observation of the medication pass on November 13, 2025, at 7:30 a.m., revealed that LPN 2 crushed the Protonix delayed release tablet prior to administration. In an interview on November 14, 2025, at 12:49 p.m., the Director of Nursing confirmed the medications were not administered per the physician's orders. 28 Pa. Code 211.12(d)(1)(5) Nursing services.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
OXFORD REHABILITATION AND HEALTHCARE CENTER in LANGHORNE, 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 LANGHORNE, 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 OXFORD REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.