Lock Haven Rehabilitation And Senior Living
LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA — inspection on September 19, 2025.
Found 13 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
facility.
Concerns regarding laundry services were reviewed with the Nursing Home Administrator and
395616 09/19/2025
Lock Haven Rehabilitation and Senior Living 22 Cree Drive Lock Haven, PA 17745
During an interview with Resident 71 on
and only cleans the main area. A follow up observation of Resident 71's room on September 17, 2025,
concerns regarding the cleanliness of Unit 4's hallway floors, and Resident 14 and 71's rooms were reviewed with the Nursing Home Administrator and Director of Nursing on September 17, 2025, at 2:10 PM Observation of Resident 5's room on September 17, 2025, at 11:16 AM revealed the nonskid adhesive that was left after the strips were removed remained on the floor as you walk towards the bathroom.
The non-skid strip in front of her recliner was dirty and there were scuff marks noted by the closet.
Concurrent interview of Resident 5 revealed that most of the time housekeeping only dust mops the floor and only the part that you can see.
Observation of Resident 8's room on September 16, 2025, at 1:20 PM revealed the floor was dirty with crumbs and lose dirt.
Behind the door to the room were crumbs, paper, and dirt particles in a small pile.
There were two plastic medication cups near the head of her bed on the side near the window.
The top of the air conditioner unit was dirty.
The bathroom toilet seat was dirty.
Behind the toilet was dirty with built up dirt around the cove base.
Interview with Resident 8 revealed that they never clean too much and when they do it is just what they can see.
Observation of Resident 115's room on September 16, 2005, at 1:30 PM revealed her floor was dirty and there was a clear sticky dried liquid substance in front of her recliner.
Interview with Resident 115 revealed that they run the dust mop every day, but they hardly ever scrub the floor.
Interview of Resident 129 on September 16, 2025, at 1:16 PM reveled that all they ever do is dust mop her room.
She said they never mop the floor.
Observation of her room during the interview revealed dirty nonskid strips in front of her recliner, beside her bed, and in her bathroom.
There was loose dirt under the bed.
There was a buildup of dirt around the cove base and behind the toilet.
The toilet was dirty.
The environmental concerns related to Residents 5, 8, 115, and 129 were reviewed with the Nursing Home Administrator and Director of Nursing on September 17, 2025, at 2:20 PM 483.10(i)(1)-(7) Safe/clean/comfortable/homelike EnvironmentPreviously cited deficiency 10/18/2428 Pa.
Code 201.18(b)(3) (e)(2.1) Management
395616 09/19/2025
Lock Haven Rehabilitation and Senior Living 22 Cree Drive Lock Haven, PA 17745
Federal health inspectors cited LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA for a deficiency under regulatory tag F-F0607 during a standard health inspection conducted on 2025-09-19.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of LOCK HAVEN REHABILITATION AND SENIOR LIVING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-31.
Federal health inspectors cited LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-19.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of LOCK HAVEN REHABILITATION AND SENIOR LIVING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-31.
Federal health inspectors cited LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of LOCK HAVEN REHABILITATION AND SENIOR LIVING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-31.
Federal health inspectors cited LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of LOCK HAVEN REHABILITATION AND SENIOR LIVING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-31.
way that maximizes each resident's well being.
failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to
competencies (Employees 7, 8, 9, and 10).
Findings The Centers for Medicare and Medicaid Services (CMS) QSO-24-13-NH memo dated June 18, 2024, noted that requirements specify that the facility assessment must include an evaluation of diseases, conditions, physical or cognitive limitations of the resident population, acuity (the level of severity of residents' illnesses, physical, mental, and cognitive limitations, and conditions) and any other pertinent information about the resident population as a whole that may affect the services the facility must provide.
The assessment of the resident population should drive staffing decisions and inform the facility about what skills and competencies staff must possess to deliver the necessary care required by the residents being served.
The facility assessment reviewed during the onsite survey on September 18, 2025, revealed that LPN (licensed practical nurse) competency and training would include blood glucose monitoring, finger sticks, hand hygiene, donning and doffing PPE (personal protective equipment), cleaning/disinfection/sterilization, Heimlich maneuver, urine specimen collection, foley catheter insertion, and medication administration.
The facility assessment did not include competencies for RNs (registered nurses).
Further review of the facility assessment revealed wound care is a service provided by facility staff.
Interview with the Director of Nursing on September 19, 2025, at 9:52 AM revealed the facility currently had 12 residents with pressure ulcers, and 54 residents with dressing changes. A request for nursing staff competencies of dressing change-wound care for Employees 7 and 8 (licensed practical nurses) and Employees 9 and 10 (registered nurses) revealed the facility was unable to provide any competencies addressing these areas.
These findings were reviewed during an interview with the Director of Nursing and Nursing Home Administrator on September 19, 2025, at 10:14 AM. 28 Pa Code 201.20(a) Staff development
395616 09/19/2025
Lock Haven Rehabilitation and Senior Living 22 Cree Drive Lock Haven, PA 17745
Federal health inspectors cited LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA for a deficiency under regulatory tag F-F0730 during a standard health inspection conducted on 2025-09-19.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Observe each nurse aide's job performance and give regular training.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of LOCK HAVEN REHABILITATION AND SENIOR LIVING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-31.
Federal health inspectors cited LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or obtain dental services for each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of LOCK HAVEN REHABILITATION AND SENIOR LIVING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-31.
nutrition service.
determined that the facility failed to provide sufficient staff to carry out the functions of the food and
38).Findings include:
During an interview and observation in the facility's main kitchen on September 16, 2025, at 9:00 AM Employee 2, food service director, indicated he was working as a dietary aide because he had to fill in for the position.
Employee 2 stated regular staffing for the shift would include one cook, four dietary aides, and himself as the director, but currently, they only had one cook, himself, and one additional dietary aide.
Employee 12, regional food service director, was present during the observation and indicated he had recently started with the company, and it was his first time at the facility.
Employee 12 stated he was now going to plan on being at the facility a few days a week to help and cover some of the directors' duties. In an interview with Resident 37 on September 16, 2025, at 11:40 AM the resident stated she was served an early lunch due to an appointment, but it was the first day in several that she got her food on real plates with real silverware. It often comes served in all disposables the resident stated, I guess they only had two workers in the kitchen.
Interview with Resident 38 on September 17, 2025, at 12:10 PM in the resident's room, she stated she had not wanted to go to the main dining room because she has to wait too long to get served her meal.
The resident stated, We are to go to the main dining room at 11:30 AM and don't get served any food until 12:30 PM, we should not have to go and wait an hour for our meals. An observation of the lunch meal service on September 17, 2025, on Unit 3 revealed the first meal cart for residents who eat in their rooms arrived on the unit at 12:26 PM, the second meal cart for the unit arrived at 12:51 PM, delivered by Employee 12, regional food service director.
Employee 12 stated the kitchen staff was working short, and a cook had also gone home sick earlier in the morning. A review of facility meal service times revealed the first cart for Unit 3 was delivered at 12:26 PM was to start being plated in the kitchen at 11:25 PM, and the second cart for Unit 3 noted above was to start at 11:40 AM but did not arrive on the unit until 12:51 PM over an hour later. In an interview with Employee 2, and Employee 12 on September 18, 2025, at 3:20 PM, it was confirmed paper products (foam containers and plastic ware) were used to serve resident meals for lunch on Sunday, August 31, September 7, and September 14, as well as dinner on September 14, 2025, due to not having enough food service staff to operate the dish machine to wash dishes and silverware and complete other duties.
Employee 2 stated only the plastic meal serving tray and any adaptive feeding equipment was utilized.
Review of the food service staff schedule for the week of September 14 to 20, 2025, with Employee 2, on September 19, 2025, at 11:40 AM revealed the following open positions for food service workers on the schedule required to meet the needs of the department: Sunday, September 14, 2025, two morning shifts and one evening shiftMonday, September 14, 2025, three morning shiftsTuesday, September 16, 2025, two morning shifts, and replacement for one who left sickWednesday, September 17, 2025, two morning shiftsThursday, September 18, 2025, two morning shiftsFriday, September 19, 2025, one morning shift, one evening shiftSaturday, September 20, 2025, two morning shift and one evening shift Employee 2 indicated in the same meeting above interviews have been occurring to fill open positions.
The above concerns regarding the timing of meals, and utilization of paper products due to staffing was reviewed with the Nursing Home Administrator on September 18, 2025, at 2:20 PM. 28 Pa.
Code 201.14(a) Responsibility of licensee28 Pa.
Code 201.18(b)(3) ManagementCross reference F-F812
395616 09/19/2025
Lock Haven Rehabilitation and Senior Living 22 Cree Drive Lock Haven, PA 17745
Observation of the resident food pantry located between Unit 3 and Unit 4, on September 18, 2025, at 12:03 PM revealed dried food, debris, and pieces of hair stuck in the interior of the refrigerator and freezer. A large area of dried orange/brown substance was observed under the lower drawer/rack of the refrigerator. A set of cabinets in the pantry revealed dust and debris in the drawers where coffee filters, and unwrapped plastic utensils were stored.
The cabinet under the sink contained a large plastic tub under the drainpipes of the sink. A dried yellowish substance was in the tub.
The interior base of the cabinet under the sink contained dirt and debris. A lower cabinet to the right of the sink where two boxes of straws were stored was dirty with dust/debris. A lower cabinet to the left of the sink contained a loose plastic cup and a plastic lid on the lower shelf among dust/dirt and a dead insect.
The top shelf in the cabinet where a plastic tub of sanitizing wipes was stored contained two large spots of black substance beside the container.
The above findings were reviewed with the Nursing Home Administrator and Director of Nursing on September 18, 2025, at 2:20 PM. 483.60(i)(2) Store food safe and sanitaryPreviously cited 10/18/24 28 Pa.
Code 201.14 (a) Responsibility of Licensee Cross reference F-F802
395616 09/19/2025
Lock Haven Rehabilitation and Senior Living 22 Cree Drive Lock Haven, PA 17745
Federal health inspectors cited LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-19.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of LOCK HAVEN REHABILITATION AND SENIOR LIVING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-31.
The surveyor requested training records for Employee 6 during an interview with the Nursing Home Administrator and the Director of Nursing on September 17, 2025, at 2:15 PM.
Review of training records provided by the facility for Employee 6 dated September 5, 2024, to September 5, 2025, revealed that Employee 6 completed only 8.6 hours of in-service education.
Interview with the Director of Nursing on September 19, 2025, at 9:48 AM confirmed the above findings for Employee 6. 28 Pa.
Code 201.19(7) Personnel policies and procedures 28 Pa.
Code 201.20(a)(6)(d) Staff development
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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.