Northern Dauphin Nursing And Rehabilitation Center
NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER in MILLERSBURG, PA — inspection on December 23, 2025.
Found 1 citation. 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
Review of Employee 1's timecard revealed she did not work on December 1, 2025. -December 2, 2025, at 9:00 PM- signed off on MAR at 9:09 PM. Resident 5 was unable to be interviewed.Review of Resident 5's December MAR, as of December 22, 2025, revealed that the only time the oxycodone was documented as being given in December 2025 was on December 2 at 9:09 PM.
Review of Resident 6's clinical record revealed diagnoses that included high blood pressure and Type 2 Diabetes Mellitus.
Review of Resident 6's December 2025 MAR revealed an order for oxycodone, 5 mg, give 10 mg every four hours as needed for severe pain.
Review of Resident 6's oxycodone drug record revealed the oxycodone was signed out as being dispensed by Employee 1 on the following dates and times, with review of the corresponding MAR for those dates and times:-December 6, 2025, at 2:30 PM- signed off on the MAR at 3:35 PM.
Employee 1 did not clock in until 2:42 PM on December 6-December 6, 2025, at 6:30 PMsigned off on the MAR at 7:26 PM, almost one hour after the medication was dispensed-December 6, 2025, at 10:30 PM- signed off on the MAR at 10:30 PM. Resident 6 was discharged from the facility on December 18, 2025, and therefore was unable to be interviewed.
Review of Employee 1's typed statement, undated, revealed that during her December 7, 2025 shift, from 3:00 PM-7:00 AM, revealed All medications given during the shift were documented and signed off in both the electronic medication administration record and the paper medication book immediately after administration.
During an interview with the Nursing Home Administrator, DON, and ADON, on December 22, 2025, at 2:23 PM, the DON and ADON stated that nurses should give and document controlled substances within a couple minutes of dispensing the medication, not an hour or more later.
They further stated that medications should be documented every time they are given. 28 Pa.
Code 201.14(a) Responsibility of licensee28 Pa.
Code 211.12(d)(1)(3)(5) Nursing services
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