Northern Dauphin Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
December 1. 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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NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER in MILLERSBURG, 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 MILLERSBURG, 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 NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.