Embassy Of Woodland Park
Inspection Findings
F-Tag F0804
F 0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Level of Harm - Minimal harm or potential for actual harm
Based on review of facility policies and observations, as well as staff interviews, it was determined that the facility failed to serve food items at appetizing temperatures.The facility's current policy regarding food temperatures, dated March 13, 2025, indicated that the serving temperature of hot food at point of service should have a temperature of greater than or equal to 120 degrees Fahrenheit (F).The menu for Monday, August 19, 2025, revealed that the lunch meal included baked fish, broccoli rice casserole, seasoned broccoli, and frosted cake. Observations in the main kitchen service area on August 19, 2025, revealed that
the food cart to the 100 unit left the main kitchen at 11:54 a.m. and arrived on the 100 unit at 11:55 a.m.
Trays were passed to the residents in their rooms and the last resident was served at 12:08 p.m. At 12:08 p.m. the temperature of the seasoned broccoli was 111.0 degrees F. The broccoli was lukewarm and did not taste appetizing. Interview with the Dietary Manager on August 19, 2025 at the time of the observation confirmed that the broccoli should have been hotter. 28 Pa. Code 211.6(b) Dietary Services.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
EMBASSY OF WOODLAND PARK in ORBISONIA, 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 ORBISONIA, 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 EMBASSY OF WOODLAND PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.