Orwigsburg Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0583
F 0583
Keep residents' personal and medical records private and confidential.
Level of Harm - Minimal harm or potential for actual harm
Based on facility policy review, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to protect the residents' right to privacy and confidentiality through the use of photography for one of six sampled residents. (Resident 1)Findings include:Review of the facility policy entitled, Compliance Risks - Privacy, Security, and Breach Notifications, last reviewed January 2025, revealed that the facility complies with the laws governing privacy and security to ensure resident privacy and confidentiality. Clinical record review revealed that Resident 1 had diagnoses that included multiple sclerosis. Review of the Minimum Data Set assessment, dated August 2, 2025, revealed the resident had no cognitive impairment. Further review of the clinical record revealed that Resident 1 had declined authorization and consent for the production and use of any images taken on behalf of Orwigsburg Center or its agent on January 4, 2023.Review of facility documentation dated November 1, 2025 revealed that Nurse Aide 1 (NA 1) stated that Nurse Aide 2 (NA 2) showed her a photograph of the resulting waste products of Resident 1's personal care. NA 1 further stated that NA 2 had shown her similar photographs in
the past. In a witness statement dated, November 3, 2025, NA 2 admitted to taking a photograph of the items.In an interview on November 12, 2025, at 8:47 a.m., the Nursing Home Administrator stated that the photographs were against policy.28 Pa. Code 201.14 (b) Responsibility of licensee.28 Pa. Code 201.18 (b)(2) Management.28 Pa. Code 201.29 (a) Resident rights.28 Pa. Code 211.12 (d)(1) Nursing 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:
ORWIGSBURG NURSING AND REHABILITATION CENTER in ORWIGSBURG, 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 ORWIGSBURG, 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 ORWIGSBURG NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.