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Complaint Investigation

Inglis House

August 25, 2025 · Philadelphia, PA · 2600 Belmont Avenue
Citations 3
CMS Rating 2/5
Beds 202
Provider ID 395134
Healthcare Facility
Inglis House
Philadelphia, PA  ·  View full profile →
Inspection Summary

INGLIS HOUSE in PHILADELPHIA, PA — inspection on August 25, 2025.

Found 3 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.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of Resident R1's entire clinical record revealed no documented evidence that licensed nurse, Employee E5, documented a wound assessment, notified the physician of the new skin impairment or obtained treatment orders for the area.

Interview on August 25, 2025, at 3:23 p.m. with Licensed Nurse, Employee E5, revealed on June 27, 2025, during the 3:00 p.m. to 11:00 p.m. shift when this employee went to Resident R1's room, the resident had asked Licensed Nurse, Employee E5, to put a bandage on the back of his/her ankle because it was bleeding.

Licensed Nurse, Employee E5, subsequently applied a foam dressing to the back of Resident R1's right ankle.Further interview on August 25, 2025, at 3:23 p.m. with Licensed Nurse, Employee E5, confirmed the physician was not notified regarding the skin impairment and further confirmed a description of the wound (including measurements) was not documented in Resident R1's clinical record.

Licensed Nurse, Employee E5, reported Resident R1 stated that the skin impairment was not new so the employee assumed the physician was already aware. 28 Pa.

Code 211.10 (d) Resident care policies. 28 Pa.

Code 211.12 (d)(5) Nursing services.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Inglis House

2600 Belmont Avenue Philadelphia, PA 19131

SUMMARY STATEMENT OF DEFICIENCIES

Resident R1 who made this employee aware of new skin impairment to the right ankle.

Licensed nurse, Employee E3, was unsure who applied the foam dressing to Resident R1's ankle and was further unsure when the area had opened.

Interview on August 25, 2025, at 2:15 p.m. with Director of Nursing, Employee E2, confirmed no statement was obtained by licensed nurse, Employee E5, or nurse aide, Employee E7. 28 Pa.

Code 211.12 (d)(1) Nursing services.28 Pa.

Code 211.12 (d)(5) Nursing services.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Inglis House

2600 Belmont Avenue Philadelphia, PA 19131

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited INGLIS HOUSE in PHILADELPHIA, PA for a deficiency under regulatory tag F-F0686 during a complaint investigation conducted on 2025-08-25.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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 3 deficiencies cited during this inspection of INGLIS HOUSE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-30.

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 PHILADELPHIA, 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 INGLIS HOUSE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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