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Complaint Investigation

Monumentalpostacutecare At Woodside Park

September 4, 2025 · Philadelphia, PA · 4001 Ford Road
Citations 3
CMS Rating 1/5
Beds 180
Provider ID 396076
Healthcare Facility
Monumentalpostacutecare At Woodside Park
Philadelphia, PA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

MONUMENTALPOSTACUTECARE AT WOODSIDE PARK in PHILADELPHIA, PA — inspection on September 4, 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.

Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

authorities.

report to the State Survey Agency and conduct an investigation related to an allegation of neglect for

Documentation policy, which was undated, revealed The facility will document unusual occurrences and events.

Guidelines q.

The following occurrences warrant an incident report a.

Actual, alleged, or suspected abuse, including verbal abuse, oral, written or gestured, sexual abuse, harassment, coercion, assault, physical abuse, hitting, slapping, pinching, kicking, pushing, pulling, rough hanging, etc.On September 4, 2025, at 2:45 p.m., an interview was conducted with the Administrator, Employee E1, who reported that the facility was not aware of any incontinence neglect, with respect to Resident R2.

Employee E1 further reported that the Human Resources Director, Employee E11, was out sick, and the facility was unable to provide the nurse aide personnel file for Employee E14, who had been terminated on August 29, 2025.

Employee E1 stated that Employee E14's file would be forwarded to the surveyor via email on September 5, 2025.On September 5, 2025, at 2:00 p.m., a review of nurse aide, Employee E14's, personnel file contained an email from Employee E14 to the Nursing Home Administrator, dated August 23, 2025, at 5:53 p.m. In the email, Employee E14 reported: Resident R2, at approximately 3:00 p.m., at the start of my second shift, I found the resident seated in a Geri chair.

The resident's clothing and the Hoyer pad were saturated with urine.

The urine had soaked through all layers of clothing and the pad, and the chair was also wet.

The Hoyer pad in use was observed to be a size not recommended for the resident's weight per the care plan.

There was no indication or documentation that the resident had been toileted or changed prior to my shift.The same day an email was sent to the facility at 2:29 p.m. and again at 4:01 p.m. requesting the investigation of the above allegation of neglect. No response was received from the Administration.

There was no documented evidence that the allegation of neglect was reported to the State Agency as required and that the facility conducted an investigation upon becoming aware of the allegation of neglect related to delivering timely incontinence care to Resident R2. 28 Pa.

Code 201.14(a)(b) Responsibility of licensee28 Pa.

Code 201.18(b)(1)(2)(3) Management28 Pa.

Code 201.29(a) Resident rights 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

396076 09/04/2025

Monumentalpostacutecare at Woodside Park 4001 Ford Road Philadelphia, PA 19131

confirmed that Resident R8's air mattress should have been secured to the bed with six straps.28 Pa.

396076 09/04/2025

Monumentalpostacutecare at Woodside Park 4001 Ford Road Philadelphia, PA 19131

in accordance with accepted professional standards.

maintain complete documentation of resident's clinical records for one of 9 resident records reviewed

was undated, revealed The facility will document unusual occurrences and events.

Guidelines q.

The following occurrences warrant an incident report a.

Actual, alleged, or suspected abuse, including verbal abuse, oral, written or gestured, sexual abuse, harassment, coercion, assault, physical abuse, hitting, slapping, pinching, kicking, pushing, pulling, rough hanging, etc.On September 4, 2025, at 2:35 p.m., an interview was conducted with the Administrator, Employee E1, and the weekend supervisor, Employee E13.

They reported that on August 24, 2025, at 6:00 p.m., an incident occurred in the front lobby involving Resident R9 during a visit with the resident's family.

Employee E13, who responded to the situation, confirmed that there was no documentation in Resident R9's clinical record regarding the incident. 28 Pa.

Code 201.14(a)(b) Responsibility of licensee28 Pa.

Code 201.18(b)(1)(2)(3) Management28 Pa.

Code 201.29(a) Resident rights

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 MONUMENTALPOSTACUTECARE AT WOODSIDE PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.