Monumentalpostacutecare At Woodside Park

Based on staff interview and facility documentation, it was determined that the facility failed to report to the State Survey Agency and conduct an investigation related to an allegation of neglect for one of 9 residents reviewed. (Resident R2) Findings include:A review of the Incident and Accidents 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 REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/04/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Monumentalpostacutecare at Woodside Park

4001 Ford Road Philadelphia, PA 19131

SUMMARY STATEMENT OF DEFICIENCIES