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Complaint Investigation

Roosevelt Rehabilitation And Healthcare Center

August 26, 2025 · Philadelphia, PA · 7800 Bustleton Avenue
Citations 1
CMS Rating 1/5
Beds 240
Provider ID 395537
Healthcare Facility
Roosevelt Rehabilitation And Healthcare Center
Philadelphia, PA  ·  View full profile →
Inspection Summary

ROOSEVELT REHABILITATION AND HEALTHCARE CENTER in PHILADELPHIA, PA — inspection on August 26, 2025.

Found 1 citation. 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

FF0677
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

food and poured syrup over the pancakes.

Resident R3 immediately began eating independently, picking up cut pieces of food from the plate.A comprehensive review of the clinical record of Resident R1 revealed that admission of July 12, 2025, diagnoses included lack of coordination, protein calorie malnutrition, muscle wasting and atrophy, and muscle weakness.Review of Resident R1's admission Minimum Data Set (MDS a periodic assessment of care needs) dated July 14, 2025, revealed a Brief Interview for Mental Status (BIMS) of 13 which indicated that the resident was cognitively intact. A review of the comprehensive care plan, dated July 12, 2025, revealed that under the ADLs goal for bathing, it stated: I prefer showers, assistance with turning and repositioning every two hours as able, I require one staff assist with bathing, and I require the assistance of one staff member and a sheet for turning and repositioning.On August 26, 2025, at 12:55 p.m., an interview was conducted with the Unit Manager, Employee E9, who confirmed that Resident R1 should have been scheduled for showers twice a week, on Mondays and Thursdays. A review of the clinical record with Employee E9 did not indicate which days showers were originally scheduled.

There was no documentation under Task Documentation showing that showers were provided on Mondays and Thursdays.

Employee E9 then entered the resident's scheduled shower days into Task Documentation and confirmed that R1's clinical record had been missing documentation and confirmation that showers were given on Mondays and Thursdays.On August 26, 2025, at 1:00 p.m. an interview with Resident R1 revealed that Resident R1 receives showers only once a week on Mondays.

Resident R1 stated I would like to get showers twice a week.On August 26, 2025, at 2:45 p.m., Nursing Home Administrator, Employee E1, and the Director of Nursing, Employee E2, confirmed that the facility did not provide showers to Resident R1 twice a week and did not provide feeding assistance to Resident R3.28 Pa.

Code 211.12 (d)(1) (5) Nursing Services28 Pa.

Code 211.10(d) Resident care policies

Facility ID:

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 ROOSEVELT REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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