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Complaint Investigation

West Park Rehabilitation And Nursing Center

March 30, 2026 · Philadelphia, PA · 4401 Haverford Avenue
Citations 2
CMS Rating 2/5
Beds 200
Provider ID 395686
Healthcare Facility
West Park Rehabilitation And Nursing Center
Philadelphia, PA  ·  View full profile →
Inspection Summary

WEST PARK REHABILITATION AND NURSING CENTER in PHILADELPHIA, PA — inspection on March 30, 2026.

Found 2 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

FF0686
Quality of Life and Care Deficiencies

resident's right anterior thigh on February 19, 2026.

Interview conducted on March 30, 2026, at 2:45

201.14(a) Responsibility of licensee. 28 Pa.

Code 211.10(d) Resident care policies 28 Pa.

Code

395686 03/30/2026

West Park Rehabilitation and Nursing Center 4401 Haverford Avenue Philadelphia, PA 19104

Review of the facility policy titled Categories of Transmission-Based Precautions, undated, revealed: Standard Precautions shall be used when caring for residents at all times, regardless of their suspected or confirmed infection status.

Transmission-Based Precautions shall be used when caring for residents who are documented or suspected to have communicable diseases or infections that can be transmitted to others.

Transmission-Based Precautions will be used whenever measures more stringent than Standard Precautions are needed to prevent or control the spread of infection.

Based on CDC definitions, four types of Transmission-Based Precautions (airborne, droplet, contact, and COVID-19) have been established. In addition to Standard Precautions, implement Airborne Precautions for anyone who is documented or suspected to be infected with microorganisms transmitted by airborne droplet nuclei (small-particle residue [5 microns or smaller] of evaporated droplets containing microorganisms that remain suspended in the air and can be widely dispersed by air currents within a room or over long distances).

Examples of infections requiring Airborne Precautions include, but are not limited to: measles, varicella (including disseminated zoster), and tuberculosis.

Review of Resident R2's clinical record revealed that the resident was admitted to the facility on [DATE], with diagnosis of anoxic brain damage, persistent vegetative state, chronic obstructive pulmonary disease (airway inflammation and damage), encounter for attention to gastrostomy (feeding tube), dysphagia oropharyngeal phase following cerebral infarction (swallowing disorder that occurs due to brain injury). A physician's order dated January 17, 2026, for enhanced barrier precautions related to feeding tube.

Observation conducted on March 30, 2026, at 10:20 a.m., revealed nursing aide, Employee E4 providing direct morning care to Resident R2 without wearing personal protective equipment (PPE) such as gown.

This observation was confirmed by the unit manager, Employee E3. On March 30, 2026, at 9:00 a.m., an interview with the Assistant Director of Nursing, Employee E7, revealed that the facility had placed Resident R3 on airborne precautions after Resident R3 tested positive for tuberculosis. A review of Resident R3's clinical file revealed that the resident was admitted on [DATE]. On March 23, 2026, Resident R3 received a positive test result for tuberculosis. A review of the physician's order dated March 23, 2026, revealed: TBP: Airborne Precautions - Tuberculosis (gown, face mask, face shield, and gloves). On March 30, 2026, at 10:40 a.m., Licensed Nurse, Employee E5, was observed in contact with Resident R3 in the resident's room wearing only a mask.

Unit Manager, Employee E3, confirmed the observation that Licensed Nurse, Employee E5, was not wearing a gown or face shield as required for airborne precautions. 28 Pa.

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

Code 211.12 (d)(5) Nursing services.28 Pa Code 211.12 (d)(1)(5) Nursing services

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


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