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Complaint Investigation

Pottstown Skilled Nursing And Rehabilitation Cente

February 24, 2026 · Pottstown, PA · 724 North Charlotte St
Citations 1
CMS Rating 1/5
Beds 150
Provider ID 395402
Healthcare Facility
Pottstown Skilled Nursing And Rehabilitation Cente
Pottstown, PA  ·  View full profile →
Inspection Summary

Pottstown Skilled Nursing and Rehabilitation Cente in POTTSTOWN, PA — inspection on February 24, 2026.

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

FF0684
Quality of Life and Care Deficiencies

record review revealed that Resident 1 had diagnoses that included congestive heart failure, presence

physician's orders dated January 23 through 29, 2026, and the Treatment Administration Record for January 2026, revealed the following: Staff were to perform a self-test to ensure proper function of the left ventricular assist device (LVAD) every shift.

There was no documented evidence that staff performed the self-test on two occasions.

Staff were to record pump rate, pulse index, pump power, pump speed, and vital signs.

Staff were to use a doppler to obtain mean blood pressure two times a day.

There was no documented evidence that the rate, index, power, speed, vital signs, or mean blood pressure were obtained on six occasions.

Staff were to ensure backup batteries were on charge at all times and verify placement every shift.

There was no documented evidence that staff performed this task on two occasions.

Staff were to monitor daily weights and notify the provider of changes greater than two pounds (lbs.) in one day or five lbs. in one week.

There was no documented evidence that staff obtained the resident's weights on four occasions.

Staff were to convert to batteries one time a day and at bedtime return to main power.

There was no documented evidence that staff converted to batteries two occasions.

Staff were to observe for signs and symptoms of driveline infection every shift.

There was no documented evidence that staff observed for signs and symptoms of driveline infection on three occasions.

Staff were to ensure that if the resident goes out of the building, the backup controller, two extra batteries, and two extra clips go out with the resident. On January 26, 2026, the resident was transferred to the hospital for a change in condition.

There was no documented evidence that the resident was sent with the backup controller, two extra batteries, and two extra clips. In an interview on February 24, 2026, at 3:00 p.m., the Director of Nursing confirmed that there was no evidence that staff implemented the physician's orders as identified. 28 Pa.

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

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

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 POTTSTOWN, 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 Pottstown Skilled Nursing and Rehabilitation Cente or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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