Schuylkill Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Based on clinical record review, staff interview, and a review of facility documentation, it was determined that the facility failed to properly use adequate supervision to prevent a fall for one of four sampled residents. (Resident 1) Findings include: Review of facility competency training records revealed that when facility staff use a mechanical lift such as a sit to stand lift, two staff members must always be present. Staff also should not ask a resident to stand for a prolonged time, such as when providing care for incontinence.
Clinical record review revealed that Resident 1 had diagnoses that included chronic obstructive pulmonary disease (COPD) and a history of a stroke resulting in weakness on one side. According to the Minimum Data Set assessment, Resident 1 was dependent on staff for toileting and hygiene and was frequently incontinent of bowel and bladder. According to the comprehensive plan of care, the facility identified that the resident was at risk for falls, and that staff was to use a sit to stand mechanical lift with two persons to assist the resident with transfers from one surface to another. On September 1, 2025, at 6:30 p.m., a nurse noted that Resident 1 slid out of [the] sit to stand and fell. Review of the facility investigation into the incident revealed that the aides were providing incontinent care at the time of the fall and that one of the staff members left the room when he fell. In an interview on September 6, 2025, at 11:50 a.m., the Director of Nursing confirmed that the staff were not following facility safety procedures by using the lift while cleaning
the resident and by leaving the resident with a lone staff person for any period of time. CFR 483.25(d) AccidentsPreviously cited 6/11/25 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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
SCHUYLKILL CENTER in POTTSVILLE, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 POTTSVILLE, 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 SCHUYLKILL CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.