Wyomissing Health And Rehabilitation Center
WYOMISSING HEALTH AND REHABILITATION CENTER in READING, PA — inspection on January 2, 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.
Inspection Findings
Ensure services provided by the nursing facility meet professional standards of quality.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, policy review, and staff interview, it was determined that the facility failed to ensure that nursing services met professional standards of quality as required by the Pennsylvania Code Title 49, Professional and Vocational Standards by failing to ensure that a Registered Nurse (RN) conducted assessments for two of five sampled residents. (Residents 1 and 2) Findings include:Review of Title 49, Professional and Vocational Standards, Department of State Chapter 21, State Board of Nursing, indicated that under Responsibilities of the RN, 21.11, General Functions. (a) The registered nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible, and (b) The registered nurse is fully responsible for all actions as a licensed nurse and is accountable to clients for the quality of care delivered.The 21.145 Functions of the LPN [Licensed Practical Nurse], (a) .
The LPN participates in the planning, implementation and evaluation of nursing care using the focused assessment in settings where nursing takes place.Clinical record review revealed that Resident 1 was readmitted to the facility on [DATE], with diagnoses that included diabetes mellitus, other lack of coordination, chronic obstructive pulmonary disease, generalized anxiety disorder, suicidal ideation, and history of venous thrombosis and embolism. An Admission/readmission Assessment which included an initial skin assessment, was completed on December 5, 2025, by an LPN (Employee E1), and there was no evidence that an RN had reviewed or co-signed the assessment.Clinical record review revealed that Resident 2 was admitted to the facility on [DATE], with diagnoses that included unspecified cirrhosis of the liver, hepatic encephalopathy, acute posthemorrhagic anemia, acute respiratory failure with hypoxia, and acute kidney failure. An Admission/readmission Assessment which included an initial skin assessment, was completed on December 5, 2025, by an LPN (Employee E1), and there was no evidence that an RN had reviewed or co-signed the assessment.
During an interview on January 2, 2026, at 3:54 p.m., the Director of Nursing confirmed that the initial admission/readmission assessments for the above residents were conducted by an LPN, without the oversight or assistance of an RN.28 Pa.
Code 201.18(e)(1) Management28 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
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