Elan Skilled Nursing And Rehab, A Jewish Senior Li
Inspection Findings
F-Tag F0641
F 0641 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident 43 experienced a fall on February 15, 2025, which resulted in injury. Specifically, the fall on February 15, 2025, resulted in a left forehead hematoma (blood collects outside the blood vessel).
According to the clinical records, Resident 43 experienced a fall on April 1, 2025 (no injury) and on April 22, 2025 (no injury). An interview with the RNAC on November 20, 2025, at 1:54 PM acknowledged the annual MDS for Resident 43 did not accurately reflect the fall history and the three falls were not present on the annual MDS. The RNAC entered a subsequent correction for the MDS. 28 Pa. Code 211.5(f)(iii) Medical records28 Pa. Code 211.12(d)(1)(5) Nursing services
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If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Elan Skilled Nursing and Rehab, A Jewish Senior LI
1101 Vine Street Scranton, PA 18510
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
August 19, 2025, order at 3:41 PM for fexofenadine 180 milligrams once daily (an antihistamine used for allergies), and an August 19, 2025, order at 4:42 PM for hydrocortisone cream 1% to be applied topically twice daily to the trunk area for rash. The clinical record review revealed no documentation that dermatology evaluated Resident 75 and no documentation of a skin scraping or biopsy being completed as ordered on August 19, 2025. A CRNP progress note dated September 10, 2025, documented increased swelling to the face, scratches to the arms, flaking to the scalp, and intermittent itching. The note documented treatment including prednisone (a steroid medication) and ketoconazole shampoo (an antifungal shampoo used for scalp dermatitis defined as flaky, red, and itchy patches). A physician's order dated September 10, 2025, at 4:00 PM directed ketoconazole shampoo to be applied on Mondays and Thursdays, and an additional physician's order dated September 10, 2025, at 4:04 PM directed prednisone 20 mg daily for three days due to facial swelling. A CRNP progress note dated September 25, 2025, documented worsening scalp rash with multiple raised papular areas and continuous scratching.
Physician's orders dated September 25, 2025, at 2:19 PM and 2:22 PM directed the application of tacrolimus ointment 0.03 % (a prescription non-steroid ointment used to treat dermatitis) twice daily for seven days and washing the hair with Selsun Blue shampoo (an over-the-counter dandruff shampoo that helps control flaking and itching) for seven days. A CRNP progress note dated October 6, 2025, documented scratches to the arms and numerous red papular lesions to the scalp with evidence of scratching. A physician's order dated October 7, 2025, at 2:23 PM directed consultation with the wound physician. A wound physician consultation note dated October 7, 2025, documented that the rash was consistent with a mite reaction on microscopic bedside examination. Physician's orders dated October 7, 2025, at 3:32 PM directed application of Elimite (Permethrin) 5 percent external cream, a topical medication used to treat scabies, from head to the soles of feet one time only and removal after 8 to 14 hours, and an order dated October 7, 2025, at 4:41 PM directed implementation of contact precautions requiring gown and gloves before entry and removal before exit due to scabies. A Medication Administration Record for October 2025 documented that Resident 75 received Elimite cream on October 7, 2025, at 10:54 PM as ordered. An observation of Resident 75 on November 18, 2025, at 11:00 AM, revealed no rash on the resident's arms, chest, or scalp and no visible scratching. During an interview with the Infection Preventionist conducted on November 19, 2025, at 11:00 AM, it was confirmed that no scraping, biopsy, or dermatology evaluation was completed when ordered for Resident 75 on August 19, 2025. The Infection Preventionist also confirmed that a total of thirty-six residents received Elimite treatment, including all third-floor residents, two residents on the second floor, and one resident on the fifth floor, and that one additional resident (Resident 52) tested positive for scabies on microscopic exam. During an interview with
the Director of Nursing conducted on November 19, 2025, at 11:00 AM, it was confirmed that the facility did not obtain a skin scraping or biopsy for Resident 75 for further evaluation, which possibly could have prevented spread and earlier mitigation of scabies in the facility.28 Pa Code 211.10 (c)(d) Resident Care Policies. 28 Pa Code 211.12 (d)(1)(2)(3)(5) Nursing Services. 28 Pa. Code 201.18 (b)(1)(e)(1) Management
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Elan Skilled Nursing and Rehab, A Jewish Senior LI
1101 Vine Street Scranton, PA 18510
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0925
F 0925 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
shreds of paper were small pieces of chocolate and one mouse-like dropping (a small, long, black pellet that is tapered at the ends, resembling a black grain of rice). Further observation revealed multiple mouse-like droppings around the perimeter of Resident 68's room. An observation on November 20, 2025, at 11:44 AM in resident room [ROOM NUMBER] revealed mouse-like droppings behind the window-side dresser and reclining chair. An observation on November 20, 2025, at 11:51 AM in resident room [ROOM NUMBER] revealed several mouse-like droppings behind the door-side reclining chair and in both resident closets. A review of pest management records from September 2025 through November 2025 revealed no documented evidence that the pest management contractor identified any mouse activity (mouse droppings or gnaw marks) until inquiries were made during the survey ending on November 21, 2025. The above findings were reviewed with the Director of Nursing (DON) and Nursing Home Administrator (NHA) on November 21, 2025, at 11:30 AM. The facility failed to maintain an effective pest control program to ensure
the facility was free of insects, pests, and rodents on two nursing units. 28 Pa. Code 201.18 (e)(2.1) Management.
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If continuation sheet
ELAN SKILLED NURSING AND REHAB, A JEWISH SENIOR LI in SCRANTON, 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 SCRANTON, 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 ELAN SKILLED NURSING AND REHAB, A JEWISH SENIOR LI or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.