Manor At Penn Village, The
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
hallway with some of her clothes towards the elevator and she was redirected by staff. A nursing progress note dated September 8, 2025, at 4:57 PM indicated that Resident 1 entered the elevator with visitors. The wander guard alarm activated. Resident 1 continued in the elevator and got off on the first floor where staff intervened as she was exiting the front of the building. Resident 1 was returned to the nursing unit and one-to-one was initiated. A progress note dated September 11, 2025, at 10:04 AM revealed that Resident 1 continued on 15-minute checks and she is also on one to one; however, that was discontinued at 10:00 AM.
On September 11, 2025, at 9:00 AM the surveyor entered the facility and there was no receptionist at the front desk. The office doors in the general area were all closed. The surveyor waited from until 9:06 AM and then went to find staff. When the surveyor arrived back to the lobby area, there was still no receptionist. As
the surveyor walked towards the front doors of the facility, they opened up allowing an exit from the facility without the assistance of staff. An interview with the Nursing Home Administrator on September 11, 2025, at 11:30 AM revealed that the wander guard system is not tied into the doors or the elevator. The NHA indicated that when a resident wearing a wander guard are near the wander guard system, it sets the alarm off but does not lock the elevator or doors. The NHA also indicated that the front doors of the facility are locked from 8:00 PM until 8:00 AM. He confirmed that if a resident with or without a wander guard bracelet came down in the elevator and staff were not there to intervene, that the resident could walk right out the front doors between the hours of 8:00 AM and 8:00 PM. The NHA also confirmed that if Resident 1 entered
the elevator the alarm would go off, but she could still get to the first floor and out the front doors if staff did not respond to the alarms timely. There was no evidence that the facility implemented effective interventions to prevent the potential for resident elopements. The above information was reviewed with the Nursing Home Administrator on September 11, 2025, at 2:30 PM. 8 Pa. Code 201.18(b)(1)(e)(1) Management28 Pa. Code 211.10(c)(d) Resident care policies28 Pa. Code 211.12(d)(1)(3)(5) Nursing services
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MANOR AT PENN VILLAGE, THE in SELINSGROVE, 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 SELINSGROVE, 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 MANOR AT PENN VILLAGE, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.