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Health Inspection

Embassy Of Hearthside

March 14, 2025 · State College, PA · 450 Waupelani Drive
Citations 3
CMS Rating 1/5
Beds 157
Provider ID 395868
Healthcare Facility
Embassy Of Hearthside
State College, PA  ·  View full profile →
Inspection Summary

EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA — inspection on March 14, 2025.

Found 3 citations. 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

FF692
Minimal harm or 38839 Few implement physician orders for two of 24 residents reviewed (Residents 104 and 115). affected

Review of Resident 104's current care plan revealed intervention dated March 4, 2025, that noted an arm sling for four hours daily on evening shift to bilateral arms due to edema.

An interview with Resident 104 on March 14, 2025, at 10:08 AM revealed the resident was sitting in a chair with both arms hanging down towards the floor.

The resident reported that he does not wear a sling or have one in the room that he is aware of.

Nursing documentation for Resident 104 dated February 27, 2025, at 4:07 AM revealed that Both hands appear swollen with fluid and non-pitting edema (swelling that is not affected by pressure).

Further review of the documentation revealed that both hands were propped on the resident's thighs and slightly elevated and staff will pass along in morning report to have the resident evaluated by the medical provider.

Medical provider documentation for Resident 104 dated February 28, 2025, at 6:16 AM revealed that it was decided to use arm slings to help prop up the resident's arms.

Documentation noted that it was decided on four hours on for each arm as a start, which gave the resident a free arm to do daily tasks.

Further review of the medical provider's documentation noted that for the edema (swelling caused by fluid), we will try an arm sling to keep the resident's hands up because now they are resting on the resident's legs or pointing straight down.

An interview with Employee 10, licensed practical nurse, on March 14, 2025, at 10:10 AM revealed after speaking with Resident 104 and checking the resident's room that there was not a sling present for the resident to wear.

Employee 10 further stated that she believed that another shift utilized pillows to prop up the resident's arms because they hang down and swell due to his clinical history.

A review of Resident 104's Treatment Administration Record (TAR where staff document the administration of treatments) for March 2025, revealed that staff documented the sling as being applied as ordered for the following dates on the evening shift: March 1, 3, 4, 6, 7, 8, 11, 2025.

There was no documentation for March 2, 2025.

A review of the March 2025, TAR notes entered by staff for Resident 104 revealed the following:

March 5, 2025, at 10:34 PM awaiting on sling

March 9, 2025, awaiting sling

March 10, 2025, awaiting sling

395868

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395868 B.

Wing 03/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Embassy of Hearthside 450 Waupelani Drive State College, PA 16801

The facility failed to develop and implement an individualized person-centered care plan to address dementia and cognitive loss for Resident 25.

483.40(b)(3) Dementia Treatment and Services

Previously cited 04/26/24

28 Pa Code 211.12 (d)(1)(3)(5) Nursing services

395868

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395868 B.

Wing 03/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Embassy of Hearthside 450 Waupelani Drive State College, PA 16801

Observation of a nourishment room located on the [NAME] nursing unit on [DATE], at 1:19 PM revealed the following:

Multiple beverage cups on the counter in the resident nourishment room included an open bottle of Gatorade, an open bottle of soda, a plastic cup with ice/liquid from an outside restaurant, and metal water mugs with straws.

Five plastic bowls of various types of dry cereal were stored in a corner cabinet.

The metal cabinet was blackened and rusty.

The bowls did not have any labels to indicate the contents, or date to indicate when they were placed there, or when the needed used by.

395868

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395868 B.

Wing 03/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Embassy of Hearthside 450 Waupelani Drive State College, PA 16801

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 STATE COLLEGE, 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 EMBASSY OF HEARTHSIDE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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