Embassy Of Hearthside
EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA — inspection on February 20, 2026.
Found 19 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.
Inspection Findings
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0559 during a standard health inspection conducted on 2026-02-20.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0567 during a standard health inspection conducted on 2026-02-20.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to manage his or her financial affairs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2026-02-20.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Observation of Resident 109's bedroom on February 17, 2026, at 1:10 PM
are sharp metal edges noted to be protruding from around this casing.
The new unit was smaller than the previous unit, and there were four towels rolled up filling the gap inside the unit.
Additionally, multiple towels were noted to be lying across the top of the old unit casing and along the windowsill above the unit. A cold draft could be felt when standing near the window.
Concurrent observations of resident 109's bedroom revealed the bedside stand had a large area of peeling varnish to the front locking drawer, measuring four by six inches.
Observation of Resident 49's bathroom on February 18, 2026, at 9:56 AM revealed drywall damage to the right of the mirror.
The area behind the soap dispenser was noted with brown drywall paper on either side and the damage measured two and three inches wide to the right and left sides respectively.
The right corner of the bathroom above the soap dispenser was noted to have an eight-inch squared area of repaired drywall with brown water spots around the corners of the repair.
The corner below the repair is noted to have paint on wall that has bubbled.
The paint damage at the ceiling is six inches across, gradually narrowing to one inch and extending down three feet of the wall.
Concurrent observations of Resident 49's room revealed a heating and cooling unit was installed inside the metal casing of the previous unit.
There are sharp metal edges noted to be protruding from around this casing.
There are multiple towels lying across the windowsill above the heating and cooling unit and around the old metal casing.
Concurrent interview with Resident 49 revealed the towels are there because of a draft.
The above noted concerns related the Nittany unit and Residents 84, 49, and 109, were reviewed with the Nursing Home Administrator and the Director of Nursing on February 19, 2026, at 2:45 PM.
Observation of the Heirloom unit on February 17, 2026, at 12:49 PM revealed there was a large sticky spot on the floor in the hallway upon entering the unit from the facility's main dining room.
Observations made on February 18, 2026, at 10:41 AM and February 19, 2026, at 12:26 PM revealed the same sticky spot remained in the hallway on the floor.
Observation of the Heirloom unit on February 18, 2026, at 10:28 AM revealed Resident 53's wall was marred next to the doorframe, and the wallpaper was peeling off the wall.
Observation of the Heirloom unit on February 18, 2026, at 10:28 AM revealed Resident 121's wall was marred next to the doorframe, and the wallpaper was peeling off the wall.
The above noted concerns related to Heirloom unit and Residents 53 and 121 were reviewed with the Nursing Home Administrator and Director of Nursing on February 19, 2026, at 2:12 PM 483.10(i)(1)-(7) Safe/clean/comfortable/homelike EnvironmentPreviously cited 5/6/25 and 3/14/25 28 Pa.
Code 201.14(a) Responsibility of licensee 28 Pa.
Code 201.18(e)(2.1) Management 28 Pa.
Code 211.12(d)(3) Nursing services
395868 02/20/2026
Embassy of Hearthside 450 Waupelani Drive State College, PA 16801
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0607 during a standard health inspection conducted on 2026-02-20.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-02-20.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Review of a plan of care initiated by the facility on November 20, 2024, to address Resident 11's care preferences, revealed interventions that included that staff honor that Resident 11 stated that she preferred a shower in the morning. Resident 11 is scheduled for a shower on day shift.
Review of a plan of care initiated by the facility on November 19, 2024, to address assistance Resident 11 needed for activities of daily living (ADLs), revealed that Resident 11 needed staff supervision for bathing and personal hygiene.
During an interview with Resident 11 on February 18, 2026, at 11:16 AM she stated, I haven't had a shower in quite a while. I think it is twice a week I'm supposed to get a shower. I think because the move (room assignment moved).
Review of Resident 11's Documentation Survey Report (electronic documentation completed by nurse aide staff for the completion of ADL care) dated January and February 2026 revealed that staff failed to document the completion of morning care, evening care, and bathing/showering on the following occasions: Morning (AM shift) care was not applicable/not done on January 6, 10, 11, 2026Evening (evening shift) care was not applicable/not done on January 2, 5, 9, 10, 11, 12, 14, 16, and 22, 2026; and February 9, 13, 16, and 17, 2026Resident 11 did not receive a shower on January 8 and 15, 2026 (staff documented the completion of only a partial bath) Interview with Employee 1 (assistant director of nursing) and the Director of Nursing on February 20, 2026, at 11:25 AM confirmed that Resident 11's assessed need and preferences for ADL care were not followed by staff as documented on the above occasions.
Clinical record review for Resident 8 revealed an admission MDS assessment dated [DATE], that staff determined Resident 8 needed substantial/maximal staff assistance for showering/bathing and that he was dependent on staff for personal hygiene.
Review of a plan of care initiated by the facility on December 31, 2025, to address Resident 8's care preferences, revealed interventions that included staff honor that Resident 8 stated he preferred a shower in the morning. Resident 8 was scheduled for a shower on day shift.
Review of a plan of care initiated by the facility on December 30, 2025, to address assistance Resident 8 needed for ADLs, revealed that Resident 8 needed extensive staff assistance for bathing and limited staff assistance for personal hygiene.
Review of Resident 8's Documentation Survey Report dated January and February 2026 revealed that staff failed to document the completion of morning care, evening care, and bathing/showering on the following occasions: Morning (AM shift) care was not applicable/not done on January 7 and 29, 2026; and February 8, 2026Evening (evening shift) care was not applicable/not done on January 3 and 23, 2026 Resident 8 did not receive a shower on January 7, 11, 14, 21, and 25, 2026 (staff either omitted documentation, documented as not applicable, or documented the completion of only a partial bath). Resident 8 received only one shower from February 1 through 18, 2026, as staff documented a bed bath on February 4, 2026, not applicable on February 7, 2026, and a partial bath on February 11, 2026.
Interview with Employee 1 and the Director of Nursing on February 20, 2026, at 11:25 AM confirmed that Resident 8's assessed need and preferences for ADL care were not followed by staff as documented on the above occasions. 28 Pa.
Code 211.12(d)(1)(5) Nursing services
395868 02/20/2026
Embassy of Hearthside 450 Waupelani Drive State College, PA 16801
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2026-02-20.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2026-02-20.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2026-02-20.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Observation of the medication packing revealed a plastic dosing card that permitted the user to dispense different amounts for either a two-gram or a four-gram dose.
Observation of the medication's box also included a diagram of the approximate length of gel used to administer a two-gram dose or a four-gram dose.
The surveyor reviewed the above two medication error concerns during an interview with the Nursing Home Administrator and the Director of Nursing on February 19, 2026, at 2:00 PM. 28 Pa.
Code 211.12(d)(1)(5) Nursing services
395868 02/20/2026
Embassy of Hearthside 450 Waupelani Drive State College, PA 16801
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-02-20.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2026-02-20.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or obtain dental services for each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.
the food and nutrition service, including a qualified dietician.
director of food and nutrition services in the absence of a full-time qualified dietitian.Findings include:
the facility currently did not have a dietary supervisor or a certified dietary manager (CDM) employed.
Interview with the Nursing Home Administrator on February 18, 2026, at 2:15 PM confirmed the facility did not employ a full-time registered dietitian or qualified director of food and nutrition services.
Cross Refer 801 and 804 S483.60(a)(1) Qualified dietary staffPreviously cited 3/14/25 28 Pa.
Code 201.18(b)(1)(3) Management
395868 02/20/2026
Embassy of Hearthside 450 Waupelani Drive State College, PA 16801
Review of the menu for lunch on February 19, 2026, included maple glazed ham, macaroni and cheese, Prince [NAME] vegetable blend, wheat dinner roll, and rainbow sherbet.
During an observation of the tray line service on February 19, 2026, at 11:40 AM the plating of the meals for the dining room and Heirloom unit were observed. No wheat dinner rolls or bread was plated with the meal.
Observation on February 19, 2026, at 12:18 PM on the Nittany unit of Resident 89's tray revealed that no bread was present.
Observation of lunch meal service on the Heirloom unit on February 19, 2026, from 12:29 to 12:58 PM revealed there were no dinner rolls, or bread present on any of the meal trays.
Observation of the kitchen supply room on February 19, 2026, at 1:30 PM, revealed three and a half racks of sliced bread, one rack of bread buns, and one rack of hoagie buns.
Concurrent interview with Employee 13, dietary aide, revealed that bread was not served with the lunch meal today.
Employee 13 also stated that no dietary supervisor was present today, and the bread item was not seen when checking the menu for the day.
The above information was reviewed with the Nursing Home Administrator and the Director of Nursing on February 19, 2026, at 2:45 PM.
Cross Refer 801 28 Pa.
Code 201.14(a) Responsibility of licensee 28 Pa.
Code 201.18(b)(3) Management
395868 02/20/2026
Embassy of Hearthside 450 Waupelani Drive State College, PA 16801
Observation of the Heirloom nursing unit meal cart revealed it was observed outside the kitchen on February 19, 2026, at 11:55 AM.
Observation of the lunch meal service on February 19, 2026, on the Heirloom nursing unit revealed that food trays arrived on the meal cart at 12:29 PM.
Staff immediately began passing the food trays until the last tray was passed at 12:42 PM.
The surveyor began testing the food temperatures of Resident 3's tray at this time with the following results: Puree ham was cold at 90.4 degrees FahrenheitPuree mixed vegetables were cold at 92.2 degrees FahrenheitPuree mac and cheese was cold at 91.4 degrees FahrenheitContainer of sherbert was melted Interview with Resident 17 on February 18, 2026, at 8:53 AM revealed that her food is delivered cold.
Observation of the lunch meal on the University nursing unit on February 18, 2026, at 12:15 PM revealed that food trays arrived via the meal cart.
Staff immediately began passing the food trays, and the surveyor began testing the food temperature of Resident 17's tray on February 18, 2026, at 12:18 PM with Employee 6 (licensed practical nurse).
The chicken served on Resident 17's meal tray was cold at 107.2 degrees Fahrenheit.
The surveyor reviewed the above dietary concerns on the Heirloom and University nursing units in a meeting with the Nursing Home Administrator and Director of Nursing on February 19, 2026, at 2:04 PM.
Interview with Resident 93 on February 17, 2026, at 3:00 PM revealed that her food is always cold.
She said it happens every day at every meal.
Observation of the lunch meal on February 20, 2026, on the Nittany unit revealed the lunch trays were delivered at 12:30 PM on the food carts.
The staff immediately began passing the trays and the surveyor began testing the temperature of the food on Resident 93's food tray at 12:35 PM with Employee 12 (nursing aide).
The ham served on Resident 93's meal tray was cold at 94.5 degrees Fahrenheit.
The surveyor discussed the dietary concerns noted on Nittany unit related to Resident 93's tray with the Nursing Home Administrator and Director of Nursing on February 19, 2026, at 3:00 PM.
During an interview with Employee 11, licensed practical nurse, on February 17, 2026, at 12:38 PM, they stated that the food often arrives cold.
During an interview with Resident 13 on February 17, 2026, at 1:15 PM they stated that the food temperatures are not good.
Interview with Resident 89 on February 17, 2026, at 2:05 PM revealed that food often comes cold and when she asks for a substitution, such as grilled cheese, it often comes cold or very hard and difficult to eat.
The concerns regarding food temperatures for Residents 13 and 89 were discussed with the Nursing Home Administrator and the Director of Nursing on February 19, 2026, at 2:45 PM.
Cross Refer 801 28 Pa.
Code 201.14(a) Responsibility of licensee 28 Pa.
Code 201.18(b)(3) Management 28 Pa.
Code 211.6(a) Dietary services
395868 02/20/2026
Embassy of Hearthside 450 Waupelani Drive State College, PA 16801
Review of Resident 89's dietary meal ticket revealed that pork and pork products and beef products were listed on the ticket as dislikes for the resident, and no beverages were listed.
During an interview with the Nursing Home Administrator on February 19, 2026, at 2:40 PM, she stated that if the resident's dislikes listed all pork products and beef products, it would likely indicate the resident may be vegetarian. Resident 89's food and beverage preferences were not honored as noted above.
The above information was reviewed with the Nursing Home Administrator and the Director of Nursing on February 19, 2026, at 2:45 PM. 201.14(a) Responsibility of licensee
395868 02/20/2026
Embassy of Hearthside 450 Waupelani Drive State College, PA 16801
Observation of the nourishment room on Nittany unit revealed a zip lock bag filled with condiments including mayonnaise, ketchup, and mustard.
There was no date on the bag to indicate when the bag was delivered or a best before date, and no items within the bag were noted with any expiration or best before dates.
Employee 11, licensed practical nurse, confirmed that these items are delivered from dietary.
The above information was reviewed with the Nursing Home Administrator and the Director of Nursing on February 19, 2026, at 2:45 PM.
Chapter 8 of the 2018 International Plumbing Code, 802.3.1 Air gap, stipulates that the air gap between the indirect waste pipe and the flood level rim of the waste receptor shall not be less than twice the effective opening of the indirect waste pipe.
Chapter 8 of the 2018 International Plumbing Code, 802.3.2 Air break, stipulates that an air break shall be provided between the indirect waste pipe and the trap seal of the waste receptor.
Observation of the University nursing unit ice machine, with Employee 6 (licensed practical nurse), on February 18, 2026, at 10:56 AM revealed that the white drainage pipe from the back of the machine had no visible air gap between the indirect waste pipe and the floor drain.
Employee 6 stated that this ice machine is the only ice supply for all residents on the second floor of the facility.
The surveyor reviewed the above ice machine concerns during an interview with the Nursing Home Administrator and the Director of Nursing on February 18, 2026, at 2:00 PM.
Cross Refer 801 483.60(i)(2) Store, prepare, food safe and sanitaryPreviously cited 3/14/25, 5/6/25, and 8/25/25 28 Pa.
Code 201.14 (a) Responsibility of Licensee
Federal health inspectors cited EMBASSY OF HEARTHSIDE in STATE COLLEGE, PA for a deficiency under regulatory tag F-F0847 during a standard health inspection conducted on 2026-02-20.
Category: Administration Deficiencies
The facility was found deficient in the following area: Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 19 deficiencies cited during this inspection of EMBASSY OF HEARTHSIDE.
Correction Status: Deficient, Provider has no plan of correction.