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Complaint Investigation

Masonic Village At Warminster

Inspection Date: December 30, 2025
Total Violations 1
Facility ID 396054
Location WARMINSTER, PA
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Inspection Findings

F-Tag F0806

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0806 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to accommodate resident food allergies for one of six sampled residents. (Resident 1)Findings include:Clinical record review revealed that Resident 1 was admitted to the facility on [DATE REDACTED], and had diagnoses that included dementia and depression. On October 3, 2024, it was noted in the resident's ongoing plan of care and admission documentation that she was allergic to pineapple. The Minimum Data Set assessment dated [DATE REDACTED], revealed the resident had severe cognitive impairment and required set-up assistance from staff for feeding. The posted menu for December 21, 2025, listed Hawaiian Ham (ham with pineapple sauce) for the main entree. Review of facility investigation documents dated December 21, 2025, confirmed that on December 21, 2025, the resident was served the ham with pineapple sauce and that she ingested some of it. In further review of facility documentation, the pineapple allergy was noted on Resident 1's meal ticket. In an interview on December 30, 2025, at 1:57 p.m., the Director of Nursing confirmed that staff should have followed the food allergy that was listed on the meal ticket for Resident 1 and they should not have served the pineapple sauce.28 Pa. Code 201.14(a) Responsibility of licensee.28 Pa. Code 201.18(b) Management.

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

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

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📋 Inspection Summary

MASONIC VILLAGE AT WARMINSTER in WARMINSTER, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 WARMINSTER, 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 MASONIC VILLAGE AT WARMINSTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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