West Reading Skilled Nursing And Rehabilitation Ce
WEST READING SKILLED NURSING AND REHABILITATION CE in WEST READING, PA — inspection on January 29, 2026.
Found 5 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
Review of the Minimum Data Set (MDS) assessment, dated December 19, 2025, revealed that the resident had significant cognitive impairment and required staff assistance with eating.
Review of Resident 3's care plan revealed that staff was to assist the resident with meals as needed, encourage the resident to take small bites, provide verbal cues to take frequent drinks, and check for food in the mouth after swallowing. On January 28, 2026, from 12:25 p.m. through 12:40 p.m., licensed practical nurse (LPN) 1 was observed standing while assisting Resident 3 with lunch. In an interview on January 29, 2026, at 11:00 a.m., the Director of Nursing stated that staff should not stand when feeding residents. CFR 483.10 (a)(1) Resident RightsPreviously Cited 2/18/25 28 Pa.
Code 211.12(d)(1)(5) Nursing services.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
395351 01/29/2026
West Reading Skilled Nursing and Rehabilitation Ce 425 Buttonwood Street West Reading, PA 19611
Review of Resident 10's MDS dated [DATE], indicated that Resident 10 received an anticoagulant medication.
Review of Resident 10's clinical record revealed no physician's orders for an anticoagulant medication.
Clinical record review revealed that Resident 13 had diagnoses that included cerebrovascular disease (affects blood vessels in the brain) and bipolar disorder.
Review of Resident 13's MDS dated [DATE], indicated that Resident 13 received an anticoagulant medication.
Review of Resident 13's clinical record revealed no physician's orders for an anticoagulant medication.
395351 01/29/2026
West Reading Skilled Nursing and Rehabilitation Ce 425 Buttonwood Street West Reading, PA 19611
Review of Resident 1's Medication Administration Records (MARs) for December 2025 and January 2026, revealed that staff administered midodrine three times in December and four times in January when Resident 1's SBP was greater than 130mm/Hg.
Clinical record review revealed that Resident 30 had diagnoses that included hypotension (low blood pressure), chronic respiratory failure, and peripheral vascular disease. A physician's order dated May 15, 2025, directed staff to administer a blood pressure medication (midodrine) three times a day.
The physician ordered that staff were not to administer the medication if the resident's SBP was greater than 120 mm/Hg.
Review of Resident 30's MARs for October, November, and December 2025, and January 2026, revealed that staff administered midodrine 28 times in October, 39 times in November, 26 times in December, and two times in January when Resident 30's SBP was greater than 120mm/Hg.
In an interview on January 29, 2026, at 10:44 a.m., the Director of Nursing confirmed that the medications were administered outside of parameters ordered by the physicians for Residents 1 and
- CFR 483.25 Quality of CarePreviously cited 12/10/24
28 Pa.
Code 211.12(d)(1)(5) Nursing services.
395351 01/29/2026
West Reading Skilled Nursing and Rehabilitation Ce 425 Buttonwood Street West Reading, PA 19611
Review of the Minimum Data Set assessment, dated November 3, 2025, revealed that the resident had significant cognitive impairment and had a feeding tube.
Review of Resident 113's care plan revealed that the staff were to follow EBP when providing personal care and when handling the feeding tube.
On January 27, 2026, at 10:30 a.m., a sign was observed on the wall outside Resident 113's room indicating that staff were to follow Enhanced Barrier Precautions when providing high contact direct-care, including providing hygiene and feeding tube device care. At that time, Licensed Practical Nurse 1 (LPN 1) was observed sitting on Resident 113's bed, not wearing a protective gown while providing care to the resident's feeding tube. On the same day from 10:31 a.m. to 10:41 a.m. LPN 1 and Nurse Aide 2 (NA 2) provided hygiene care to Resident 113 while not wearing gowns. In an interview on January 27, 2026, at 10:45 a.m., NA 2 confirmed that she and LPN 1 were providing hygiene care to Resident 113. In an interview on January 29, 2026, at 11:03 a.m., the Director of Nursing stated that staff should have worn gowns when providing care to Resident 113. 28 Pa.
Code 211.10(d) Resident care policies. 28 Pa.
Code 211.12(d)(1)(5) Nursing services.
395351 01/29/2026
West Reading Skilled Nursing and Rehabilitation Ce 425 Buttonwood Street West Reading, PA 19611
Observation on January 27, 2026, at 11:27 a.m., revealed the call light failed to light and the signal failed to sound at the nurse's station when the button on the cord at Resident 30's bed was pressed.
During an interview at 11:45 a.m., Nurse Aide 1 (NA 1) confirmed the cord was damaged and required replacement.
During an interview on January 28, 2026, at 1:30 p.m., the Administrator confirmed that the facility failed to maintain a fully functioning resident call bell system in one room.28 PA Code 201.14(a) Responsibility of licensee.28 Pa Code 205.28 (c)(1) Nurses' station.