Embassy Of Wyoming Valley
EMBASSY OF WYOMING VALLEY in WILKES BARRE, PA — inspection on March 14, 2025.
Found 2 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 nursing documentation dated January 9, 2025, at 3:44 PM revealed Resident 36 was admitted to the facility with a Foley catheter (a flexible tube inserted through the urinary opening and into the bladder.
The device drains the urine into a drainage bag).
An observation on March 11, 2025, at 8:25 PM, revealed that Resident 36 was resting in bed, and the urine collection bag from the resident's Foley catheter was lying on its side, directly on the floor.
A subsequent observation on March 13, 2025, at 8:25 AM, again revealed that the urine collection bag was in direct contact with the floor, creating an increased risk for contamination and infection.
An interview with the Infection Preventionist on March 14, 2025, at 11:00 AM, confirmed the facility failed to maintain Resident 36's Foley catheter in a manner that would prevent the potential for urinary tract infections (UTIs).
The Infection Preventionist further acknowledged the facility failed to uphold appropriate infection control techniques for a resident with an indwelling Foley catheter. 28 Pa.
Code 211.10 (a)(d) Resident care policies.
28 Pa.
Code 211.12 (c )(d)(1)(5) Nursing services.
395456
During initial tour of the food and nutrition services department on March 11, 2025, at 6:20 PM the food and nutrition services director (FSD) stated that he had been the FSD since January 21, 2025.
The FSD stated that he had a culinary background but did not yet have a certification to meet the requirements for a qualified foodservice director based on current federal regulation.
The FSD stated that he does visit residents for food preferences.
The FSD further stated the full-time registered dietitian (RD) had recently quit, and the current RD works remotely and was available via e-mail and telephone.
Interview with the nursing home administrator (NHA) on March 12, 2025, at approximately 9:00 AM confirmed that the full-time RD's last day of employment was on March 7, 2025.
The NHA confirmed the current RD worked remotely on a part-time basis.
The NHA confirmed the facility failed to provide documented evidence the facility employed a full-time qualified food service director in the absence of a full-time qualified dietitian.
The NHA failed to provide documented evidence the services of the remote RD included face to face interactions with residents to ensure appropriate nutritional oversight for residents in the facility.
The NHA failed to provide documented evidence the current remote RD was scheduled to provide frequently scheduled consultations to the FSD.
28 Pa Code 201.18 (e)(1)(6) Management.
395456
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 395456 B.
Wing 03/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Embassy of Wyoming Valley 50 N.
Pennsylvania Ave.
Wilkes Barre, PA 18701