Hopkins Center
HOPKINS CENTER in WYNCOTE, PA — inspection on March 13, 2025.
Found 8 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 facility documentation for three residents revealed a Notification of Medicare Non-Coverage (NOMNC) was not provided to Resident 91, Resident 151 or Resident 152.
Review of facility documentation for three residents revealed Advanced Beneficiary Notice of Non-Coverage (ABN) was not provided to Resident 91, Resident 151 or Resident 152.
Interview with the Administrator in Training, Employee E8, on March 13, 2025 at 1:42 p.m. revealed that the facility could not locate a NOMNC or an ABN notification for Resident 91, Resident 151 or Resident 152.
Interview with the Nursing Home Administrator on March 13, 2025, at 2:00 p.m. confirmed that the facility could not provide evidence that Resident 91, Resident 151 or Resident 152 received a NOMNC or an ABN notification. 28 Pa.
Code 201.18(b)(1) Management
395342 03/13/2025
Hopkins Center 8100 Washington Lane Wyncote, PA 19095
The facility failed to develop a comprehensive care plan and interventions to address Resident R75's diagnosis of alcohol dependency.
This failure resulted in actual harm to Resident R75 who was found intoxicated on three different occassions while at the facility from September 17, 2024 through October 2, 2024.
Resident R75 was transferred to the hospital, diagnosed with alcohol intoxication and required intravenous therapy on October 2, 2024.
Refer to F-F689 28 Pa.
Code 201.18(e)(1) Management 28 Pa Code 211.10(d) Resident care policies 28 Pa.
Code 211.12 (c)(d)(1) Nursing Services
395342 03/13/2025
Hopkins Center 8100 Washington Lane Wyncote, PA 19095
The facility failed to provide appropriate staff supervision and failed to complete a thorough
found with symptoms of intoxication, transferred to the hospital, diagnosed with alcohol intoxication with a blood alcohol level of 0.27% and required intravenous therapy. 28 Pa.
Code 201.18(e)(1) Management 28 Pa Code 211.10(d) Resident care policies 28 Pa.
Code 211.12 (c)(d)(1) Nursing Services
395342 03/13/2025
Hopkins Center 8100 Washington Lane Wyncote, PA 19095
Review of Employee E5's personnel filed revealed that the employee was hired by the facility on June 13, 2023, as a nurse aide.
Continued review revealed than an annual performance review had not been completed for the employee.
Review of Employee E6's personnel filed revealed that the employee was hired by the facility on July 16, 2004, as a nurse aide.
Continued review revealed than an annual performance review had not been completed for the employee.
Review of Employee E21's personnel filed revealed that the employee was hired by the facility on October 2, 2006, as a nurse aide.
Continued review revealed than an annual performance review had not been completed for the employee.
Review of Employee E22's personnel filed revealed that the employee was hired by the facility on April 1, 2020, as a nurse aide.
Continued review revealed than an annual performance review had not been completed for the employee.
Review of Employee E23's personnel filed revealed that the employee was hired by the facility on June 23, 2021, as a nurse aide.
Continued review revealed than an annual performance review had not been completed for the employee.
Interview on March 13, 2025, at 1:03 p.m. with the Director of Nursing, revealed that annual performance reviews for Employees E5, E6, E21, E22 and E23 had not been completed at any time during 2024 or 2025. 28 Pa.
Code 201.19(2) Personnel policies and procedures
395342 03/13/2025
Hopkins Center 8100 Washington Lane Wyncote, PA 19095
Observation of wound care treatment to Resident R7 being provided by a hospice Licensed nurse, Employee E16 and Nursing aide, Employee E17 on March 11, 2025 at 10:40 a.m. revealed both Employee E16 and E17 only wearing gloves and no gown.
Interview with Employee E16 at time of the above observation confirmed that the resident was on enhanced barrier precaution but only as a facility precaution. PPE is not warranted for this resident Interview with Unit Manager, Licensed nurse, Employee E10 on March 11, 2025 at 10:53a.m. regarding enhanced barrier precaution, specifically the indication for need to wear PPE , revealed that if there is no infection and residents are not on an antibiotic then PPE is not necessary unless they are actually providing care on an effective wound.
Ask if all residents with visual enhanced barrier signs on the doorway have infections and or antibiotics and or folic catheter unit manager replied it is a facility protocol as a precaution for the signs being on the doors.
Review of facility documentation, COVID-19 line listing, revealed that Resident R69 tested positive for COVID-19 on March 6, 2025.
Clinical record review for Resident R69 revealed a care plan, dated initiated March 6, 2025, for COVID-19 positive infection, with interventions including contact and droplet precautions.
Continued record review for Resident R69 revealed a physician's order, dated March 10, 2025, for droplet and contact isolation precaution for COVID-19 infection.
Clinical record review for Resident R75 revealed a progress note, dated March 8, 2025, at 1:44 p.m. that the resident tested negative for COVID-19.
Observation, on March 10, 2025, at 12:18 p.m. revealed that a sign indicating Special Contact and Droplet Precautions was posted on the door of Resident R69 and Resident R75's room.
Continued observation revealed Employee E24, nurse aide, took Resident R69 and Resident R75's lunch trays from the lunch truck, then proceeded to enter the residents' room and set up the lunch trays for the residents.
Employee E24, nurse aide, then left the room and walked down the hallway.
Employee E24, nurse aide, wore only a surgical mask, and did not don an N95 respirator, a gown, or perform hand hygiene while delivering the lunch trays to Residents R69 and R75. 28 Pa Code 211.10((d) Resident care policies 28 PA Code 211.12(d)(1)(3) Nursing services
395342 03/13/2025
Hopkins Center 8100 Washington Lane Wyncote, PA 19095
Review of facility policy, Call Lights, revised June 6, 2021, revealed that all Genesis Healthcare patients will have a call light or alternative communication device within their reach at all times when unattended.
Interview with Resident R63 in room [ROOM NUMBER], on March 10, 2025, at 11:25 a.m. revealed that he does not use the call bell much and he pointed to the call bell which was wound around the bedrails. It was noted that the other end of the cord was cut off and laying on the floor, and the severed cord attached to the plug was in the wall jack.
When the button was pushed it did not activate.
Further observation of the light on the ceiling outside her door revealed that it did not light after pressing the button multiple times.
Interview with the Licnesed nurse, Employee E26, on March 10, 2025, at 11:30 a.m revealed that the call bell was not working.
Interview with Resident R39 in room [ROOM NUMBER], on March 10, 2025, at 11:40 a.m. revealed that she had an adaptive call bell that she could blow into to call for help.
She said that it had been broken sometime the night before and had not been working all day.
Follow-up interview with Resident R39, on March 11, 2025, at 10:30 a.m. revealed that her call bell was still not working.
Interview with the Unit Manager on the second floor, Licensed nurse, Employee E10, on March 11, 2025, at 10:35 a.m. revealed that Resident R39's call bell was not working, and the facility had ordered the parts for this specialty call bell because none of their sister facilities had this type of call bell. 28 Pa.
Code 205.67(j) Electric requirements for existing construction 28 Pa.
Code 201.18 (b)(1) Management 28 Pa Code 211.12(d)(1)(3)(5) Nursing services
395342 03/13/2025
Hopkins Center 8100 Washington Lane Wyncote, PA 19095
Review of facility provided policy 'Accommodation of Needs,' revised on February 1, 2023, indicates that residents have a right to a safe, clean, comfortable, and homelike environment, and housekeeping and maintenance services necessary to maintain a sanitary , orderly and comfortable interior.
Observations on March 10, 2025 at 9:39 a.m., room [ROOM NUMBER], revealed food crumbs on floor, and a strong urine odor.
Further observations on March 10, 2025 at 11:56 a.m., revealed dry yellow substance under chair on floor, urinal on floor.
Further observations on March 10, 2025 of room [ROOM NUMBER], at 9:45 a.m., revealed mustard packets on floor under bedside table, empty soda can on floor, sweetener packets, lotion cap on floor, papers and a brief bag on floor.
Further observations on March 10, 2025 at 9:50 a.m., room [ROOM NUMBER], revealed food crumbs under bed, snack wraps on floor, dirty and dusty bedside table.
Findings confirmed at the time of the observations with housekeeping Employee, E18. 28 Pa Code 201.14 (a) Responsibility of licensee
Review of Resident R75's Minimum Data Set assessment (MDS- assessment of resident care needs) dated August 5, 2024, revealed the resident had a BIMS (Brief Interview of Mental Status) score of 15, indicating the resident was cognitively intact.
Continued review of the MDS revealed that the resident had no upper or lower extremities impairment and was independent with ambulation.
Review of Resident R75's nursing notes dated September 17, 2024, (late entry 5:46 p.m.) revealed the resident was found to have a small water bottle with clear liquid in the bottom that smelled of alcohol.
The resident did say (she/he) was drinking. (She/he) refused to say how (resident) obtained the alcohol. (Resident) stated everyone here was buying it. [Resident R75] was hitting elevator, slurring (his/her) speech order to send to ED (emergency room ) or evaluation was obtained however [Resident R75] refused to go with ambulance. (Resident) refused to allow NHA (Nursing Home Administrator) and DON (Director of Nursing) ro (sic) search (resident) room. MD (physician) was made aware and nursing.
Plan of care ongoing.
Review of Resident's R75's clinical record revealed that there was not evidence that a care plan was developed related to the resident's diagnosis of alcohol dependency and/or following the incident on September 17, 2024 in which the resident admitted obtaining and drinking alcohol.
Review of nursing note dated October 2, 2024, at 9:00 a.m. revealed the resident met with the administrator team to address a drinking incident that occurred over the weekend.
During the meeting, the team discussed the situation in detail, reviewed the impact of the incident and provided the resident with a formal 30-day notice of discharge.
Review of Social Service documentation dated October 2, 2024, revealed that Resident R75 had a drinking incident that occurred over the weekend (9/29-9/30, 2024). A 30-day discharge notice was issued to the resident due to endangerment of resident safety related to multiple occasions where resident was found to be visibly intoxicated with verbal aggression towards others.
395342
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 395342 B.
Wing 03/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Hopkins Center 8100 Washington Lane Wyncote, PA 19095
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.