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Complaint Investigation

Yorkview Nursing And Rehabilitation

Inspection Date: November 19, 2025
Total Violations 1
Facility ID 395168
Location YORK, PA
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Inspection Findings

F-Tag F0559

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice

before a change is made.

Based on clinical record review and staff interviews, it was determined that the facility failed to ensure each resident the right to receive notice in advance of the resident's room or roommate change for one of six resident records reviewed (Resident 4).Findings Include:Review of the facility's policy, titled Resident Rights, revised June 2023, reads, Employees shall treat all residents with kindness, respect, and dignity.Review of Resident 4's clinical record revealed diagnoses that included dementia (Dementia is the loss of cognitive functioning - thinking, remembering, and reasoning - to such an extent that it interferes with a person's daily life and activities) and muscle weakness (a lack of muscle strength).Review of Resident 4's clinical record revealed she received a new roommate on October 23, 2025.Continued review of Resident 4's clinical record revealed documentation of a progress note dated November 17, 2025, of a care plan meeting held regarding a recent resident-to-resident incident involving Resident 4's new roommate. According to the progress note, Resident 4's Responsible Party was not notified of Resident 4 receiving a new roommate on October 23, 2025, and continued, [Representative] would like to be notified

before res [Resident 4] getting another roommate and writer told [Representative] that we will notify her prior to anyone moving in with [Resident 4].An interview with the Director of Social Services (Employee 1)

on November 19, 2025, at 12:50 PM, revealed that Employee 3 (Social Worker) is newly assigned to that resident area and is in training.An interview with the Nursing Home Administrator on November 19, 2025, at 1:51 PM, revealed the facility usually notifies residents of new roommates and changes in rooms, however, confirmed Resident 4 nor her Representative had been notified prior to a new resident moving into the room on October 23, 2025, but would make sure all residents and/or representatives are notified going forward. 28 Pa. Code 201.14 (a) Responsibility of licensee

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

Event ID:

📋 Inspection Summary

YORKVIEW NURSING AND REHABILITATION in YORK, 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 YORK, 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 YORKVIEW NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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