Elevate Care Abington

Inspectors wroteBased on interview and record review, the facility failed to protect one resident's (R1) right to be free from physical abuse, out of four residents investigated, by not adhering to its own abuse prevention policy when a staff member kicked R1 on his leg while he was lying in bed.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper infection control guidelines were being followed for residents on transmission-based precautions. This failure has the potential to affect all 142 residents residing in the facility. Findings Include:Facility Census dated 3/9/2026 shows there are 142 residents currently residing in the facility. On 3/9/2026 at 12:15PM, V9 (Registered Nurse) entered R18's room with a disposable tray containing a glucometer, bottle of test strips, alcohol wipes, cotton balls, and a syringe filled with insulin. Hand hygiene was not performed upon entering the room and PPE's were not donned according to signage outside of R18's room. V9 was then observed leaving R18's room with disposable tray in hand which contained the glucometer, bottle of test strips, and used needle in packaging. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure house stock medications, insulin and eyedrops were labeled and dated when opened; failed to properly manage medications with expired orders and failed to appropriately store controlled medication per policy. These deficiencies affect six (R20, R100, R117, R122, R132 and R148) of six residents in the sample of 44 reviewed for medication storage and labeling.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a urinary catheter was positioned to maintain a downhill flow of urine in accordance with facility policy. This deficient practice affected one (R141) of three residents in the sample of 44 reviewed for catheter.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure implementation of appropriate infection prevention and control practices during medication administration including disinfecting of medical equipment use, providing care to a resident on Enhanced Barrier Precaution (EBP), and performing hand hygiene after removing gloves. The facility also failed to place the nebulizer mask and tubing in plastic bag when not in use. This deficiency affects four (R8, R54, F179 and R329) residents in the sample of 25 reviewed for Infection Control Prevention and Control Management.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that no medications are kept at the resident's bedside without physician order. The facility also failed to assess a resident for safe medication self-administration. This deficiency affects one (R8) of three residents in the sample of 25 reviewed for Medication safety.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure ongoing assessment and monitoring are implemented to identify and report new open pressure ulcer for a resident who has history of pressure ulcer. The facility failed to notify the physician for appropriate treatment order. The facility failed to implement pressure ulcer prevention policy by not providing specialty mattress. This deficiency affects one (R22) of three residents in the sample of 25 reviewed for Pressure ulcer/Wound Prevention Management.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure an oxygen nasal cannula was properly in place for a resident who has an order for oxygen supplementation. The facility failed to change the empty concentrator's humidifier bottle in a timely manner. The facility also failed to follow physician order in administration of oxygen. This deficiency affects 3 (R22, R38 and R81) residents in the sample of 25 reviewed for Oxygen/Respiratory Management.

Inspectors wroteBased on observation, interview, and record review the facility failed to lock the medication refrigerator and record the date when medication was opened. This deficiency affects one of two medication storage rooms and one of four medication carts reviewed for Safe medication storage and labeling.

Inspectors wroteBased on interview and record review the facility failed to follow its Transfer policy by failing to provide a two persons assist while transferring a dependent resident from bed to wheelchair. This failure affected one of three residents (R1) reviewed for accidents. This failure resulted in R1 falling from a mechanical lift to the floor and sustaining a fracture of the left superior and inferior pubic rami medially, a sacral fracture and small hematoma. Findings Include: On 2/5/25 at 10:30am, V3 (RN) stated that she provided care to R1 on the day of the fall (2/3/25) and was called to the room by V4 (CNA) after R1 slid out of the sling to the floor during transfer from the bed to the wheelchair. V3 stated that she assessed R1 and noted a cut on the left outer ear. V3 stated that 911 was called and R1 was taken to the hospital for further evaluation. [...]

Inspectors wroteBased on observation, interview, and record review the facility failured to ensure no medication was kept at the resident 's bedside without a physician order. The facility also failed to assess a resident for safe medication self-administration. This deficiency affects one (R41) of three residents in the sample of 26 reviewed for Medication safety.

Inspectors wroteBased on interview and record review, the facility failed to perform a complete assessment and notify physician of the significant change of condition for one of three residents (R330) reviewed for quality of care.

Inspectors wroteBased on observation, interview, and record the facility failed to obtain a tracheostomy tube size order from physician for a resident with a Tracheostomy tube. The facility also failed to implement oxygen as ordered. This deficiency affects one (R180) of one resident in the sample of 26 reviewed for Respiratory Care.

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident at risk for falls was supervised and assisted while in the bathroom for 1 of 4 residents (R1) reviewed for safety in the sample of 7. This failure resulted in R1 being sent to the hospital after sustaining a laceration to his head which required staples.

Inspectors wroteBased on interviews and record review, the facility failed to follow their transfer policy. The facility failed to safely transfer a total dependent resident that requires a mechanical lift with 2 person assist, by transferring via stand pivot with one person assist. This affects one resident (R1) of three residents reviewed for safe transfer. This resulted in R1 being hospitalized with a CT scan result of distal tibia periprosthetic fracture and distal fibula fracture.