Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
2E
1F
Potential for minimal harm
0A
0B
0C
January 14, 2026Standard inspection · 8 citations
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to properly store food and maintain sanitary conditions and failed to properly label and date food products in the Main Kitchen which created the potential for cross contaminationFindings include: During an observation of the main kitchen on January 11, 2025, at 9:10 a.m. the following was observed: - Dry Storage: [...]
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical records, observations, and staff interviews, it was determined that the facility failed to protect the residents' rights for two of 32 residents reviewed (Resident R31 and R43).
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on clinical records review and staff interviews, it was determined that the facility failed to follow physician orders regarding administration of nutrition for one of three residents reviewed (Resident 11).
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on policy reviews, clinical records review and staff interviews, it was determined that the facility failed to develop physician orders regarding respiratory care for 1 of eight resident's reviewed (Resident 2).
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observations, clinical records review and interview with staff, it was determined that the facility failed to ensure fluid restriction orders for dialysis residents were followed for one of one dialysis resident reviewed. (Residents 55).
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on facility policy review, observations, and staff interview it was determined the facility failed to label and store medications in accordance with currently accepted professional principles for 2 out of 3 medication carts reviewed. (1st and 2nd floor back hallway medications carts)
- D
Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on clinical record review and staff interview it was determined the facility failed to provide specialized speech therapy services as determined in their comprehensive care plan for 1 out of 1 resident reviewed. (Resident 29)
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of clinical records, observation and staff interview, it was determined the facility failed to maintain accurate and complete clinical records for one out of 8 residents reviewed. (Residents R31)
November 21, 2025Complaint inspection · 1 citation
- D
Ensure resident rooms meet each resident's needs.
Inspectors wroteBased on observations and interviews with staff, it was determined that the facility failed to provide a safe environment for 1 of 3 residents reviewed (Resident 1). Observations made on November 21, 2025, of rooms on the Rehabilitation Unit revealed Resident 1's room had a window with broken glass pieces taped with duct tape. Further observations revealed broken pieces of glass were sitting between the glass panel and the screen. Observations made of Resident 1's room also revealed a dresser with two broken drawer fronts. The pieces were sitting inside of the drawers. Observations conducted with the Director of Nursing (DON) on November 21, 2025, at 1:07 p.m., when the above information was presented, the DON confirmed the glass and dresser drawers were broken. 28 Pa. Code 201.14 (a) 28 Pa. Code 201.18 (b)(1)(e)(1) (2.1)
November 7, 2024Standard inspection · 3 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders for medications were followed for one of twenty-two residents reviewed (Resident 28).
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of facility's policy, clinical records review, and staff interview, it was determined that the facility failed to timely and appropriately address a significant weight change for one of 22 residents reviewed (Resident 93).
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased upon clinical record review, it was determined that the facility failed to ensure that medication irregularities were acted upon by a physician for one of five residents reviewed (Resident 67).
December 14, 2023Standard inspection · 7 citations
- K
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, facility policy and clinical record review, and interview with staff, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases which resulted in an Immediate Jeopardy for 60 residents on the second floor nursing unit.
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on a review of job descriptions it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) did not effectively manage the facility to ensure proper infection prevention procedures were followed to protect residents from the spread of COVID-19 in the facility.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations and staff interview it was determined the facility failed to provide a safe environment on one of two units. (2nd Floor) Findings Include: Observation on December 11, 2023 at 10:30 a.m. revealed the tub room which was currently being use for storage due to renovation and was storing buckets of paint revealed the door to the room which had a keypad was unsecured and able to be opened by the surveyor without inputting the keycode. Further observation on December 11, 2023 at 10:35 a.m. revealed an unmarked door at the end of the north hallway was able to be opened allowing access to a small room containing waterpipes and an air duct. Observations on December 12, 2023 at 12:30 p.m. revealed the doors to the dirty utility room, clean utility closet, and a linen closet all had numerical keypads. [...]
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, facility policy and procedure review, and staff and resident interview it was determined the facility failed to report an allegation of abuse to the state agency for one of 3 residents reviewed (Resident 19) Findings Include: Review of facility policy titled Abuse, Neglect, and Exploitation implemented November 1, 2022 revealed the facility will report all alleged violations to the state agency not later than 2 hours after the allegation is made. If the events that cause the allegation involve abuse or result in serious bodily injury. Interview with Resident 19 on December 12, 2023 at approximately 12:00 p.m. revealed there was an incident a few months ago where a nurse aide threw a magnifying glass at the resident when he/she became upset about the way the resident wanted to be changed. [...]
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on clinical record review, it was determined that the facility failed to ensure that a discharge summary was completed in a timely manner for one of three closed records reviewed (Resident 94).
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of facility policy and clinical records, observations, and interviews, it was determined that the facility failed to ensure proper assessments and treatments were in place for two of five residents reviewed for pressure ulcers (Residents 26 and 89).
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and clinical record review, it was determined that the facility failed to ensure complete and accurate clinical records for one of 22 residents reviewed (Resident 91).
Fire safety inspections
25 fire safety citations on file: 8 on January 14, 2026, 10 on November 7, 2024, 7 on December 14, 2023.
Every fire safety citation25 citations
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · January 14, 2026 · Corrected (the home has a date of correction)
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
K 225 · January 14, 2026 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · January 14, 2026 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 14, 2026 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · January 14, 2026 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · January 14, 2026 · Corrected (the home has a date of correction)
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · January 14, 2026 · Corrected (the home has a date of correction)
- E
Meet requirements for the installation and maintenance of electrical systems.
K 911 · January 14, 2026 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 7, 2024 · Waiver
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · November 7, 2024 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · November 7, 2024 · Corrected (the home has a date of correction)
- E
Have properly installed electrical wiring and gas equipment.
K 511 · November 7, 2024 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · November 7, 2024 · Corrected (the home has a date of correction)
- C
Address patient/client population and determine types of services needed.
E 7 · November 7, 2024 · Corrected (the home has a date of correction)
- C
Establish roles under a Waiver declared by secretary.
E 26 · November 7, 2024 · Corrected (the home has a date of correction)
- C
Establish emergency prep training and testing.
E 36 · November 7, 2024 · Corrected (the home has a date of correction)
- C
Conduct testing and exercise requirements.
E 39 · November 7, 2024 · Corrected (the home has a date of correction)
- C
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · November 7, 2024 · Corrected (the home has a date of correction)
- E
Have an enclosure around a vertical opening shaft.
K 311 · December 14, 2023 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · December 14, 2023 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 14, 2023 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · December 14, 2023 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · December 14, 2023 · Corrected (the home has a date of correction)
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · December 14, 2023 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · December 14, 2023 · Corrected (the home has a date of correction)