Woods on French Creek Nursing & Rehab Center the

Inspectors wroteBased on record review, interviews and facility policy review, the facility failed to ensure care plans were developed and updated specifically to the individualized needs of the resident. This affected two residents (Resident #9 and #79) out of 18 residents reviewed for care plans. The facility census was 67.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate care and treatment for Resident #9's gastrostomy tube. This affected one resident (Resident #9) out of two residents reviewed for enteral feeding. The census was 67.

Inspectors wroteBased on record review and staff interview, the facility failed to timely act upon pharmacist recommendations to address any medication irregularities in the medical record. This affected one resident (Resident #2) of six residents reviewed for unnecessary medications. The facility census was 67.

Inspectors wroteBased on record review, staff interview, and review of the Food and Drug Administration (FDA) medication guide, the facility failed to ensure antipsychotic medications had a valid clinically appropriate indication for use. This affected one resident (Resident #2) of six residents reviewed for unnecessary medications. The facility census was 67.

Inspectors wroteBased on observation and staff interview, the facility failed to ensure a safe, clean and sanitary laundry room. This had the potential to affect all the residents residing in the facility. The census was 67.

Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRCTED PRIOR TO THIS SURVEY Based on record review, staff interview, resident interview, review of the Emergency Medical Services (EMS) run report, review of the hospital documentation, and facility policy review, the facility failed to timely report a fall, failed to complete a timely and thorough resident assessment, and failed to ensure timely care and treatment after a fall. This resulted in Actual harm on 10/12/25 at 12:00 A.M. when Resident #52 fell out of bed and was assisted back into bed by staff without a thorough assessment. [...]

Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, resident and staff interview, review of x-ray images, review of orthopedic records, review of therapy notes, review of physician notes, and review of facility corrective action, the facility failed to ensure residents who required assistance with transfers were safely transported in their wheelchair to prevent injury. Actual harm occurred to Resident #10 when a dental provider staff member was transporting the resident in his wheelchair and pushed the resident's right foot into a door frame which resulted in excruciating pain and a subsequent distal posterior tibial fracture to the right foot. [...]

Inspectors wroteBased on observation, resident interview, resident representative interview, staff interview, and medical record review, the facility failed to implement and assess for appropriate interventions for a resident at risk for weight loss. This affected one (#2) of two residents reviewed for nutrition. The facility census was 69.

Inspectors wroteBased on observation, staff interview, medical record review, review of a facility policy, the facility failed to administer medications as ordered. There were three medication errors observed out of 27 opportunities for a medication error rate of 11.1 percent (%). This affected two (#46 and #14) of four residents observed for medication administration. The census was 69.

Inspectors wroteBased on observation, staff and resident interviews, medical record review, and review of a facility policy, the facility failed to ensure resident medications were maintained in a safe and secure manner. This affected one (#39) of one residents reviewed for medication storage. The facility census was 69.

Inspectors wroteBased on observation, resident interview, staff interview, medical record review, and review of a meal ticket, the facility failed to provide adaptive eating utensils as ordered and care planned. This affected one (#2) of two residents reviewed for nutrition. The facility census was 69.

Inspectors wroteBased on observation, medical record review and staff and resident interview, the facility failed to accommodate residents needs by ensuring call lights were within reach and accessible for Resident #25, #58 and #273. This affected three (#25, #58 and #273) of 48 residents reviewed for call light placement. Facility census was 68.

Inspectors wroteBased on medical record review, observation, staff and resident interview and policy review, the facility failed to ensure resident nail care was provided. This affected one (#25) of three residents reviewed for activities of daily living. The facility census was 68.

Inspectors wroteBased on medical record review and resident and staff interviews, the facility failed to provide services to maintain a resident's hearing. This affected one (#37 out of 19 residents sampled for hearing. The facility census was 68.

Inspectors wroteBased on observation, medical record review, staff and resident interview, the facility failed to honor resident food preferences. This affected two (#11 and #60) of 19 sampled residents. The facility census was 68.

Inspectors wroteBased on observation, medical record review and family and staff interviews, the facility failed to ensure a resident was provided with eating equipment to maintain independence with eating. This affected one (#30) out of four residents reviewed for maintaining independence with eating. The facility census was 68.

Inspectors wroteBased on observation, staff interview and policy review, the facility failed to ensure staff wore proper hair restraints while food was being plated in the servery of dining room [ROOM NUMBER]. This affected one of three serveries observed during a meal service. The facility census was 68.

Inspectors wroteBased on observation, medical record review, staff interviews and policy review, the facility failed to ensure nursing staff adhered to infection control standards during blood glucose monitoring. This affected one (#30) of eight residents observed during medication administration. The facility census was 68.

Inspectors wroteBased on personnel file review, review of the employee handbook, review of a job description and staff interview, the facility failed to ensure performance evaluations were completed as required for State tested nursing assistants (STNAs). This affected four STNAs (#2, #19, #35, and #88) of eight STNAs whose personnel files were reviewed and had the potential to affect all 68 residents residing in the facility. Facility census was 68.