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F0835
D

Failure to Ensure Effective Supervision and Elopement Prevention

New Castle, Pennsylvania Survey Completed on 05-01-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The Nursing Home Administrator (NHA) and Director of Nursing (DON) failed to effectively manage the facility to ensure proper supervision and implementation of safety interventions related to elopement prevention and safe smoking practices. Review of facility records, job descriptions, and staff interviews revealed that the NHA and DON did not fulfill their essential job duties as outlined in their job descriptions, which require adherence to federal, state, and local regulations and the consistent application of facility policies. The deficiency was identified based on findings that the facility did not consistently supervise residents or maintain all necessary safety interventions to prevent elopement, thereby failing to meet regulatory requirements for resident safety and care.

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