Failure to Maintain Accurate and Current Facility Assessment
Penalty
Summary
The facility failed to accurately complete and update its facility-wide assessment used to determine necessary resources for competent resident care during routine operations and emergencies. Review of the Facility Assessment dated 3/26/25 showed that the section listing key personnel still identified the previous Nursing Home Administrator, previous Director of Nursing, and previous Assistant Director of Nursing rather than current leadership. The census section referenced a time period of the 2025 year to date without current information, and the section titled “Information about our residents” had not been reviewed or updated since 3/26/25. During an interview on 3/14/26, the Interim Nursing Home Administrator (Employee E12) confirmed that the facility failed to accurately complete the Facility Assessment and that all information about the residents reflected the last time this employee had worked at the facility, rather than current resident data. These findings were cited under 28 Pa. Code 201.18(b)(3)(e)(2) related to management requirements.
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