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F0692
D

Failure to Provide Fresh Hydration on All Units

West Chester, Pennsylvania Survey Completed on 03-26-2026

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 facility failed to provide adequate hydration to residents on all three floors during the survey period. On March 26, 2026, observations of resident rooms on the 1st, 2nd, and 3rd floors showed that most rooms either had no cups with water available for hydration or contained cups of warm water. The cups present were not dated, so there was no way to determine when the water had been provided. Resident interviews revealed that multiple residents reported fresh water was not provided every shift and sometimes not even daily, despite the presence of functioning ice machines on each unit. Observations were made throughout the day shift and showed that residents were not provided with fresh water and/or ice during that shift. When surveyors presented these findings to the Nursing Home Administrator and the DON on March 26, 2025, at 3:10 p.m., the DON stated that residents are provided with fresh water during every shift, which conflicted with the observations and resident reports. These findings were cited under 28 Pa. Code 211.12(d)(1)(5) Nursing Services and 28 Pa. Code 211.10(c) Resident care policies.

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