Incomplete Posting of Adult Protective Services Contact Information on All Nursing Units
Penalty
Summary
The facility failed to meet federal and state requirements for posting complete and current contact information for Adult Protective Services (APS) on all three nursing units (South, North, and West). During an observation on 4/9/26 at approximately 1:00 p.m., surveyors noted that the required postings on each of these units did not include APS email address, phone number, and mailing address, as required under 42 CFR 483.10(g)(5). In a subsequent interview on 4/10/26 at approximately 3:00 p.m., the Nursing Home Administrator confirmed that the facility had not posted complete and current APS contact information on the three nursing units, resulting in noncompliance with federal resident rights posting requirements and related Pennsylvania regulations. No specific residents, medical histories, or clinical conditions were identified in the report; the deficiency pertains to facility-wide posting of resident rights and contact information for state agencies and advocacy groups, specifically APS.
Plan Of Correction
Complete and current contact information for Adult Protective Services has been posted in a form and manner, accessible and understandable to residents and representatives on three of the three nursing units (South, North, West). The Social Worker has been educated by the Administrator on the regulation to maintain these required posting. The Administrator/Designee will complete random audits to ensure the placement of the required posting is maintained. Results of this audit will be presented to the QAPI committee for review and further recommendations.
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