Average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Allied Services Center City Skilled Nursing during CMS and state inspections, most recent first.
Inaccessible Over-the-Bed Lighting: The facility failed to ensure that multiple residents could reasonably and safely operate over-the-bed lights. Three residents had fixtures with pull cords only two inches long, making the lights unreachable from bed or wheelchair, and another resident had an extension chain but the bed was positioned too far away to access it. One resident stated she needed the light to get up at night to use the bathroom, and another resident with upper body contractures and deformities said she liked to read at night but had to call staff to turn the light off.
The facility failed to timely identify and monitor significant weight loss for two residents by missing required weekly weights and not documenting timely reweights or interventions after rapid losses. A cognitively intact resident with a wrist fracture had a 7-lb loss since admission and a 6.2-lb loss in one week without the required reweigh or follow-up, and another resident with a UTI missed a required weekly weight until after surveyor notification. The facility also failed to follow a resident's nutritional preferences when Glucerna was discontinued and Mighty Shakes were used despite the resident stating he preferred Glucerna and disliked the alternative.
PICC line care and IV flush orders were not followed for three residents receiving IV antibiotics. Emergency PICC supplies were documented as present but were not found at the bedside or wheelchair for two residents, one resident’s PICC dressing was overdue for a change, and MARs/orders did not show the required saline flushes before and after IV antibiotic administration. The residents had serious infections and were being treated through PICC lines, and the DON confirmed the findings.
Unsecured Storage of Medications Awaiting Disposition: Surveyors found a brown paper bag of discontinued and disposition-bound meds in an unsecured drawer at the nursing station on Unit 3, rather than in the locked med storage area required by facility policy. An RN said she had no knowledge of the meds in the drawer, and another RN said she placed them there when she left the unit for a meeting; the DON confirmed the storage failure.
A resident admitted after knee replacement surgery with a knee immobilizer and moderate Braden risk had an existing Stage II coccyx ulcer and was ordered a pressure-reducing mattress, cushion, and a Prevalon boot for the RLE while in bed. Staff observations found the resident in bed without the ordered boot on two occasions, the boot was not in the room, the resident said he never received it, and the TAR still documented it as in place with no refusals noted; the NHA confirmed the planned prevention measures were not consistently implemented.
A resident with chronic kidney failure and neuropathy had a care plan for restorative nursing with AROM and PROM exercises after PT discharge, but he reported he had not received restorative interventions for over a month. Although the chart showed daily AROM was completed, an NA admitted she documented 15 minutes of AROM as done even though she did not provide it, and the DON confirmed the facility did not ensure the restorative program was carried out as planned.
Failure to provide and document ordered pain management: A resident with a fracture received hydromorphone without a documented pain score, non-pharmacologic measures, or reassessment. Another resident with fibromyalgia had a delay in receiving opioid pain medication because it was not on-site, received an incorrect dose, and there was no documentation of physician notification or alternate pain intervention. A third resident with osteoarthritis requested Tylenol for neck pain, but the record did not show a numeric pain assessment, non-pharmacologic interventions, or administration of the ordered medication.
The facility failed to maintain smoke-tight corridor doors, specifically doors 401 and 403, in a fully sprinklered smoke compartment. This deficiency was observed and confirmed during a survey, affecting one of nine smoke compartments.
The facility failed to implement enhanced barrier precautions for three residents and improperly stored hygiene products in two shower rooms. Residents with conditions like MRSA and PEG tubes lacked necessary signage for infection control, and hygiene items were stored on the floor, risking contamination. Staff confirmed these deficiencies, acknowledging the need for proper procedures.
The facility failed to ensure accurate MDS assessments for three residents. One resident's significant weight loss was not recorded, another's entry type was misclassified, and a third resident was incorrectly documented as receiving insulin. These errors were confirmed by facility staff.
A resident with cerebral infarction and hypertension did not receive consistent application of prescribed TED stockings as per physician's orders. Despite documentation indicating application, observations and resident interviews revealed non-compliance, with the resident needing to remind staff to apply the stockings. The DON confirmed the inconsistency in following the care plan.
A facility failed to ensure timely action on pharmacy recommendations for a resident's medication administration. The resident, with osteomyelitis and GERD, was prescribed sucralfate, but the physician did not adjust administration times as recommended by the pharmacist. This oversight was identified during a review of records and staff interviews, and the issue was later confirmed by the Nursing Home Administrator.
Inaccessible Over-the-Bed Lighting
Penalty
Summary
The facility failed to ensure that residents had reasonable and safe access to operate their over-the-bed lighting for four of 21 residents reviewed. The facility policy on Environment stated that extra lighting should be provided to give sufficient light for tasks such as reading and to help residents find their way from the bed to the bathroom at night. During observations, Residents 32, 41, and 9 each had over-the-bed lighting fixtures with pull cords measuring only two inches in length, making the lights inaccessible to them while in bed or seated in a wheelchair. Resident 41 stated that she could not reach the over-the-bed light from either her bed or wheelchair and said she needed it because she gets up frequently during the night to go to the bathroom and should have a light on so she can see what she is doing. Resident 50 had an extension chain attached to the over-the-bed light, but her bed was positioned too far away for her to reach it from the bed or wheelchair. She reported upper body contractures and deformities that further limited her reach and stated that she liked to read at night but had to call staff to turn the light off, sometimes falling asleep before staff arrived. The Nursing Home Administrator confirmed that the facility failed to ensure resident access to operate over-the-bed lights for multiple residents.
Failure to Monitor Weight Loss and Honor Nutritional Preferences
Penalty
Summary
The facility failed to timely identify weight loss and failed to obtain weekly weights as required by its policy for two residents. The policy titled Weighing Residents/Reporting Significant Weight Changes required admission weights, weekly weights for four weeks, review of weights by nursing or dietary staff, reweighing within 48 hours for a loss of 5 pounds in one week, and investigation and intervention when significant weight changes occurred. For Resident 15, who was cognitively intact and admitted with a right wrist fracture, the record showed a weight of 151.6 pounds on admission, 150.8 pounds on October 31, 2025, and 144.6 pounds on November 3, 2025, reflecting a 7-pound loss since admission and a 6.2-pound loss in one week. The record did not show a reweigh within 48 hours, documentation of interventions for the weight loss, or weekly weights after November 3, 2025, despite the policy requirement. Resident 22 was admitted with a urinary tract infection and had an admission weight of 221.8 pounds, followed by a weight of 217.9 pounds on November 2, 2025. A weekly weight was due on November 9, 2025, but it was not obtained until November 13, 2025, after surveyor notification, when the resident weighed 212.2 pounds. A progress note from that same day documented meal completion as low as 26 percent. The record did not show that the facility obtained the required weekly weight on time or that it used the weight information to identify loss or initiate discussion with staff or the resident. The facility also failed to implement individualized nutritional support measures based on a resident's stated preferences for Resident 8, who had diagnoses including status post left above-knee amputation, right below-knee amputation, diabetes, and peripheral vascular disease, and was cognitively intact. The care plan identified decreased appetite, significant weight loss, diabetes, and recent amputation as risk factors and included goals to maintain or increase weight and consume nutritional supplements. The resident lost weight from 179 pounds to 160.2 pounds over the documented period, and the RD changed supplements from Glucerna to no sugar added Mighty Shakes after continued weight loss. However, task records continued to document Glucerna after it had been discontinued, and the resident stated he preferred Glucerna and did not like Mighty Shakes because he felt they raised his blood sugar. The FSD confirmed Glucerna had been discontinued and could not provide documented evidence that the resident's preferences were considered before the change.
PICC Line Care and IV Flush Orders Not Followed
Penalty
Summary
The facility failed to provide person-centered care as prescribed and failed to follow physician orders for the management of PICC lines for three residents receiving IV antibiotics. Facility policy required weekly dressing changes, saline flushes before and after IV medication administration, and emergency PICC supplies to be kept at the bedside or wheelchair and checked every shift. The report identified that these requirements were not consistently carried out for Residents 12, 75, and 76. Resident 12 had diagnoses including osteomyelitis of the lumbar spine and sepsis due to E. coli and was receiving IV ceftriaxone through a PICC line. Although the MAR documented emergency PICC supplies at the bedside and wheelchair each shift from October 12 through November 12, an observation on November 12 found no emergency PICC supplies present, and the RN confirmed they were not there. The resident also had an order for 10 ml normal saline flushes every shift, but the physician orders and MARs did not show the PICC line was flushed before and after each IV antibiotic administration as required by facility policy. Resident 75 had sepsis due to MSSA in a left pleural effusion and was receiving IV cefazolin through a PICC line. The TAR documented emergency PICC supplies at the bedside and wheelchair each shift from November 8 through November 12, but an observation on November 12 found no emergency supplies in the room or on the wheelchair, and the RN confirmed they were absent. The resident’s PICC dressing and caps were ordered to be changed weekly on Saturdays, but on November 14 the dressing was observed to have last been changed on November 5, and staff stated it should have been changed on November 12. Resident 75 also had an order for 10 ml normal saline flushes every shift, but the orders and MAR did not show flushes before and after each IV antibiotic administration. Resident 76 had MSSA after right knee replacement surgery and was receiving IV cefazolin through a PICC line. The resident also had an order for 10 ml normal saline flushes every shift, but the physician orders and MAR did not show the PICC line was flushed before and after each IV antibiotic administration as required.
Unsecured Storage of Medications Awaiting Disposition
Penalty
Summary
The facility failed to implement and follow its medication storage procedures for medications awaiting disposition on Nursing Unit 3. The facility policy stated that discontinued medications, medications from discharged or deceased residents, or medications otherwise awaiting disposal or return to the pharmacy were to be marked discontinued and stored in a locked secure area designated for that purpose until destroyed or picked up by the pharmacy. On November 14, 2025, surveyors observed an unsecured drawer in the Unit 3 nursing station containing a brown paper bag with multiple medications awaiting disposition, including Baclofen, Sertraline, Midodrine, Levetiracetam, Atorvastatin, Ezetimibe, Tamsulosin, Trazodone, Allopurinol, Plavix, Mirtazapine, Thera-M, Pantoprazole, Meclizine, Apixaban, Atenolol, Folic acid, Donepezil, Gabapentin, Memantine, Metoprolol, a Humalog insulin pen, and Buspirone. An RN stated she had no knowledge of medications stored in that drawer and explained that medications for disposition should be secured in the medication room, while another RN stated she stored them there because she left the unit to attend a meeting. The DON confirmed the facility failed to ensure acceptable storage of medications for disposition as required by facility policy.
Failure to Implement Ordered Pressure Injury Prevention Measures
Penalty
Summary
The facility failed to consistently implement planned interventions to prevent pressure injury development for one resident. Resident 76 was admitted after right knee replacement surgery with MSSA and required a right knee immobilizer. The resident was cognitively intact with a BIMS score of 15. The admission care plan identified a potential for skin breakdown related to altered mobility and also noted an actual Stage II coccyx ulcer present on admission. The admission Braden Scale identified the resident as being at moderate risk for pressure injury development, and physician orders included a pressure-reducing mattress, a pressure-reducing cushion, and a Prevalon boot for the right lower extremity while in bed. Observations on two separate occasions showed Resident 76 lying in bed with the right knee immobilizer on but without the ordered Prevalon boot on the right lower extremity, and the boot was not present in the room. One observation was confirmed by an LPN. The resident stated he never had the Prevalon boot placed on his right lower extremity since admission. However, the TAR documented the Prevalon boot as being on the resident for several days with no refusals noted. During interview, the Nursing Home Administrator confirmed the facility did not consistently implement the planned interventions to prevent a right heel pressure ulcer for Resident 76.
Failure to Provide Planned Restorative Nursing Services
Penalty
Summary
The facility failed to consistently provide restorative nursing services as planned to maintain Resident 2’s mobility to the extent possible. Resident 2 was admitted with chronic kidney failure and neuropathy, was cognitively intact with a BIMS score of 14, and had a PT discharge recommendation for 24-hour care, a functional maintenance program, and restorative nursing services. His plan of care, initiated on September 29, 2025, included restorative nursing with AROM and PROM exercises for both lower extremities, including hip flexion, abduction/adduction, and knee flexion/extension repetitions. During interviews, Resident 2 stated he was no longer receiving therapy services and had not received restorative nursing interventions such as PROM or AROM exercises for over a month. Although the facility documentation showed daily AROM exercises were provided from November 1 through November 13, 2025, Employee 3, a Nursing Assistant, confirmed she did not provide the documented 15 minutes of AROM on November 13 and admitted she charted the intervention as completed even though it had not been performed. The DON confirmed the facility did not ensure Resident 2’s restorative nursing interventions were implemented as outlined in the care plan and did not ensure he received the services needed to maintain mobility to the extent possible.
Failure to Provide and Document Ordered Pain Management
Penalty
Summary
The facility failed to provide safe, appropriate pain management for three residents by not following physician orders, not completing timely pain assessments, not using or documenting non-pharmacological interventions, not reassessing pain relief within a reasonable time frame, and not accurately documenting pain-related care in the clinical record. The facility policy required staff to assess pain using a numeric scale, notify the physician of assessed pain levels, attempt non-pharmacological interventions before giving pain medication, and document the results and reassessment of pain relief. Resident 15 was admitted with a fracture of the lower end of the right radius and had an order for hydromorphone 2 mg every 4 hours as needed for moderate to severe pain. The controlled substance record showed hydromorphone was given at 11:40 PM, but nursing documentation did not show the resident’s pain level at the time of administration, any attempted non-pharmacological measures before the medication, or any reassessment after the medication was given. The DON was unable to produce evidence that staff implemented the facility’s pain management policy for this resident. Resident 45 was readmitted with fibromyalgia and a recent history of falls, and an MDS assessment showed the resident was cognitively intact with a BIMS score of 15. Nursing documentation showed the resident was yelling out for pain medication, but staff told her the ordered medication was not available in the facility and had to be delivered by the pharmacy. The controlled substance record showed the medication was not administered until more than one hour after staff were notified, and the resident received two tablets even though the pain level documented at the time was 7, which called for one tablet. No documentation showed that the physician was notified or that an alternative pain intervention was requested during the delay. Resident 23 was admitted with osteoarthritis and had an order for Tylenol 650 mg as needed for mild pain. When the resident requested pain medication for neck discomfort, the record did not show a numeric pain assessment, any non-pharmacological interventions, or administration of the ordered medication, and the DON was unable to provide evidence that the resident’s pain was fully evaluated or that interventions were timely implemented.
Non-Compliance with Corridor Door Smoke-Tightness
Penalty
Summary
The facility was found to be non-compliant with the Life Safety Code requirements during a Medicare/Medicaid Recertification Survey. Specifically, the deficiency was related to the maintenance of corridor doors, which are required to resist the passage of smoke in a fully sprinklered smoke compartment. The survey identified that two corridor doors, numbered 401 and 403, were not smoke-tight, thus failing to meet the necessary safety standards. The observation of these deficiencies occurred on January 22, 2025, between 10:44 a.m. and 10:45 a.m. The issue was confirmed during an exit interview with the Facility Administrator and the Facilities Manager later that morning. The deficiency affected one of the nine smoke compartments in the facility, indicating a lapse in maintaining the required safety measures for corridor openings.
Plan Of Correction
Corridor doors on rooms 401 and 403 will be adjusted or modified to achieve smoke tight integrity. The facilities computerized maintenance system will schedule a monthly work order to inspect the doors for smoke-tight integrity.
Failure to Implement Infection Control and Proper Storage Procedures
Penalty
Summary
The facility failed to implement enhanced barrier infection control procedures for three residents and did not properly store resident hygiene and personal products in two shower rooms. For Residents 28, 33, and 56, there were no signs or postings indicating that they were on enhanced barrier precautions, despite physician orders requiring such precautions due to conditions like MRSA in urine, a PEG tube, and an indwelling urinary catheter. Observations confirmed the absence of required signage, and staff interviews corroborated that the rooms should have been marked to indicate the need for gowns and gloves during high-contact care activities. Additionally, the facility did not ensure proper storage of resident hygiene products, as observed in the 3rd and 4th-floor shower rooms. Items such as incontinence briefs, a hairdryer, and sanitizing wipes were stored directly on the floor and in a bathtub, which poses a risk of contamination. Staff interviews confirmed that these items should not be stored in such a manner, and the Nursing Home Administrator acknowledged the facility's responsibility to implement proper infection control procedures, including the correct storage of personal products.
Plan Of Correction
1. Resident 28's contact precautions were discontinued and enhanced barrier precautions were implemented with indicators applied to the door. Resident 33 had appropriate enhanced barrier precaution indicators applied to the door. Resident 56 was discharged from the facility. The 3rd and 4th floor shower rooms were immediately cleaned. Items were removed from the floor and disposed of appropriately. Hair dryers were sanitized and stored appropriately. 2. The facility will complete an audit of current residents to ensure those requiring enhanced barrier precautions have appropriate indicators in place to ensure staff are aware. The facility will complete an audit of the shower rooms to ensure residents' personal products are stored properly. 3. The Infection Preventionist/designee will educate staff on the facility's enhanced barrier precautions policy and protocol. The Infection Preventionist/designee will educate clinical staff on proper storage of resident personal items and hygiene products. 4. The Infection Preventionist/designee will perform weekly audits of sampled residents with enhanced barrier precautions to ensure there are proper indicators in place. The Infection Preventionist/designee will perform weekly audits of shower rooms to ensure the proper storage of resident personal items and hygiene products. Results will be reviewed at the facility's monthly QAPI meeting. Audits will continue until substantial compliance is reached.
Inaccurate MDS Assessments for Residents
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) Assessments accurately reflected the status of three residents. For one resident, the MDS assessment inaccurately reported no significant weight loss, despite a documented 10.04% weight loss over six months. This discrepancy was confirmed by the Registered Dietitian during an interview. Another resident's MDS assessment incorrectly coded the type of entry as an admission instead of a reentry after a hospital transfer, as confirmed by the Registered Nurse Assessment Coordinator (RNAC). Additionally, a third resident's MDS assessment inaccurately indicated that the resident received insulin injections, despite no documented evidence or physician order for such treatment. This error was also confirmed by the RNAC. These inaccuracies in the MDS assessments highlight a failure in accurately documenting and reflecting the residents' medical statuses, as required by the Resident Assessment Instrument (RAI) guidelines.
Plan Of Correction
1. Resident 34 still resides at facility and her MDS has been modified. Resident 8 still resides at facility and her MDS has been modified to reflect her admission date. Resident 31 no longer resides at facility. His MDS has been modified. 2. The facility will complete an audit of the most recently completed MDS for each current resident, to ensure Sections K0300, A1700, and N0350 are coded correctly. 3. The DON/designee will provide education to the RNAC on MDS accuracy of Sections K0300, A1700, and N0350. 4. The Consultant RNAC/designee will perform weekly audits of sampled MDS Sections K0300, A1700, and N0350 to ensure they are coded correctly. Results will be reviewed at the facility's monthly QAPI meeting. Audits will continue until substantial compliance is reached.
Failure to Consistently Apply Compression Stockings
Penalty
Summary
The facility failed to provide person-centered care by not adhering to a physician's order for the consistent application of compression stockings for a resident. Resident 22, who was admitted with diagnoses of cerebral infarction and essential hypertension, had a physician's order for TED stockings to be applied in the morning and removed in the evening. However, observations and interviews revealed that the resident was not wearing the stockings as ordered, and the resident reported that staff did not assist with their application on the day of the survey. The resident's January 2025 Treatment Administration Record inaccurately documented that the stockings were applied, which was inconsistent with the resident's statements and observed findings. The resident also indicated that she had to remind the nurse to apply the stockings, suggesting a lack of adherence to the prescribed care plan. The Director of Nursing confirmed that staff did not consistently follow the physician's orders regarding the application and removal of the TED stockings.
Plan Of Correction
1. Resident 22 will have TED stockings applied, per physician's orders. 2. The facility will complete an audit of residents with physicians' orders for TED stockings to ensure they are properly applied. 3. The DON/designee will provide education to licensed nurses about consistently following physicians' orders regarding the application and removal of TED stockings. 4. The DON/designee will perform weekly audits of sampled residents with physician orders for TED stockings to ensure proper application. Results will be reviewed at the facility's monthly QAPI meeting. Audits will continue until substantial compliance is reached.
Failure to Act on Pharmacy Recommendations for Medication Administration
Penalty
Summary
The facility failed to ensure that a physician acted timely upon irregularities identified by pharmacy services during drug regimen reviews for a resident. The resident, who was admitted with osteomyelitis and GERD, was prescribed sucralfate for GERD. A pharmacy note dated November 4, 2024, recommended altering the administration times of sucralfate to align with the manufacturer's instructions, which suggest administering the medication on an empty stomach prior to meals and at bedtime. However, the physician's response did not address this recommendation, and no changes were made to the medication administration times. The deficiency was identified during a review of clinical records, facility-provided medication information, and staff interviews. Despite the pharmacist's recommendation, the physician's order for sucralfate remained unchanged until January 9, 2025, when it was revised to include the recommended administration times. The Nursing Home Administrator confirmed the facility's responsibility to ensure timely action on pharmacy-identified irregularities, highlighting a lapse in the facility's compliance with this requirement.
Plan Of Correction
1. Resident 56 no longer resides at the facility. His medication order was revised to include pharmacist's recommendation prior to his discharge. 2. The facility will complete an audit of the most recent medication regimen reviews for all current residents, to ensure physician responses address the pharmacist's recommendation. 3. The DON/designee will educate physicians and their extenders on addressing pharmacy recommendations appropriately. 4. The DON/designee will perform monthly audits of sampled residents' medication regimen reviews to ensure appropriate responses were provided by physicians and physician extenders. Results will be reviewed at the facility's monthly QAPI meeting. Audits will continue until substantial compliance is reached.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Illustrative
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Nursing homes near Wilkes Barre
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Embassy Of Wyoming Valley | 0.3 mi | ★★★★★ | 31 | 0 |
| Allied Services Meade Street Skilled Nursing | 0.6 mi | ★★★★★ | 2 | 0 |
| Edenbrook On Second Ave | 1 mi | ★★★★★ | 14 | 0 |
| Riverstreet Manor | 1.1 mi | ★★★★★ | 25 | 0 |
| Third Avenue Health & Rehab Center | 1.4 mi | ★★★★★ | 13 | 0 |
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