Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Berks Heim Nursing & Rehabilitation during CMS and state inspections, most recent first.
A resident with dementia, behavioral disturbance, and anxiety was receiving PRN Lorazepam gel for anxiety per a physician order. The care plan directed staff to administer the anti-anxiety medication as ordered, and MARs showed repeated PRN administrations over multiple months. However, there was no physician documentation in the clinical record providing a rationale to extend the PRN Lorazepam order beyond 14 days, and no stop date was included in the orders. The DON confirmed the absence of a stop date or rationale for the continued PRN psychotropic use, resulting in a cited deficiency.
The facility did not meet the required nurse aide (NA) to resident ratios on three occasions over a 14-day period. Specifically, the facility failed to maintain the minimum ratio of one NA per ten residents during the day shift on two occasions and did not meet the required ratio of one NA per eleven residents during the evening shift on another occasion. These deficiencies were confirmed by the Administrator.
The facility did not meet the required minimum of 3.2 hours of direct nursing care per resident on two days within a 14-day review period. Specifically, the care hours fell short on December 25, 2024, and January 1, 2025, with 3.14 and 3.10 hours per resident, respectively. The Administrator confirmed the shortfall.
The facility failed to store food in a sanitary manner in the dietary department, as required by its policy. Observations revealed that several containers of prepared food items in warming cabinets and air curtain refrigerators were not labeled, dated, or covered. The Dietary Manager confirmed that all prepared foods should be covered, labeled, and dated to prevent foodborne illness.
The facility failed to accurately complete MDS assessments for two residents. One resident's MDS inaccurately indicated daily use of a trunk restraint without a physician's order or actual use. Another resident's MDS did not reflect the required hemodialysis sessions, despite having end-stage renal disease and a physician's order for dialysis.
A facility failed to implement safety interventions for a resident at risk for falls, who had a history of falling and used a walker. Despite care plan interventions for appropriate footwear, the resident fell multiple times, including a fall where she hit her head while wearing regular socks instead of non-skid ones.
The facility failed to document the rationale for the continued use of PRN anti-anxiety medications for two residents, leading to a deficiency. One resident with dementia and anxiety had a PRN Ativan gel order administered multiple times without justification for extending the order beyond 14 days. Another resident with Alzheimer's and anxiety had a similar issue with PRN Ativan, and pharmacy recommendations to include a duration for the order were ignored. The DON confirmed the absence of a stop date or rationale for continuing the PRN Ativan.
Lack of Physician Rationale for Extended PRN Lorazepam Use
Penalty
Summary
The facility failed to document the rationale for the continued use of a PRN anti-anxiety psychotropic medication for one resident. Clinical record review showed that Resident 83 had dementia with behavioral disturbance and anxiety, and the MDS assessment indicated the resident had been administered an anti-anxiety medication. The care plan identified use of an anti-anxiety medication related to an anxiety disorder, with an intervention for staff to administer medications as ordered. On June 24, 2025, a physician ordered Lorazepam gel to be given every eight hours as needed for anxiety. Medication Administration Records showed that this PRN Lorazepam gel was administered five times in July 2025, five times in August 2025, and nine times in September 2025. There was no documentation in the clinical record from the physician providing a rationale to extend the PRN Lorazepam gel order beyond 14 days from the original order date. In an interview on October 10, 2025, the Director of Nursing confirmed that there was no stop date or rationale in the orders to extend the PRN Lorazepam medication, resulting in a deficiency under 28 Pa. Code 211.12(d)(1)(5) for nursing services.
Failure to Meet Nurse Aide to Resident Ratios
Penalty
Summary
The facility failed to meet the required nurse aide (NA) to resident ratios on three occasions over a 14-day period. Specifically, the facility did not maintain the minimum ratio of one NA per ten residents during the day shift on December 25, 2024, and January 1, 2025. Additionally, the facility did not meet the required ratio of one NA per eleven residents during the evening shift on December 31, 2024. These deficiencies were identified through a review of nursing schedules and were confirmed by the Administrator during an interview on January 13, 2025.
Plan Of Correction
Administrator, Assistant Administrator, and Nursing Administration including Nursing Supervisors will review staffing ratios and PPD requirements. The DON or designee will re-educate the Nursing Supervisors and nursing schedulers on the ratio and PPD requirements. A daily audit of nursing hours/ratios will be completed by the DON or designee for 7 days, then weekly for three weeks, and then every other week for 4 weeks. Results of the audits will be reported to the QAPI committee.
Deficiency in Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct nursing care per resident per day. This deficiency was identified during a review of nursing schedules over a 14-day period from December 22, 2024, to January 4, 2025. Specifically, on December 25, 2024, the facility provided only 3.14 hours of care per resident, and on January 1, 2025, only 3.10 hours per resident. The Administrator confirmed during an interview that the facility did not meet the required nursing care hours on these days.
Plan Of Correction
Administrator, Assistant Administrator and Nursing Administration including Nursing Supervisors will review staffing ratios and PPD requirements. The DON or designee will re-educate the Nursing Supervisors and nursing schedulers on the ratio and PPD requirements. A daily audit of nursing hours/ratios will be completed by the DON or designee for 7 days, then weekly for three weeks and then every other week for 4 weeks. Results of the audits will be reported to the QAPI committee.
Failure to Store Food Properly in Dietary Department
Penalty
Summary
The facility failed to adhere to its policy on storing food in a sanitary manner, as observed during a survey of the dietary department. The policy required that all food items be labeled with the product name, use-by date, and the date the product was prepared or opened. Additionally, containers were to be covered, labeled, and dated. However, during the initial tour, it was found that several containers of prepared food items in Warming Cabinet #1 were neither labeled nor dated, and the Dietary Manager was unable to identify the contents or the time they were placed in the cabinet. Similarly, Warming Cabinet #2 contained a container of pureed chicken and several mugs of fortified food that were not labeled or dated, along with a container of ground chicken that was also not dated. Further observations revealed that the air curtain refrigerators in the dietary department contained multiple trays of food items that were not covered, labeled, or dated. Air curtain refrigerator #1 had trays of regular and pureed peppered cabbage, as well as tossed salad, none of which were labeled or dated. Air curtain refrigerator #2 contained trays of desserts that were not labeled, dated, or covered. Additionally, another large refrigerator in the department had trays of desserts that were similarly not covered, labeled, or dated. The Dietary Manager confirmed that all prepared foods were supposed to be covered, labeled, and dated according to facility policy and standards of practice to prevent foodborne illness.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to complete accurate Minimum Data Set (MDS) assessments for two residents. For Resident 60, the MDS assessment inaccurately indicated the use of a trunk restraint while in a chair or out of bed daily during the seven-day review period, despite the clinical record showing no physician's order or actual use of such a restraint. For Resident 65, who had end-stage renal disease and required hemodialysis, the MDS assessment did not reflect the physician's order for dialysis on Mondays, Wednesdays, and Fridays, as documented in the resident's care plan.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to ensure that assessed safety interventions were in place to prevent falls for a resident at risk for falls. The resident had diagnoses including anxiety, a history of falling, abnormal gait and mobility, lack of coordination, and unsteadiness on her feet. The Minimum Data Set assessments indicated memory impairment, use of a walker, and multiple falls during assessment periods. The care plan included interventions for the resident to wear appropriate footwear when ambulating and non-skid socks at night. However, nursing documentation revealed that the resident fell six times on the evening shift from July through September 2024. On September 5, 2024, the resident fell backwards and hit her head while wearing regular socks, indicating the facility failed to ensure the resident had non-skid footwear as required.
Failure to Document Rationale for PRN Anti-Anxiety Medication Use
Penalty
Summary
The facility failed to document the rationale for the continued use of PRN anti-anxiety medications for two residents, leading to a deficiency. Resident 40, diagnosed with dementia with behavioral disturbance and anxiety, had a physician's order for PRN Ativan gel for anxiety since February 19, 2023. The medication was administered multiple times from June to September 2024, but there was no documentation justifying the extension of the PRN order beyond 14 days from the original order date. Similarly, Resident 51, with Alzheimer's disease and anxiety disorders, had a PRN Ativan order from March 22, 2024, which was administered several times from June to September 2024 without documented rationale for extending the order beyond 14 days. Additionally, pharmacy recommendations for Resident 51 on May 27, 2024, and June 17, 2024, suggested including a duration for the PRN Ativan order, but these recommendations were not acknowledged or acted upon by the physician. The Director of Nursing confirmed the absence of a stop date or rationale for continuing the PRN Ativan for both residents. This lack of documentation and failure to act on pharmacy recommendations contributed to the deficiency identified in the facility's nursing services.
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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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Nursing homes near Leesport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Laureldale Skilled Nursing And Rehabilitation Cent | 5.1 mi | ★★★★★ | 0 | 0 |
| Transitional Sub-acute Unit | 5.8 mi | ★★★★★ | 1 | 0 |
| West Reading Skilled Nursing And Rehabilitation Ce | 7.3 mi | ★★★★★ | 6 | 0 |
| Spruce Manor Nursing & Rehabilitation Center | 7.6 mi | ★★★★★ | 5 | 0 |
| Wyomissing Health And Rehabilitation Center | 8.3 mi | ★★★★★ | 17 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.