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 Easton Skilled Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to follow its Enhanced Barrier Precautions (EBPs) policy and PPE requirements for a resident at risk for MDRO colonization/infection who had a sacral pressure ulcer, osteomyelitis, and other medical conditions. Policy required staff to wear gowns and gloves, in addition to standard precautions, during high-contact care such as wound care, catheter care, and personal care for residents at risk. However, an RN and an LPN were observed performing these high-contact care activities for the resident without wearing protective gowns, and the DON later confirmed that EBPs should have been implemented and that staff did not follow the policy.
A resident with heart disease, impaired mobility, incontinence, and a history of MASD was care planned as at risk for altered skin integrity and had a physician’s order for preventative barrier cream to be applied to the buttocks twice daily. Despite facility policy requiring medications to be administered as prescribed, documentation showed that a NA removed a cream from the treatment cart and applied capsaicin cream, a topical analgesic for muscle and joint pain, instead of the ordered barrier cream. The DON confirmed that the physician’s order was not followed, resulting in a failure to administer medications as ordered.
A resident with psychotic disorder and anxiety was cognitively impaired and received PRN lorazepam for agitation multiple times over several months. The MAR showed repeated administration, and there was no documented evidence that staff tried non-pharmacological interventions first. The DON confirmed that staff had not attempted non-pharmacological interventions before giving the medication.
Failure to provide grooming and hygiene assistance for two residents who needed ADL support. Both residents had no cognitive impairment, required help with bathing, dressing, hygiene, and grooming, and were observed in bed with long, dirty fingernails on consecutive days. Each resident stated they wanted their nails trimmed and cleaned, but staff had not offered to do so, and there was no documented evidence of nail care assistance.
Inadequate catheter care was provided for a resident with an indwelling suprapubic catheter. Facility policy required catheter care twice daily and as needed, but after the resident returned from the hospital, prior catheter orders were discontinued and no new orders were obtained even though the catheter remained in place. There was no documented evidence that catheter care was provided, and both the resident and DON confirmed the care was not adequately and consistently provided.
A resident with cerebral palsy, dysphagia, and a feeding tube had a care plan and MD order requiring a StatLock and abdominal binder to secure the tube due to a history of dislodgements. Surveyors observed the tube hanging unsecured in a wheelchair and later observed feeding in bed without the StatLock or abdominal binder in place; the DON confirmed the devices should have been in place.
Expired and unlabeled medications were found on a medication cart. An insulin glargine vial had been opened beyond its 28-day use period, and an LPN confirmed it was expired. A fluticasone propionate and salmeterol inhaler was also found without a box or prescription label, and the LPN did not know which resident it belonged to; the DON confirmed both medication storage and labeling problems.
Incomplete transfer notices failed to include required information for multiple residents transferred to the hospital after changes in condition. The facility did not document that the resident, RP, or legal rep received appeal rights, Ombudsman info, or other required agency information, and several notices were missing the transfer date, reason, and receiving location. The Administrator confirmed the notices were incomplete.
A resident with heart failure and obesity received two opioid medications at the same time, despite a physician's order requiring at least one hour between doses. Staff administered both the as-needed and routine opioid medications together, as documented in the MAR.
Staff did not follow physician's orders for insulin administration for two residents with diabetes, including giving insulin when blood glucose was below the ordered threshold and failing to notify the physician when blood glucose exceeded specified levels.
A resident with Parkinson's disease and depression was not offered or assisted to attend a preferred bingo activity, despite the care plan indicating such support. The Activities Director confirmed the oversight, and the resident was observed in her room during the activity.
A facility failed to implement a physician's order for a resident with chronic respiratory failure and quadriplegic cerebral palsy. The order required Prevalon boots to be applied at all times except during care to prevent skin breakdown. Observations revealed the resident without the boots, and the Administrator confirmed the oversight.
The facility failed to implement interventions to prevent further decline in range of motion for two residents with limited mobility. One resident, with senile degeneration and malnutrition, was observed without prescribed bilateral palm guards. Another resident, with Parkinson's and dementia, was seen without a recommended left palm guard. The DON confirmed staff were to apply these devices as per care plans, but this was not consistently done.
A resident with dementia sustained a skin tear after a fall, and a physician ordered daily wound care. However, the facility failed to change the dressing for six days, as confirmed by the Assistant DON.
The facility failed to honor resident preferences and allergies during meal service for two residents. One resident did not receive the food she ordered, and another resident with a mushroom allergy was served a meal containing mushrooms.
Failure to Implement Enhanced Barrier Precautions and PPE During High-Contact Care
Penalty
Summary
The deficiency involves the facility’s failure to implement its Enhanced Barrier Precautions (EBPs) policy and appropriate use of personal protective equipment (PPE) for a resident identified as being at risk for multi-drug-resistant organism (MDRO) colonization or infection. The facility’s EBP policy, last reviewed on November 14, 2025, required staff to use gowns and gloves, in addition to standard precautions, during high-contact resident care activities such as bathing, catheter care, wound care, and changing linens for residents known to be colonized or infected with an MDRO or at increased risk of acquiring an MDRO. The policy specified that residents with devices or conditions such as feeding tubes, indwelling urinary catheters, central vascular lines, tracheostomy tubes, and wounds were considered at risk and that standard precautions, including hand hygiene, always applied. Clinical record review showed that the resident was admitted with diagnoses including a wedge compression fracture of the third lumbar vertebra, a sacral pressure ulcer, and osteomyelitis, and had a care plan identifying risk for MDRO colonization/infection with an intervention for EBPs during high-contact activities. On the survey date between 10:15 a.m. and 10:45 a.m., an RN and an LPN were observed providing personal care, wound care, and catheter care to this resident without wearing protective gowns as required by the facility’s EBP policy. At 4:30 p.m. the same day, the Director of Nursing confirmed that EBPs should have been implemented for this resident and acknowledged that staff did not follow the policy, resulting in noncompliance with 28 Pa. Code 211.10(d) and 211.12(d)(1)(5).
Failure to Follow Physician’s Order for Barrier Cream Application
Penalty
Summary
The facility failed to implement a physician’s order for a resident requiring skin protection. Facility policy on Medication Administration, last reviewed in September 2025, required that medications be administered as prescribed and in accordance with written prescriber orders. The resident had diagnoses including heart disease, was alert and oriented, and was identified on the Minimum Data Set as being at risk for pressure sores. The care plan documented risk for altered skin integrity related to impaired mobility, incontinence, and a history of moisture associated skin damage (MASD), and included an intervention for staff to administer medications as ordered by the physician. A physician’s order effective in late December 2025 directed staff to apply a preventative barrier cream to the resident’s buttocks twice daily. A skin assessment documented MASD to both buttocks. Facility documentation from early January 2026 showed that a nursing assistant took a cream from the treatment cart and applied a topical analgesic (capsaicin cream), intended for relief of muscle and joint pain, instead of the ordered preventative barrier cream to the resident’s buttocks. In a subsequent interview, the Director of Nursing confirmed that staff did not follow the physician’s order and applied the incorrect cream. This constituted a failure to administer medications in accordance with facility policy and the prescriber’s written orders, as cited under 28 Pa. Code 211.12(d)(1)(2)(5) Nursing services.
Failure to Attempt Non-Pharmacological Interventions Before PRN Anti-Anxiety Medication
Penalty
Summary
The facility failed to attempt non-pharmacological interventions before administering an anti-anxiety medication to Resident 17. The resident had diagnoses including psychotic disorder and anxiety, and the MDS showed the resident was cognitively impaired and had been given an anti-anxiety medication. On August 15, 2025, a physician ordered lorazepam every eight hours as needed for agitation. The MAR showed lorazepam was administered two times in August, 13 times in September, seven times in October, five times in November, and two times in December 2025, and there was no documented evidence that staff attempted non-pharmacological interventions before giving the medication. In an interview on December 9, 2025, the DON confirmed that staff had not attempted non-pharmacological interventions prior to administering lorazepam.
Failure to Provide Nail Care and Grooming Assistance
Penalty
Summary
The facility failed to ensure that appropriate assistance with grooming and personal hygiene was provided to two residents who required staff help with ADLs. Resident 51 had diagnoses including other specified disorders of muscle, acute osteomyelitis of the right ankle and foot, and polyneuropathy. The MDS indicated no cognitive impairment and a need for assistance with ADLs, and the care plan identified assistance with bathing, dressing, hygiene, and grooming. On observation, the resident was in bed with long, dirty fingernails on two consecutive days, and he stated that he wanted his nails trimmed and cleaned but staff had not offered to do them. There was no documented evidence that staff offered assistance with trimming and cleaning his nails. Resident 144 had diagnoses including chronic myeloproliferative disease and COPD. The MDS indicated no cognitive impairment and a need for assistance with ADLs, and the care plan identified assistance with bathing, dressing, hygiene, and grooming. On observation, the resident was in bed with long, dirty fingernails on two consecutive days, and he stated that he wanted his nails trimmed and cleaned but staff had not offered to do them. There was no documented evidence that staff offered to assist Resident 144 with trimming and cleaning his nails. The DON confirmed that nail care was to be done when nursing staff was providing routine care and as needed.
Inadequate Suprapubic Catheter Care
Penalty
Summary
Adequate catheter care was not provided for one of four sampled residents with an indwelling urinary catheter. Facility policy required catheter care twice per day and as needed, including inspection, assessment for signs or symptoms of infection or trauma, and routine hygiene of the site where the catheter enters the body and the length of the tubing. Resident 3 had diagnoses including a blockage in the bladder, chronic kidney disease, and diabetes, and the Minimum Data Set showed the resident was alert and oriented and required an indwelling suprapubic urinary catheter. After the resident returned from the hospital, physician orders for catheter care were discontinued, and no new orders were obtained even though the suprapubic catheter remained in place. A nursing note later documented that the catheter was intact, but there was no documented evidence that catheter care was provided after the resident returned to the facility. The resident stated that suprapubic catheter care was not adequately and consistently provided, and the DON confirmed there was no documented evidence that the catheter care was provided as required by facility policy.
Feeding Tube Not Secured as Ordered
Penalty
Summary
Failure to provide appropriate treatment and services to prevent complications of enteral feeding was identified for one resident receiving nutrition through a feeding tube. The resident had diagnoses including cerebral palsy, dysphagia, and intermittent explosive disorder, and was cognitively and visually impaired, dependent on staff for activities of daily living, unable to express needs or understand others, and had a feeding tube inserted into the stomach for nutrition and medication. The care plan identified a history of multiple feeding tube dislodgements and included use of an abdominal binder and a StatLock device to secure the tube. A physician's order directed staff to check that the StatLock and abdominal binder were in place at all times, every shift, for feeding tube function. During observation, the resident was seen in a wheelchair with the feeding tube hanging out from the bottom of the shirt and in the lap, with no abdominal binder securing it. On another observation, the resident was receiving feeding through the tube in bed, but the abdomen did not have a StatLock device securing the tubing and there was no abdominal binder in place. The DON confirmed that the StatLock and abdominal binder should have been in place.
Expired and Unlabeled Medications Found on Medication Cart
Penalty
Summary
The facility failed to discard expired medications and properly label medications on one of four sampled medication carts, specifically the Unit 1 East cart. Review of the facility policy on Storage of Medication and the Appendix of Resources on Medications with Shortened Expiration Dates showed that insulin glargine expires 28 days after first use and that outdated medications were to be immediately removed from stock. The policy also stated that medications were to be dispensed in containers meeting state and federal labeling requirements, including the resident’s name, and remain in those containers in a controlled environment such as a medication cart. During observation of the Unit 1 East cart, a vial of insulin glargine 100 units/milliliter was found opened on September 12, 2025, and an LPN confirmed that it was expired. The observation also found fluticasone propionate and salmeterol 250 micrograms/50 micrograms not in a box and without a prescription label. The LPN confirmed she did not know which resident was to receive the medication. The DON later confirmed that the insulin glargine had expired and should have been removed from the cart, and that the fluticasone propionate and salmeterol should have been in a box with a prescription label.
Incomplete transfer notifications and missing required resident information
Penalty
Summary
The facility failed to provide required written transfer notifications when residents were transferred to the hospital, including the date of transfer, the reason for transfer, the location to which the resident was transferred, appeal rights, State Long-Term Care Ombudsman information, and other required agency information. Clinical record review showed that Resident 1 was transferred to the hospital on October 18, 2025, after a change in condition, but there was no documented evidence that the resident, responsible party, or legal representative received the required transfer information or that copies of the written transfer notice were provided to a representative of the Office of the State Long-Term Care Ombudsman. Clinical record review also showed that Resident 5 was transferred to the hospital eight times after changes in condition, and Resident 8 was transferred to the hospital four times after changes in condition. For both residents, there was no documented evidence that the resident, responsible party, or legal representative was provided appeal rights, State Long-Term Care Ombudsman information, or the required agency information, and there was no evidence that copies of the written transfer notices were provided to a representative of the Office of the State Long-Term Care Ombudsman for all transfers. In addition, six of the eight transfer notices for Resident 5 and two of the four transfer notices for Resident 8 did not include the date, reason for transfer, or the location to which the resident was transferred. During an interview on December 9, 2025, at 12:55 p.m., the Administrator confirmed that the transfer notifications were incomplete.
Failure to Follow Physician's Orders for Opioid Administration
Penalty
Summary
A deficiency was identified when staff failed to follow a physician's order regarding the administration of opioid medications for a resident with diagnoses including heart failure and obesity. The physician had directed that the resident's as-needed opioid medication (Percocet 5-325 mg) should not be given at the same time as the routine every 12-hour opioid medication (Oxycontin 15 mg ER), and that there should be at least one hour between the two medications. However, review of the Medication Administration Record (MAR) showed that both medications were administered simultaneously at 2100 on September 21, 2025, contrary to the physician's instructions.
Failure to Follow Physician's Orders for Insulin Administration
Penalty
Summary
Facility staff failed to follow physician's orders for two residents with diabetes mellitus and other significant diagnoses. For one resident, staff administered 24 units of insulin (Lispro) subcutaneously three times a day even when the resident's blood glucose was below 150 mg/dl, contrary to the physician's order to hold the medication under those circumstances or if the resident had not eaten. For another resident, staff administered insulin based on a sliding scale when the blood glucose was above 351 mg/dl but did not notify the physician as required by the order. These failures were confirmed by review of clinical records and staff interview.
Failure to Facilitate Resident Participation in Preferred Activities
Penalty
Summary
The facility failed to provide an activities program that met the needs and interests of a resident diagnosed with Parkinson's disease and depression. The resident, who did not have cognitive impairment and required assistance for activities of daily living, expressed a preference for attending bingo activities. The care plan indicated that staff should offer activities consistent with the resident's interests and assist with transport to and from these activities. However, on the day of a scheduled bingo activity, the resident was not offered the opportunity to attend nor was assistance provided for transport, as confirmed by the resident and observed by surveyors. The Activities Director confirmed that staff should have offered the resident the opportunity to attend the bingo activity, but there was no evidence that this was done. The resident was observed in her room during the bingo activity, indicating a failure by the staff to adhere to the care plan and provide the necessary support for the resident to participate in her preferred activity. This deficiency was identified through clinical record review, observation, and interviews with the resident and staff.
Failure to Implement Physician's Order for Pressure Relief
Penalty
Summary
The facility failed to implement a physician's order for a resident diagnosed with chronic respiratory failure and quadriplegic cerebral palsy. The order, dated September 25, 2024, required the application of Prevalon boots at all times except during care to reduce pressure and prevent skin breakdown. However, during multiple observations on November 5 and 6, 2024, the resident was found in bed without the Prevalon boots applied. This was confirmed by the Administrator during an interview on November 7, 2024, acknowledging that the staff did not follow the physician's order.
Failure to Implement Range of Motion Interventions
Penalty
Summary
The facility failed to implement necessary interventions to prevent further decline in range of motion for two residents with limited mobility. Resident 59, diagnosed with senile degeneration of the brain and protein-calorie malnutrition, was cognitively impaired and required extensive assistance for personal hygiene and dressing. The care plan included an intervention for staff to apply bilateral palm guards during morning care and remove them at night. However, observations on multiple occasions revealed that the resident was in bed without the palm guards in place, indicating a failure to follow the care plan. Similarly, Resident 63, who had Parkinson's disease and dementia, was also cognitively impaired and had limitations in range of motion in both upper and lower extremities. The care plan and occupational therapy discharge summary recommended applying a left palm guard during morning care and removing it at night. Observations showed that the resident was in her wheelchair without the left palm guard, demonstrating non-compliance with the prescribed intervention. The Director of Nursing confirmed that staff was expected to apply the palm guards as per the care plans, but this was not consistently done.
Failure to Implement Physician's Wound Care Order
Penalty
Summary
The facility failed to implement a physician's order for wound care for one of the residents. The resident, who had a diagnosis of dementia, fell in her room and sustained a skin tear on her left shin. On the same day, a physician ordered that the wound be cleaned and a sterile gauze dressing be applied every evening. However, the Treatment Administration Record indicated that the dressing was not changed until six days later. An interview with the Assistant Director of Nursing confirmed the absence of documented evidence of wound care during this period.
Failure to Honor Resident Food Preferences and Allergies
Penalty
Summary
The facility failed to honor resident preferences and allergies during meal service for two of five sampled residents. Resident 4, who had no memory impairment and could communicate clearly, reported not receiving the food she ordered. Despite requesting hot coffee, apple juice, and angel food cake, she was served hot chocolate and ice cream, which she did not like. Resident 5, who had a documented allergy to mushrooms, was served Salisbury steak with mushroom gravy, which he could not eat due to his allergy. These deficiencies were identified through clinical record reviews, resident interviews, and observations.
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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 Easton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| New Eastwood Healthcare And Rehabilitation Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Northampton Post Acute | 2.2 mi | ★★★★★ | 4 | 0 |
| Gardens For Memory Care At Easton, The | 2.3 mi | ★★★★★ | 8 | 0 |
| Gardens At Easton, The | 2.3 mi | ★★★★★ | 1 | 0 |
| Country Meadows Nursing Center Of Bethlehem | 3.5 mi | ★★★★★ | 0 | 0 |
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