Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Heinz Transitional Rehabilitation Unit during CMS and state inspections, most recent first.
A resident’s admission MDS was inaccurately coded to show no IV access, no IV medications, and no supplemental oxygen during the ARD look-back period, despite records showing a central venous catheter, IV Cefazolin administration, and oxygen at 2 L/min via NC. The resident was admitted for an infection involving a right shoulder prosthesis, and the DON confirmed the MDS did not accurately reflect the resident’s IV therapy and oxygen use.
A resident with critical illness myopathy and intact cognition had an indwelling urinary catheter inserted for an outside event, then a provider ordered removal, but the resident declined and chose to keep the catheter. The existing care plan still reflected prior urinary retention/incontinence goals and was not updated to include the catheter’s reinsertion, continued use, or the resident’s stated preference, which the DON confirmed.
PICC line measurements were not documented for a resident receiving IV antibiotics through a right-arm PICC. The admission assessment incorrectly listed the line in the left arm, and nursing records showed no baseline arm circumference or external catheter length documented as ordered. The DON confirmed the missing documentation.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
A resident with intact cognition and a history of hip fracture was found with two tablets of Acetaminophen left unattended on the bedside table. Facility policy required assessment and documentation for self-administration of medication, but no such assessment was found. The DON confirmed that medications should not have been left accessible, as this created a potential accident hazard.
A facility failed to create a person-centered care plan for a resident who refused wound vac therapy on dialysis days. The resident, with end-stage renal disease and a physician order for wound vac therapy, consistently refused the treatment on dialysis days. The care plan did not address these refusals or provide alternative interventions, as confirmed by the DON.
A resident with a PICC line for intravenous antibiotic therapy did not receive Cefazolin as scheduled, and the facility failed to document the required flushing of the PICC line. Additionally, the facility did not change the PICC line dressing or perform necessary measurements as ordered. These deficiencies were confirmed by the DON.
Inaccurate MDS Coding for IV Therapy and Oxygen Use
Penalty
Summary
The facility failed to accurately complete the admission MDS for one resident, identified in the report as Resident 42. The RAI User’s Manual requires the MDS to accurately reflect the resident’s functional status and be completed with participation from appropriate health professionals. The admission MDS documented the resident as cognitively intact with a BIMS score of 15 and indicated that during the ARD look-back period he did not have intravenous access, did not receive intravenous medications, and did not receive supplemental oxygen. Clinical record review showed the resident was admitted with infection and inflammatory reaction due to an internal right shoulder joint prosthesis and had a central venous catheter in the left chest wall. Physician orders documented intravenous Cefazolin every 12 hours, and the eMAR showed the medication was administered during the ARD look-back period. Additional physician orders and the eTAR showed oxygen at 2 liters per minute via nasal cannula was administered during the same period. The resident stated he was admitted to receive IV antibiotics for the shoulder prosthesis infection and used supplemental oxygen at home and in the facility when needed. The DON confirmed the admission MDS did not accurately reflect the resident’s IV access, IV medications, or supplemental oxygen use during the look-back period.
Failure to Revise Care Plan After Catheter Change and Resident Preference
Penalty
Summary
The facility failed to review and revise Resident 2’s comprehensive person-centered care plan after a change in treatment and the resident’s preference regarding continued use of an indwelling urinary catheter. Resident 2 was admitted with diagnoses including critical illness myopathy and had a quarterly MDS assessment showing cognitive intactness with a BIMS score of 15. A physician order dated June 26, 2026, directed insertion of an indwelling urinary catheter, catheter care every shift, and education for the resident and/or family regarding catheter care. An interview and observation on July 8, 2026, confirmed the catheter was present. The record also showed a physician order dated June 29, 2026, directing removal of the catheter, and a physician progress note dated June 30, 2026, stating the catheter had originally been inserted so Resident 2 could attend an event outside the facility with family. That note documented that Resident 2 declined removal and chose to continue using the catheter. The existing urinary elimination care plan, initiated October 7, 2025, addressed urinary retention and urinary incontinence and stated the catheter had been removed on March 6, 2026, with goals related to urinating without difficulty and remaining clean, dry, odor free, and without skin breakdown related to incontinence. The care plan was not revised to reflect the reinsertion and continued use of the catheter, the attempted removal order, or the resident’s refusal to have the catheter removed. The DON confirmed on July 8, 2026, that the comprehensive care plan had not been revised to reflect these changes.
PICC Line Measurements Not Documented
Penalty
Summary
The facility failed to provide care and services in accordance with professional standards and physician orders for the management and monitoring of a PICC line for one resident. The resident was admitted with a septic bacterial infection of the right knee requiring IV antibiotic therapy through a double-lumen PICC line placed in the right upper arm. Hospital documentation from the PICC procedure note recorded a total catheter length of 38 cm with 0 cm external length at the insertion site, and the physician ordered nursing staff to obtain and document arm circumference and external catheter length on admission and every seven days thereafter. The facility’s admission evaluation incorrectly identified the PICC line as being in the upper left arm, despite hospital records showing placement in the right arm. The admission assessment did not document the baseline external catheter length or arm circumference, and review of the MAR, treatment administration record, and nursing progress notes for July 2026 showed no evidence that either measurement was obtained or documented upon admission as ordered. The DON confirmed during interview that there was no documentation showing staff obtained or documented the ordered arm circumference or external catheter length for the resident.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report notes the absence of a comprehensive infection prevention and control program but does not provide further details regarding specific actions, inactions, or events, nor does it mention any particular residents or staff involved.
Medication Left Unattended at Bedside Creates Accident Hazard
Penalty
Summary
A deficiency occurred when a resident with an intact cognitive status, as indicated by a BIMS score of 15, was found with two circular, white tablets on their bedside table during an observation. The resident had a history of a displaced intertrochanteric fracture of the right femur and was prescribed Acetaminophen Extra Strength, to be administered twice daily. Facility policy required that residents be assessed and documented as safe to self-administer medications before being allowed to do so, and that licensed nurses remain with residents while they take oral medications. However, there was no documented evidence that the resident had been assessed or approved for self-administration of medication. The Director of Nursing confirmed that medications should not have been left at the bedside and that the facility's responsibility was to ensure the environment was free from potential accident hazards. The medication was accessible to anyone entering the room, creating a potential for accidental consumption by individuals for whom the medication was not intended. The failure to follow established medication administration procedures and policies led to the deficiency.
Failure to Develop Person-Centered Care Plan for Wound Management
Penalty
Summary
The facility failed to develop a person-centered care plan for a resident who consistently refused wound vacuum therapy on dialysis days. Resident 16, admitted with diagnoses including acquired absence of left toes and end-stage renal disease requiring dialysis, had a physician order for continuous wound vac therapy on the left medial foot. The order specified settings of 120 mmHg pressure intensity, with adjustments for pain tolerance. However, the resident refused the wound vac on days they went out for dialysis, which occurred every Tuesday, Thursday, and Saturday. The care plan, last updated in October 2024, did not address these refusals or provide interventions for wound management when the resident left the facility. This deficiency was confirmed by the Director of Nursing during an interview.
Plan Of Correction
1. Resident #16 has discharged from the facility. 2. An audit will be completed by DON, or designee, of all in-house residents utilizing wound vacuums to ensure refusals are addressed in the care plan along with interventions on how to treat the wound when off. 3. Education will be provided to all licensed nursing staff to ensure residents refusing their wound vacuum have a person-centered care plan that includes management and refusals to meet the resident's specific needs. 4. The DON, or designee, will complete audits on residents utilizing wound vacuums to ensure refusals are addressed in the care plan along with interventions on how to treat the wound when off. Results of these audits will be reviewed with the QAA committee x 3 months then re-evaluated.
Failure to Follow Physician Orders for PICC Line Care and Antibiotic Administration
Penalty
Summary
The facility failed to adhere to physician orders for a resident who was admitted with a PICC line for intravenous antibiotic therapy. The resident, diagnosed with an intraspinal abscess, granuloma, urinary tract infection, and heart disease, was prescribed Cefazolin to be administered intravenously every 8 hours. However, the Medication Administration Record (MAR) showed that the antibiotic was not administered as scheduled on multiple occasions throughout November 2024. Additionally, the facility did not document the required flushing of the PICC line with Sodium Chloride Flush Solution every shift, as ordered by the physician. Further deficiencies were noted in the care of the PICC line, as the facility failed to change the PICC line dressing and end cap every 7 days, and did not perform the necessary measurements of the arm circumference and external catheter length as ordered. These omissions were confirmed during an interview with the Director of Nursing, who acknowledged the lack of documented evidence that nursing staff consistently followed the prescribed physician orders for the resident.
Plan Of Correction
1. Resident #18 has discharged from the facility. 2. An audit will be completed by the DON, or designee, of all in-house residents with physician orders for antibiotics via PICC line to ensure that the physician orders for the administration and care are being followed and documented. 3. Education will be provided to all licensed nursing staff on following physician orders for the administration of antibiotics via PICC line as well as the care of the PICC line and associated documentation. 4. The DON, or designee, will complete audits on residents with physician orders for antibiotics via PICC line to ensure physician orders for the administration and care of PICC line are being followed and documented. Audits will be reviewed at the QAA committee meetings x 3 months and then re-evaluated.
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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 Wilkes-barre
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverstreet Manor | 1.2 mi | ★★★★★ | 22 | 0 |
| Embassy Of Wyoming Valley | 1.2 mi | ★★★★★ | 34 | 0 |
| Allied Services Center City Skilled Nursing | 1.5 mi | ★★★★★ | 9 | 0 |
| Allied Services Meade Street Skilled Nursing | 1.5 mi | ★★★★★ | 2 | 0 |
| Third Avenue Health & Rehab Center | 1.7 mi | ★★★★★ | 13 | 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 October 2026) and official state health department websites.