Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Huntingdon Skilled Nursing And Rehabilitation Cent during CMS and state inspections, most recent first.
Failure to monitor dish machine sanitizer concentration. The facility’s low-temp dish machine was observed in use with chemical sanitizer connected, but dietary staff had no test strips available to check the sanitizer level. The Dish Machine Daily Temperature Log had no evidence that sanitizer PPM was checked daily, and the DM confirmed the monitoring was not documented as required.
The facility failed to follow physician orders and internal policies for several residents, including not documenting required heart rate checks before administering metoprolol to a resident with cardiac disease, not providing ordered PRN constipation medications to a resident despite multiple days without a bowel movement, and giving metoprolol to another resident when systolic BP was below the ordered hold parameter. In addition, a resident with metastatic lung cancer did not receive a scheduled PET scan, and there was no evidence the appointment was completed or rescheduled before the resident required emergency hospital transfer.
A resident with anxiety and dementia was ordered PRN lorazepam for end-of-life anxiety and terminal agitation, but the order had no stop date. Staff administered the medication multiple times over the following weeks, and there was no documented physician reevaluation of continued use beyond 14 days. The RCD confirmed the order lacked an end point.
Inaccurate MDS assessments were completed for two residents. One resident with Parkinson's disease, dementia, and repeated falls had an MDS that incorrectly stated no falls had occurred since the prior assessment, despite multiple falls documented in nurses' notes. Another resident with Alzheimer's disease and anxiety had a physician order for a wander guard bracelet, but the MDS incorrectly stated that a wander alarm was not used, even though observation showed the bracelet in place and the RCD confirmed daily alarm use should have been recorded.
A resident who required max assistance with hygiene and self-care was observed with long, dirty nails despite a care plan for staff assistance. The resident, who had cerebral palsy, muscle weakness, and depression, stated he wanted his nails cleaned and would not refuse nail care. Staff documentation showed he had not refused care, and the RCD confirmed nail care was to be provided on shower days as needed.
A resident with quadriplegia, muscle weakness, and a left-hand contracture had an OT recommendation and MD order for a left palm guard splint after morning care and removal after evening care. Despite this, staff observed the resident in bed with the left hand clenched in a fist and no splint in place after morning care, and an RN confirmed the splint was supposed to be used but could not locate it.
A resident with Parkinson's disease, dyskinesia, dementia, and repeated falls had a witnessed fall in the dining room, but the record did not show any new assessment or added fall interventions afterward. The care plan identified fall risk and prior falls, and the resident later had additional falls. The DON confirmed there was no documented evidence of an added intervention after the initial fall.
Failure to Perform Hand Hygiene During Medication Administration: An LPN was observed administering medications to three residents without performing hand hygiene first, despite facility policy requiring hand hygiene before preparing or giving meds. The DON later confirmed the LPN should have completed hand hygiene before administering the medications.
The facility did not develop or implement baseline care plans that addressed the specific needs of three residents, including bowel incontinence, dysphagia, and a language barrier, as required upon admission. The DON confirmed these omissions in the care plans.
A resident with diabetes, heart failure, and dementia was admitted and assessed as needing interventions for urinary incontinence, dental care, self-care and mobility, and pressure ulcer. The facility failed to include these areas in the care plan, and the DON confirmed the omissions during interview.
The facility did not ensure that physician's orders were followed for two residents. One resident received blood pressure medication without documented evidence that blood pressure was checked prior to administration, as required. Another resident did not have daily weights documented on several days, despite a physician's order. The DON confirmed the lack of required documentation.
Surveyors observed that trash bags were left outside the dumpster, a used disposable glove was on the ground, and the dumpster lid was open with the container full, indicating improper disposal of garbage and refuse.
Failure to Monitor Dish Machine Sanitizer Concentration
Penalty
Summary
The facility failed to monitor the dish machine sanitizing solution to ensure food was served in a sanitary manner. Review of the facility policy for machine warewashing and sanitizing showed that the low-temperature dish machine required 50 parts per million (PPM) chlorine sanitizing solution and that staff were to record sanitizer PPM at least daily on the Dish Machine Daily Temperature Record Log. During a kitchen tour, the Dietary Manager stated that the dish machine required a chemical solution to sanitize dishware, and observation showed the chemical solution connected to the machine during breakfast dishwashing service. However, there were no chemical test strips available in the dietary department for staff to check the sanitizer concentration, and review of the March 2026 Dish Machine Daily Temperature Record Log showed no documented evidence that staff were monitoring sanitizer PPM daily. The Dietary Manager later confirmed that there was no documented evidence the PPM was checked daily and that it should have been documented on the Daily Temperature Log.
Failure to Follow Physician Orders for Medications, Vital Signs, and Diagnostic Testing
Penalty
Summary
The facility failed to implement physician orders and follow its own medication administration policy for multiple residents. For a resident with heart disease and hypertension who was ordered metoprolol tartrate daily with instructions to hold the dose if the heart rate was below 60 beats per minute, February and March 2026 MARs showed no documented evidence that staff obtained the resident’s heart rate prior to administering the medication. Another resident with dementia and constipation had PRN orders for a bisacodyl suppository every 24 hours if no bowel movement occurred in two days, and for MiraLax and Milk of Magnesia if no bowel movement occurred in three days. Bowel movement tracking showed two separate periods of at least three days without a bowel movement, yet the March 2026 MAR reflected that no PRN constipation medications were administered until Milk of Magnesia was given on the night shift of April 1, 2026. A third resident with hypertension had an order for metoprolol twice daily with parameters not to administer the medication if the systolic blood pressure was below 110 mm/Hg or the heart rate was less than 60 beats per minute. Review of the March 2026 MAR showed that staff administered metoprolol on three occasions when the resident’s systolic blood pressure was below 110 mm/Hg. A fourth resident, admitted after hospitalization for shortness of breath, pneumonia, and newly diagnosed metastatic lung cancer, had hospital discharge instructions and subsequent physician documentation indicating the need for a PET scan and follow-up with oncology. The resident had a PET scan scheduled and then rescheduled, but there was no evidence that the facility transported the resident to the rescheduled PET scan appointment or that the appointment was rescheduled again prior to the resident’s emergency transfer to the hospital. The Regional Clinical Director confirmed the lack of required vital sign documentation, failure to administer ordered PRN constipation medications, administration of metoprolol outside ordered parameters, and failure to complete or reschedule the PET scan appointment.
Unbounded PRN Lorazepam Order Without Reevaluation
Penalty
Summary
The facility failed to ensure that a resident was free from potential chemical restraints related to psychotropic medication use. Resident 8 had diagnoses including anxiety and dementia. On January 21, 2026, a physician ordered lorazepam every six hours as needed for end-of-life anxiety and terminal agitation, but the order did not include a stop date. The resident’s MAR showed that staff administered lorazepam 14 times in February 2026 and five times in March 2026, and there was no documented evidence that the physician reevaluated the continued use of the as-needed anti-anxiety medication beyond 14 days. In an interview on April 2, 2026, the Regional Clinical Director confirmed that the physician’s order did not include when staff were to stop administering the medication.
Inaccurate MDS Assessments for Falls and Wander Alarm Use
Penalty
Summary
The facility failed to complete accurate MDS assessments for two residents. One resident had diagnoses including Parkinson's disease with dyskinesia, dementia, and repeated falls, and nurses' notes documented falls on December 24, December 25, December 29, and January 26, yet the MDS assessment dated [DATE] incorrectly stated in Section J that the resident had not fallen since the prior assessment completed on November 24, 2025. Another resident had diagnoses including Alzheimer's disease and anxiety, and a physician's order dated December 30, 2025 directed staff to apply a wander guard bracelet to the resident's left ankle, but the MDS assessment dated [DATE] incorrectly indicated in Section P that a wander alarm was not used. Observation on March 31, 2026, at 2:00 p.m. showed a wander guard bracelet on the resident's left ankle, and the Regional Clinical Director later confirmed that the February 17, 2026 MDS should have captured four falls for the first resident and that the February 12, 2026 MDS should have indicated daily use of a wander alarm for the second resident.
Failure to Provide Adequate Grooming and Nail Care
Penalty
Summary
The facility failed to provide services to maintain adequate grooming and hygiene for one resident who required maximum assistance with hygiene and self-care. The resident had diagnoses including cerebral palsy, muscle weakness, and depression, and the MDS indicated no cognitive impairment. The care plan directed staff to assist with hygiene and self-care. On March 31, 2026, the resident was observed in his room with long, dirty nails, and he stated that he would like his nails cleaned and would not refuse nail care on his bath day because his nails were dirty. Documentation showed he was last bathed by staff on March 30, 2026, and had not refused care. On April 1, 2026, the resident was again observed in bed with long nails and dirt underneath them. On April 2, 2026, the Regional Clinical Director confirmed that nail care was to be done on shower days as needed.
Failure to Provide Ordered Palm Guard Splint
Penalty
Summary
The facility failed to provide restorative nursing services to maintain or improve range of motion for one resident with quadriplegia, muscle weakness, and a left-hand contracture. The resident’s MDS indicated severe cognitive impairment, dependence on staff for personal hygiene, and loss of range of motion in the upper extremities. An OT recommended a palm guard splint for left hand contracture management, and a physician ordered staff to apply the left palm guard splint after morning care and remove it after evening care each day. A restorative nursing note later stated the resident continued to require the left palm splint. However, observations on two separate occasions showed the resident lying in bed with the left hand clenched in a fist and no left palm guard splint in place after morning care had already been provided. During interview, an RN confirmed the resident was supposed to have the left palm guard splint and could not locate it in the room.
Failure to Implement Additional Fall Interventions After a Resident Fall
Penalty
Summary
The facility failed to implement adequate interventions to prevent falls for one resident with Parkinson's disease, dyskinesia, dementia, and repeated falls. The resident's MDS assessment indicated cognitive impairment and dependence on staff for transfers. Facility documentation and nurse's notes showed that the resident had a witnessed fall in the dining room, but there was no documentation that the resident was assessed for new interventions or that any additional measures were implemented after the fall. The resident's care plan identified the resident as at risk for falls and having previous falls, but it did not indicate that an intervention was implemented after the December fall. The resident later had additional falls, and the DON confirmed that there was no documented evidence that an additional intervention was implemented after the initial fall.
Failure to Perform Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to ensure staff followed infection control policy during medication administration for three sampled residents, Residents 36, 53, and 99. Facility policy for Medication Administration, last reviewed March 31, 2026, required staff to complete appropriate hand hygiene before preparing or administering medications. On April 1, 2026, at 8:18 a.m., an LPN was observed administering medications to Residents 36, 53, and 99 without performing hand hygiene before giving the medications. During an interview on April 3, 2026, at 9:40 a.m., the DON confirmed that the LPN should have completed hand hygiene before administering medications to those residents.
Failure to Develop and Implement Baseline Care Plans Addressing Individual Needs
Penalty
Summary
The facility failed to develop and implement baseline care plans that addressed the individual needs of three residents upon admission. For one resident admitted with diabetes, heart failure, and muscle weakness, the baseline care plan noted bowel incontinence but did not include interventions or goals to address this issue. Another resident admitted with diabetes and dysphagia did not have a baseline care plan developed at all following admission. A third resident, admitted with depression and diabetes, was documented by nursing staff and a social worker as having a language barrier that required family members to translate. However, there was no evidence that this communication barrier was addressed in the baseline care plan. The Director of Nursing confirmed that these care areas were not documented in the residents' baseline care plans.
Plan Of Correction
F 0655 Residents 10, 13, and 19 care plans were updated to accurately reflect the resident's initial plan of care and families were made aware. All the residents have the potential to be affected by the deficient practice. All other residents in the facility were audited to ensure that baseline care plans are initiated within 48 hours of admission. All the pertinent departments will be educated on the policies and policies relating to the proper initiation of baseline care plan and accurate reflection of the baseline plan of care. Audits will be completed by the DON/Designee once a week for at least 3 residents for 3 months to ensure that the care plans are done for all new admissions within 48 hours of admission. All findings will be reported and reviewed by the QAPI committee monthly. Date of Compliance: 08/26/2025
Failure to Develop Comprehensive Care Plan for Resident with Multiple Needs
Penalty
Summary
A deficiency was identified when a facility failed to develop and implement a comprehensive care plan for a resident with multiple medical conditions, including diabetes, heart failure, and dementia. The resident was admitted on July 15, 2025, and the Minimum Data Set assessment and Care Area Assessment summary dated July 21, 2025, indicated that the resident's urinary incontinence, dental care, self-care and mobility, and pressure ulcer required care plan interventions. However, a review of the clinical record revealed that there was no evidence these care areas were addressed in the resident's care plan. During an interview, the Director of Nursing confirmed that there was no documented evidence that the identified care areas were included in the care plan for this resident. This lack of documentation and failure to address the resident's assessed needs in the care plan constituted noncompliance with the requirement to develop and implement a comprehensive, person-centered care plan based on the resident's comprehensive assessment.
Plan Of Correction
NotSpecified Resident 18 was updated to accurately reflect the goals of admission, preference for and potential for future discharge, discharge plan, and services provided in the facility. Resident's updated care plan included interventions for the following: to address Resident 18's urinary incontinence, dental care, self-care, mobility, and pressure ulcer. All residents have the potential of being affected by the deficient practice. All other residents were audited to ensure that the care plans are comprehensive and reflective of the goals of admission, preferences for and potential for future discharge, as well as discharge plans. Comprehensive care plans will be reviewed within days of the resident's RAI assessment. All pertinent disciplines will be educated on the policies and procedures that reflect care plans which are reflective of the goals of admission, potential for future discharge, and the discharge plans. An audit will be completed by the DON/Designee once a week for at least 3 residents for 6 weeks to ensure an accurate plan of care for residents that is reflective of the goals of admission, preferences/potential of discharge, and discharge plans. All findings will be reported and reviewed by the QAPI committee monthly. Date of Compliance: 08/26/2025
Failure to Follow Physician Orders for Medication Administration and Monitoring
Penalty
Summary
The facility failed to ensure that physician's orders were implemented for two residents. For one resident with diagnoses including hypertension, heart failure, anemia, and kidney disease, a physician ordered blood pressure medication to be administered twice daily and at bedtime, with the stipulation that the medication should not be given if the systolic blood pressure was less than 100 mmHg. However, documentation showed that staff administered the medication 28 out of 29 times without recording any evidence that the resident's blood pressure was assessed prior to administration, as required by the physician's order. Another resident, admitted with hypertension, atrial fibrillation, and dysphagia, had a physician's order for daily weight monitoring. The clinical record lacked documentation that the resident's weight was obtained on several specified days. The Director of Nursing confirmed that there was no documented evidence that the required assessments and monitoring were performed according to the physician's orders for both residents.
Plan Of Correction
Physicians' orders were reviewed for all antihypertensive medications to ensure orders reflect parameters prior to medication administration. Physicians' orders were also reviewed for all weights to ensure that orders are carried out and reported as ordered. All residents with antihypertensive medication and daily weights orders have the potential to be affected by the deficient practice. All other residents were audited to ensure that parameters are documented before medication administration and weights are documented and reported to accurately reflect the doctor's orders. Nursing staff will be re-educated on the policies and procedures of medication administration and documentation to accurately reflect the doctor's orders. An audit will be completed by the DON/Designee on all new admissions once a week for at least 3 residents for 6 weeks to ensure that physician's orders are accurately reflected on the MAR/TARS. All findings will be reported and reviewed by the QAPI committee monthly for 3 months. Date of Compliance: 08/26/2025
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to properly dispose of garbage and refuse as required. During an observation of the dumpster area, three full trash bags were found outside the dumpster, and a used disposable glove was observed on the ground. Additionally, the top lid of the garbage dumpster was open and the dumpster itself was full of trash bags. These findings indicate that trash and refuse were not contained or disposed of in accordance with regulations at the time of the observation.
Plan Of Correction
Based on observation during a Jul 28, 2025 survey tour, it was determined that the facility failed to dispose of trash and refuse properly. 1. The facility staff disposed of the trash and refuse immediately after the surveyor made the leadership team aware of the alleged deficiency on July 28, 2025. 2. No residents were affected by this alleged deficient practice. An initial audit was completed by the Facility Administrator or designee on Jul 28, 2025. 3. Re-education was provided to the facility leadership staff, the Dietary Department, Maintenance Department, and the Housekeeping department. The facility will conduct audits to ensure trash and refuse is disposed of properly. 4. The Facility administrator will conduct random weekly audits for 3 months. The Administrator will report findings to the Quality Assurance Performance Improvement Committee monthly for three months. The Performance Improvement Committee will evaluate and determine the effectiveness of the plan to ensure compliance is achieved and determine if further monitoring and evaluation is required. Date of Compliance: 08/26/2025
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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 Huntingdon Valley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Grove Post Acute | 2 mi | ★★★★★ | 11 | 0 |
| Willowbrooke Court-southampton | 2.3 mi | ★★★★★ | 2 | 0 |
| Hrh Transitional Care Unit(a D/b/a Entity Of Hrhs) | 2.9 mi | ★★★★★ | 5 | 0 |
| Accela Rehab And Care Center At Somerton | 2.9 mi | ★★★★★ | 9 | 1 |
| St Joseph's Manor | 2.9 mi | ★★★★★ | 9 | 0 |
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