Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Margaret E. Moul Home during CMS and state inspections, most recent first.
Three residents did not receive the required Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) before their Medicare coverage ended. Instead, the facility relied on the NOMNC form and failed to use the SNF ABN as required, based on a mistaken assumption about regulatory updates. Staff interviews confirmed the oversight, and the administrator acknowledged the SNF ABN should have been completed.
Surveyors found that food items in storage, refrigeration, and freezer areas were not properly labeled, dated, or sealed, and that required temperature and sanitizer concentration logs were not maintained. The Food Service Director confirmed lapses in labeling, dating, and monitoring practices, and expired test strips were used to check sanitizer levels.
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 cerebral palsy and impaired mobility did not have bilateral hand rolls applied as ordered by the physician and outlined in the care plan. Despite documentation that a nurse aide applied the hand rolls, observations showed the resident without them, and staff interviews revealed they were removed for care and not reapplied, with the hand rolls later found in a drawer.
The facility did not perform annual performance evaluations for its nurse aides, as required by personnel policies. A review of five employee files, with hire dates ranging from 2006 to 2023, revealed no evaluations had been conducted. This was confirmed by the Nursing Home Administrator.
The facility failed to ensure accurate MDS assessments for two residents. One resident with severe intellectual disabilities and spastic quadriplegia cerebral palsy experienced a significant weight loss that was not documented correctly. Another resident with spastic quadriplegic cerebral palsy and unspecified psychosis was inaccurately recorded as having an indwelling catheter, when in fact, they used a condom catheter. These errors were confirmed by the NHA.
Failure to Provide Required SNF ABN Prior to Medicare Coverage Changes
Penalty
Summary
The facility failed to provide the required Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) to residents prior to the discontinuation of Medicare coverage for skilled nursing services. Specifically, three residents whose Medicare coverage was ending did not receive the SNF ABN in advance of the change. For one resident, the last covered day for Medicare A services was documented, and a message was left for the resident's parents about the end of coverage, but the Notice of Medicare Non-Coverage (NOMNC) was only mailed after the coverage ended. For the other two residents, documentation showed they were notified of the end of Medicare services and provided with a signed NOMNC, but there was no evidence that the SNF ABN was used as required. Interviews with facility staff revealed that the facility had stopped using the SNF ABN form as of January 2025, based on an assumption that an update to the NOMNC form made the SNF ABN unnecessary. The Nursing Home Administrator confirmed that the SNF ABN should have been completed for these residents. This failure to provide the appropriate notice in advance of changes to Medicare coverage resulted in noncompliance with resident rights regulations.
Failure to Properly Store, Label, and Monitor Food and Equipment in Kitchen
Penalty
Summary
The facility failed to store food and utilize kitchen equipment in accordance with professional standards for food service safety. Observations in the dry storage area revealed multiple open bags of pasta, powdered sugar, and candy topping that were not labeled or dated as required by facility policy. In the walk-in refrigerator, several food items including vegan cheese, mozzarella cheese, turkey breast, spinach, parsley, broccoli, sour cream, and whipped cream were found either open, not properly sealed, or lacking required labeling and dating. The walk-in freezer also contained undated and improperly sealed food items such as zucchini fries, waffles, and hot dogs. Additionally, the main kitchen was found to have a blank temperature log from a previous month posted above the three-compartment sink, and the sanitizer solution used for cleaning was tested with expired test strips. Interviews with the Food Service Director confirmed that sanitizer concentration logs had not been maintained since July, and that labeling and dating practices were not being followed as per facility policy. The Nursing Home Administrator also acknowledged the expectation for compliance with these standards.
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.
Failure to Ensure Use of Hand Rolls for Resident with Limited ROM
Penalty
Summary
A resident with diagnoses including cerebral palsy and gastrostomy status had physician orders and a care plan intervention for bilateral hand rolls to be worn when out of bed, in order to address impaired mobility and prevent contractures. Despite these orders, observations on two consecutive days showed the resident sitting in a wheelchair without the required hand rolls in place. Documentation indicated that a nurse aide had applied the hand rolls earlier in the day, but they were not present during subsequent observations. Interviews with facility staff revealed uncertainty regarding the whereabouts of the hand rolls, with the LPN unable to locate them in the resident's room. The DON later confirmed that the nurse aide had removed the hand rolls for care and forgot to reapply them, and the hand rolls were later found in the resident's drawer by therapy staff. The facility's expectation, as stated by the Nursing Home Administrator, was that the hand rolls should be applied according to physician orders.
Failure to Conduct Annual Performance Evaluations for Nurse Aides
Penalty
Summary
The facility failed to conduct annual performance evaluations for its nurse aides, as required by personnel policies and procedures. This deficiency was identified through a review of employee files and confirmed by the Nursing Home Administrator. Specifically, the files of five nurse aides, hired between 2006 and 2023, showed no evidence of annual performance evaluations. The absence of these evaluations was acknowledged by the Nursing Home Administrator during an interview, indicating a lapse in adherence to the facility's personnel policies.
Inaccurate Resident Assessments in MDS Documentation
Penalty
Summary
The facility failed to ensure accurate resident assessments for two residents, leading to deficiencies in their care documentation. Resident 49, diagnosed with severe intellectual disabilities and spastic quadriplegia cerebral palsy, experienced a significant weight loss of 15.65% over six months. However, this weight loss was not accurately reflected in the resident's quarterly MDS assessment, which incorrectly marked no or unknown for a weight loss of 5% or more in the last month or 10% or more in the last six months. This discrepancy was confirmed as a coding error by the Nursing Home Administrator during an interview. Similarly, Resident 74, who has spastic quadriplegic cerebral palsy and unspecified psychosis, was inaccurately documented in the MDS as having an indwelling catheter. Observations and interviews with staff revealed that the resident never had an indwelling catheter but instead used a condom catheter connected to a urine drainage bag when out of bed. This error was also confirmed by the Nursing Home Administrator as a mistake in the MDS coding.
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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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Nursing homes near York
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Normandie Ridge | 0 mi | ★★★★★ | 4 | 0 |
| York North Skilled Nursing And Rehabilitation Ctr | 0.7 mi | ★★★★★ | 11 | 0 |
| Concordia At Spiritrust Sprenkle Drive | 1.9 mi | ★★★★★ | 1 | 0 |
| Yorkview Nursing And Rehabilitation | 2.7 mi | ★★★★★ | 8 | 0 |
| Rest Haven-york | 3.4 mi | ★★★★★ | 8 | 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.