Average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Muncy Place during CMS and state inspections, most recent first.
Surveyors observed multiple instances of improper food storage, including undated and expired food items, damaged and leaking milk cartons, and unsanitary conditions in both the main kitchen and a kitchenette. Additional issues included debris accumulation, unclean equipment, and improperly labeled resident food items. Facility leadership was made aware of these findings.
Two residents were not provided dignified dining assistance, as staff stood while feeding them, left them unattended to serve others, and delayed feeding, resulting in one resident falling asleep before being assisted. These practices were observed and confirmed by facility leadership.
A resident received both scheduled and PRN doses of Alprazolam, with orders allowing for a daily total exceeding the recommended maximum dose. The facility did not identify or address the resident's consistent use of PRN medication at a specific time, nor did it ensure timely physician review of the medication regimen, resulting in a failure to individualize care and prevent unnecessary psychotropic medication use.
A resident receiving Eliquis, an anticoagulant, had no care plan addressing their anticoagulant use or related risks such as bleeding and bruising, despite documentation in clinical records and MDS assessments. This omission was confirmed by interviews with facility leadership.
A resident with hypertension received Metoprolol despite physician orders to hold the medication for low systolic blood pressure, with no documented rationale for these actions. Nursing shift reports indicated the medication was held, but the MAR did not reflect this, resulting in inaccurate documentation and failure to follow prescribed care parameters.
A resident with limited ROM and arthritic changes did not consistently receive a physician-ordered hand splint as directed in her care plan. Observations showed the splint was often not in use, staff were unclear on the schedule, and documentation was incomplete, resulting in inconsistent contracture prevention interventions.
A resident with a recently placed PEG tube for esophageal dysmotility did not receive appropriate G-tube feeding and care. A nurse administered water and nutrition by pushing the syringe plunger instead of using the gravity method, failed to verify tube placement or check for residuals as ordered, and did not perform proper hand hygiene between tasks. The facility lacked a policy for verifying tube placement and did not follow its own competency process for G-tube care.
Staff failed to follow infection control protocols by not performing hand hygiene between glove changes during wound and gastrostomy tube care for two residents, and housekeeping staff did not wear a gown as required when cleaning the room of a resident on contact precautions for a multi-drug resistant urinary tract infection. These actions were not consistent with facility policy or accepted standards of practice.
Two residents experienced falls resulting in injury, including a fracture, after staff failed to follow required care plan interventions such as activating bed alarms and providing two-person assistance for bed mobility. In both cases, staff did not implement established safety measures, leading to substantiated findings of neglect.
The facility failed to maintain the range of motion (ROM) for seven residents, as staff did not complete or document prescribed ROM exercises. Care plans included various ROM exercises, but documentation showed multiple instances of non-completion across shifts. One resident expressed a desire to walk but reported not receiving recent therapy, highlighting the facility's failure to provide necessary restorative services.
A facility failed to ensure accurate MDS assessments for a resident, as an MDS assessment incorrectly indicated the use of a urinary catheter without supporting documentation. An interview with the Administrator confirmed the resident did not utilize a urinary catheter.
A facility failed to maintain optimal communication for a resident with a history of CVA, who had unclear speech and was usually understood. The resident's care plan identified communication problems, but the recommended AAC device was not available as it was taken home by the resident's sister. Despite the resident's reported frustration, no follow-up or alternative devices were provided to aid communication.
A resident's dental appointment was canceled because the facility did not stop her blood thinners as recommended, delaying necessary dental care. The resident, who had dental caries and a large cavity requiring extraction, experienced discomfort due to a broken tooth. The facility confirmed the next appointment was scheduled for a later date.
A facility failed to implement Enhanced Barrier Precautions for a resident with a tracheostomy, as a respiratory therapist did not wear a gown during high-contact care activities, despite the requirement to do so. The resident was on Enhanced Barrier Precautions due to colonization with multi-drug resistant organisms, and the incident was reported to the Nursing Home Administrator and DON.
Food Storage and Kitchen Sanitation Deficiencies Identified
Penalty
Summary
The facility failed to store food items in a safe and sanitary manner and did not maintain the kitchen and kitchenette environments in a sanitary condition. During an observation of the main kitchen, surveyors found a walk-in cooler containing a bag of lunch meat with no dates, asiago and provolone cheeses past their use-by dates, an opened bag of lettuce past its use-by date, a container labeled 'vegetable fresh prep' past its use-by date, cooked bacon past its use-by date, chicken salad and feta cheese both past their use-by dates. Another walk-in cooler contained a damaged, leaking milk carton contaminating adjacent cartons and the surrounding area. In the dry storage area, a hospitality cart held a snack bag of expired pretzels, and a storage rack with adaptive equipment had multiple clear plastic cups with handles that had a build-up of moisture, with staff unable to state how long the cups had been wet. In the dishwashing area, a black plastic corner floor shelf holding housekeeping items had an accumulation of debris underneath, including food items, a single-use butter container, and a drinking straw. The corner of the dishwashing room where a fan was attached had significant dried splash stains on the walls and ceiling, and the fan itself had a build-up of dust on its protective cover and blades. The floor near a drain under the ice machine contained various debris, including a plastic cup and a broken piece of a red plate. Additionally, in the second floor kitchenette, the resident refrigerator contained a sandwich with no dates or label. These findings were reviewed with facility leadership.
Failure to Maintain Resident Dignity During Dining
Penalty
Summary
The facility failed to ensure resident dignity during dining for two residents. Observations showed that a nurse aide stood between the two residents while feeding them their lunch meals and intermittently left the table to serve other residents, leaving the residents unattended. Another nurse aide later finished feeding both residents while also standing between them. On a separate occasion, a different nurse aide fed one of the residents while standing for 30 minutes and then left the dining area with the resident, with no staff observed attempting to feed the other resident until much later, at which point the resident was asleep. These actions and inactions were confirmed during an interview with the Administrator and the Director of Nursing.
Failure to Review and Individualize Psychotropic Medication Regimen
Penalty
Summary
The facility failed to ensure that a resident's medication regimen was free from potentially unnecessary psychotropic medication. Clinical record review revealed that a resident had active physician orders for Alprazolam, including a PRN (as needed) dose of 1 mg every eight hours with a 180-day stop date, and a scheduled dose of 0.5 mg three times daily. If administered as ordered, the resident could have received up to 4.5 mg of Alprazolam per day, exceeding the usual maximum adult dose of 4 mg per day. Review of the medication administration records showed that the PRN dose was administered on multiple occasions, but never more than once per day, and not daily. The pattern of administration indicated that the PRN dose was consistently given between 10:00 AM and 12:00 PM on most occasions. Despite this pattern, the facility did not identify or address the resident's consistent need for the PRN antianxiety medication at a specific time of day in the care plan. Additionally, there was insufficient evidence that the resident required a dose exceeding the recommended daily maximum, or that the 180-day stop date met the regulatory requirement for physician review at 14 days. Interviews with facility leadership confirmed these findings, and the care plan lacked individualized interventions based on the resident's medication use pattern.
Failure to Develop Care Plan for Anticoagulant Use
Penalty
Summary
The facility failed to develop a comprehensive care plan addressing the use of anticoagulant medication for one resident. Clinical record review showed that the resident had an active physician's order for Eliquis, an anticoagulant, and both annual and quarterly MDS assessments documented the resident's use of this medication. However, the resident's care plans did not include any information regarding anticoagulant use, nor did they address associated risks such as bleeding and bruising or outline measures for prevention of potential complications. These findings were confirmed through interviews with the DON, Nursing Home Administrator, Assistant DON, and Assistant Nursing Home Administrator.
Failure to Follow Physician-Ordered Medication Parameters and Inaccurate Documentation
Penalty
Summary
The facility failed to provide care in accordance with physician-ordered medication parameters for a resident diagnosed with hypertension. The resident had a physician order for Metoprolol Tartrate 25 mg to be administered every eight hours via gastrostomy tube, with specific instructions to hold the medication if the pulse was less than 60 or if the systolic blood pressure (SBP) was less than 100. Clinical record review revealed that the medication was administered on multiple occasions when the resident's SBP was below the ordered threshold, specifically on several dates in May, June, and July 2025. There was no documentation providing a rationale for administering the medication outside of the specified parameters. Additionally, while the facility provided nursing shift report sheets indicating that the medication doses were held on the dates in question, the resident's Medication Administration Record (MAR) did not reflect that the doses were actually held. This discrepancy between the shift report sheets and the MAR documentation was confirmed during a meeting with the Nursing Home Administrator and Director of Nursing. The lack of accurate documentation and adherence to physician orders constituted a failure to provide the highest practicable care as required.
Failure to Consistently Implement Physician-Ordered Hand Splint for ROM
Penalty
Summary
Facility staff failed to implement physician-ordered interventions for a resident with limited range of motion (ROM) in her hands. The resident had an active physician's order and a care plan directing staff to ensure she wore a left palm guard with digit separators for four hours in the morning and four hours in the evening, with skin checks every two hours. Multiple observations over several days showed the resident was not wearing the splint as ordered, and her hands were contracted, with her using her knuckles or fists to grasp objects. Documentation revealed inconsistent application and documentation of the splint, with some staff unaware of the correct schedule for its use. Interviews with nurse aides and the resident's husband confirmed inconsistent use of the splint, with staff unsure of the schedule and some unaware of the intervention altogether. The care instructions available to staff were vague, and documentation of the intervention was incomplete, with no staff initialing the application of the splint on certain shifts. The deficiency was discussed with facility leadership, confirming the lack of consistent implementation of the physician's order and care plan for contracture prevention.
Failure to Follow Protocols for G-Tube Feeding and Care
Penalty
Summary
The facility failed to provide appropriate treatment and services for a resident receiving enteral nutrition via a gastrostomy tube (G-tube). The surveyor found that the facility could not provide a policy or protocol for verifying G-tube placement during the onsite survey, and the only available policy addressed medication administration, not feeding. Clinical records showed that the resident had a recent PEG tube placement due to esophageal dysmotility and had physician orders for tube feeding, including checking tube placement and residuals three times daily. However, during observation, a registered nurse administered water and liquid nutrition by pushing the plunger of a syringe rather than allowing the fluids to flow by gravity, as required by the facility's competency process. The nurse did not verify tube placement or check for residuals before administering the feeding and was unaware of the correct insertion depth for the resident's G-tube. Additionally, the nurse failed to perform proper hand hygiene after removing soiled gloves and before donning new gloves while providing G-tube care. The nurse confirmed during an interview that she did not use the gravity method, did not check tube placement, and did not assess for residuals prior to feeding. The facility's documentation of staff competency indicated that the gravity method should be used, and the procedural steps did not include using a plunger for the entire process. These actions and omissions resulted in a failure to follow physician orders and facility protocols for safe G-tube feeding and care.
Failure to Implement Infection Control Practices and Contact Precautions
Penalty
Summary
The facility failed to implement proper infection prevention and control practices as required by policy and regulation. Specifically, staff did not perform hand hygiene when changing gloves during wound care and gastrostomy tube care for two residents. During wound care for a resident with open areas on both arms, a registered nurse repeatedly removed soiled gloves and donned new gloves without performing hand hygiene, despite handling dressings and cleansing wounds. Similarly, during gastrostomy tube feeding and site care for another resident, the same nurse failed to perform hand hygiene between glove changes after handling feeding equipment and before cleansing the tube insertion site. Additionally, the facility did not ensure that contact precautions were followed for a resident on contact isolation due to a urinary tract infection with multi-drug resistant organisms. Observation revealed that housekeeping staff entered and cleaned the resident's room without wearing a gown, as required by the posted isolation sign and facility policy. The staff member also left the room wearing gloves and re-entered without donning a gown, indicating a lack of adherence to contact precaution protocols. The deficiencies were confirmed through staff interviews, clinical record reviews, and direct observation. Facility policies required hand hygiene before donning and after removing gloves, as well as the use of gowns and gloves for contact precautions. However, these protocols were not followed during the observed care and cleaning activities, resulting in non-compliance with infection prevention and control standards.
Failure to Implement Fall Prevention Interventions Results in Resident Harm
Penalty
Summary
The facility failed to protect residents from neglect by not implementing required interventions to prevent falls for two residents. In the first case, a resident who required a bed alarm as a safety precaution was found on the floor with multiple injuries, including a laceration above the left eye and contusions to the face. Documentation revealed that the bed alarm was not activated at the time of the fall, despite being present on the bed. The nurse aide responsible for the resident did not check to ensure the alarm was functioning after placing the resident in bed, which was a direct violation of the resident's care plan and the facility's policy on fall prevention. In the second case, another resident assessed as dependent for bed mobility and requiring the assistance of two staff members was receiving care when she rolled out of bed and sustained a right distal femoral fracture. Staff statements indicated that only one nurse aide was present at the bedside while the other was in the bathroom gathering supplies, resulting in the resident being left without the required level of assistance. The care plan for this resident specifically required two staff for bed mobility, and this was not followed at the time of the incident. The facility's policies defined neglect as the failure to provide necessary goods and services to avoid physical harm, including the absence of reasonable accommodations for individual needs. In both incidents, the staff did not follow established care plans and safety interventions, leading to substantiated findings of neglect. There was no evidence in the report that the Director of Nursing or Nursing Home Administrator was notified immediately following the incidents, nor that all employees received in-service training after the substantiated neglect events.
Failure to Maintain Residents' Range of Motion
Penalty
Summary
The facility failed to provide services to maintain the range of motion (ROM) for seven out of eight residents reviewed. The clinical records for these residents revealed that they had care plans in place for a restorative nursing program (RNP) aimed at preventing contractures and maintaining mobility. However, the documentation showed that staff did not complete or document the completion of the prescribed ROM exercises on multiple occasions across different shifts. This lack of documentation and completion of tasks was noted for various types of ROM exercises, including active assisted range of motion (AAROM), passive range of motion (PROM), and active range of motion (AROM) for different body parts such as shoulders, elbows, wrists, fingers, hips, knees, and ankles. For Resident 18, the care plan included AAROM and PROM exercises for both upper and lower extremities, but the task documentation revealed numerous dates where these exercises were not completed or documented. Similar deficiencies were found for Residents 42, 58, 59, 60, 71, and 88, with each having specific ROM exercises outlined in their care plans that were not consistently carried out or recorded. The lack of adherence to the care plans was consistent across both day and evening shifts, indicating a systemic issue in the facility's execution of restorative care. Resident 88, who was discharged from physical therapy to an RNP for ambulation and ROM, expressed a desire to walk and return home but reported not receiving recent therapy. Observations confirmed that the resident was in a wheelchair and had not been assisted with ambulation as per their care plan. The surveyor discussed these findings with the Nursing Home Administrator and Director of Nursing, highlighting the facility's failure to provide necessary restorative services to maintain or improve residents' ROM and mobility.
Inaccurate MDS Assessment for a Resident
Penalty
Summary
The facility failed to ensure complete and accurate Minimum Data Set (MDS) assessments for a resident. A review of the resident's clinical record revealed an MDS assessment dated July 1, 2024, which incorrectly indicated that the resident had a urinary catheter. However, there was no documented evidence in the clinical record to support the use of a urinary catheter for this resident. An interview with the Administrator confirmed that the resident did not utilize a urinary catheter, highlighting the inaccuracy in the MDS assessment.
Failure to Maintain Communication for Resident with CVA
Penalty
Summary
The facility failed to provide care and services to maintain optimal communication for a resident with a history of a cerebrovascular accident (CVA). The resident, who had unclear speech and was usually understood, had a care plan that identified communication problems due to speech and language deficits related to the CVA. The care plan included interventions such as asking simple yes and no questions and allowing time for responses. However, the facility did not ensure the availability of an augmentative and alternative communication (AAC) device, which was recommended by speech therapy (ST) to aid the resident's communication. The ST discharge summary noted that the AAC device, a tablet used to assist the resident, was no longer in the resident's room as it had been taken home by the resident's sister. Despite the resident's reported frustration with communication, there was no follow-up from ST regarding the AAC device, and no alternative devices were offered or used to optimize the resident's communication. The Nursing Home Administrator confirmed that the AAC device was not being used and that no other devices were provided, leading to the deficiency in maintaining the resident's communication abilities.
Failure to Follow Up on Dental Services
Penalty
Summary
The facility failed to follow up with necessary dental services for a resident, identified as Resident 39, who was experiencing dental issues. On June 4, 2024, a dental consult revealed that Resident 39 had discomfort in her lower tooth, dental caries in two teeth, and a large cavity that required extraction. The dentist recommended scheduling a follow-up appointment, stopping blood thinners, treating the caries, and extracting the problematic tooth. The facility scheduled the follow-up appointment for August 14, 2024, but did not document any action taken to stop the resident's blood thinners as recommended. On August 14, 2024, Resident 39's dental appointment was canceled because the facility did not stop her blood thinners, as required for the procedure. This resulted in the resident having to wait until September 2024 for the next available appointment. The resident expressed discomfort due to a broken tooth that was supposed to be extracted. Interviews with the Administrator and Director of Nursing confirmed these findings, and it was noted that the next dental appointment was scheduled for September 23, 2024.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement appropriate enhanced barrier transmission-based precautions for a resident, identified as Resident 12, who was on Enhanced Barrier Precautions due to colonization with multi-drug resistant organisms. The resident had a tracheostomy and required management three times daily. According to the memo released by CMS, nursing care facilities are required to use Enhanced Barrier Precautions, including gown and glove use, for residents with chronic wounds or indwelling medical devices during high-contact resident care activities. On August 16, 2024, an observation was made of a respiratory therapist, identified as Employee 1, performing tracheostomy care for Resident 12 without wearing a gown, despite the requirement to do so for high-contact activities. The care included suctioning of the tracheostomy, cleaning around the site, and an inner cannula change. Employee 1 only wore gloves during the procedure, failing to adhere to the Enhanced Barrier Precautions. The Nursing Home Administrator and Director of Nursing were informed of these findings.
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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 Muncy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Watsontown Rehabilitation And Nursing Center | 9.2 mi | ★★★★★ | 24 | 0 |
| Valley View Rehab And Nursing Center | 9.2 mi | ★★★★★ | 16 | 0 |
| Wecare At Sycamore Rehabilitation And Nursing Cent | 9.6 mi | ★★★★★ | 41 | 0 |
| Edenbrook North | 11.2 mi | ★★★★★ | 21 | 0 |
| Edenbrook South | 11.2 mi | ★★★★★ | 28 | 0 |
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