Average — CMS composite of the measures below.
A standard survey is most likely before 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 Myerstown Nursing And Rehab Llc during CMS and state inspections, most recent first.
Two residents who were dependent on staff for toileting and incontinence care did not receive timely, dignified assistance. One resident with cervical disc disorder and cervicalgia activated the call bell multiple times for incontinence care; staff walked past the room, turned off the call light without assisting, and made a dismissive remark before the resident finally received help more than an hour after the initial request. Another resident with CHF and diabetes was observed in bed with the call bell placed out of reach in a bedside table drawer and repeatedly yelled out for help with urination, personal items, water, and food, while staff did not respond and the call bell remained inaccessible.
A resident with cervical disc disorder with myelopathy, cervicalgia, and a documented self-care deficit was dependent on staff for toileting and required prompt response to call bells per the care plan. The resident requested incontinence care using the call bell, which remained unanswered for an extended period while staff walked by, turned off the call light without providing care, and, in one instance, an NA refused to provide care and left the room. The resident had to reactivate the call bell multiple times and did not receive the requested incontinence care for over an hour after the initial request.
Surveyors found that the call bell system in multiple rooms on three units illuminated in the hallway but did not produce an audible alarm when activated. A resident with chronic pain and dysphagia, dependent on staff for toileting and dressing and care planned for fall risk with a call light intervention, reported his call bell had not worked properly for two days, which was confirmed on observation. Another resident with diabetes and insomnia, also care planned for fall risk with a call light intervention, reported that his call bell worked only sporadically. Staff and the Administrator acknowledged that the call bells had been lighting but not sounding since the previous day.
The facility failed to notify two residents or their responsible parties of physician-ordered changes in treatment and medications. For one resident with CHF and dementia, new orders for sacral wound care with triad paste and right heel wound care with calcium alginate were implemented without documented notification to the resident or representative. For another resident with dementia, new orders for Mucinex for a productive cough and hydrocortisone cream for a rash were also not accompanied by documented notification. The Administrator confirmed there was no documentation that these residents or their responsible parties were informed of the changes.
Surveyors found that a resident remained in the same hospital gown from the prior day because no clean gowns were available on the unit, and a NA confirmed the absence of gowns on hallway linen carts. Observations on all three nursing units showed linen carts and clean linen rooms with no or very few gowns, sheets, towels, and wash cloths, along with dirty floors, debris, and opened bags of clean linens placed directly on the floor. On one unit, multiple full, odorous bins of soiled linens were left in the hallway outside the clean utility room, and later checks the same day showed that these linen supplies had not been replenished.
A resident with multiple serious diagnoses, including kidney failure, COPD, respiratory failure, metabolic encephalopathy, and a UTI, was admitted and had an order for 0.25 ml of morphine solution (20 mg/ml) every four hours. The MAR showed that the resident did not receive the ordered morphine for two days because the medication was not available from the pharmacy. The DON confirmed that the resident did not receive the morphine as ordered until two days after admission, resulting in a cited deficiency in pharmacy and nursing services.
Surveyors observed damaged windowsills, chair rails, and walls in multiple rooms and the dining area, along with debris and a black substance on floors in several rooms and an elevator, indicating a failure to maintain a safe, clean, and comfortable environment.
The facility did not employ a full-time qualified dietitian or a qualified dietary services manager, as confirmed by both the dietary manager and the Administrator during staff interviews.
Surveyors found that food items in two nursing unit pantries were not labeled with resident names or dates, and refrigerators and freezers contained opened and undated items, as well as visible food debris and hair. The Administrator confirmed that staff were responsible for labeling and dating resident food, but this was not done according to facility policy.
A resident with significant mobility limitations and a history of amputation waited 29 minutes for staff to respond to their call bell after requesting assistance to the bathroom, despite facility policy requiring a response within 20 minutes. The delay caused the resident to miss an activity.
A resident with a known peanut allergy and moderate cognitive impairment was served a peanut butter bar for dessert, despite documentation of the allergy and care plan instructions to offer alternate food items. The DON confirmed the error after the resident identified the allergy when interviewed.
A resident with multiple medical conditions did not receive simethicone as ordered by the physician because the medication was not available from the pharmacy. The resident experienced severe gas pain over several days, and documentation confirmed the medication was not administered as prescribed. The DON verified the medication was unavailable and not given.
A resident with serious health conditions did not receive care according to physician's orders, including daily weight monitoring and medication administration. The facility failed to notify the physician of a significant weight change and did not administer several medications as prescribed, nor did they follow procedures for changing administration tubing and replacing antimicrobial caps.
A facility failed to provide adequate catheter care for a resident with an indwelling urinary catheter. Observations showed the catheter drainage bag hanging off the bed, uncovered, and touching the floor, contrary to facility policy. The resident, who required extensive assistance and was at increased risk for infection, had chronic obstructive pulmonary disease and congestive heart failure. The Nursing Home Administrator confirmed the catheter bag should not be uncovered and on the floor.
Failure to Provide Timely, Dignified Assistance With Toileting and Call Bell Access
Penalty
Summary
The deficiency involves the facility’s failure to provide timely assistance with toileting and incontinence care in a manner that maintained resident dignity for two dependent residents. One resident had cervical disc disorder with myelopathy, cervicalgia, no cognitive impairment, and was care planned as dependent on staff for toileting with a need for prompt response to all requests for assistance. During an interview, this resident requested incontinence care and activated the call bell at 9:48 a.m. The call light remained on until 10:02 a.m., during which time a nurse aide walked past the room without assisting. At 10:02 a.m., a staff member turned off the call light and left the room without providing care. The resident reactivated the call bell at 10:11 a.m.; at 10:12 a.m., a nurse aide entered, stated, “What is it now?” turned off the call bell, and again did not provide assistance. The resident activated the call bell a third time at 10:41 a.m. and did not receive toileting assistance until 11:00 a.m., more than one hour after the initial request. The second resident had diagnoses including congestive heart failure and diabetes and was assessed as dependent on staff for toileting, with a care plan intervention for staff to keep the call bell within reach and answer promptly. Observation showed this resident in bed with the call bell placed in the bedside table drawer, out of reach. The resident subsequently yelled out that she was urinating and needed help, identifying her room number, and stated that she had to go to the bathroom and might need to again. Later, she stated she did not have her things and could not get to them, and she continued to yell out for assistance with the bathroom, water, and food. Throughout these observations, the call bell remained out of reach and staff did not respond to her verbal requests for assistance.
Failure to Provide Timely Incontinence Care and Assistance With ADLs
Penalty
Summary
The deficiency involves the facility’s failure to provide timely assistance with activities of daily living, specifically incontinence care, to a resident who was unable to perform these tasks independently. The resident had diagnoses including cervical disc disorder with myelopathy and cervicalgia, had no cognitive impairment per the MDS, and was dependent on staff for toileting. The resident’s care plan identified a risk for falls, directed staff to encourage use of the call bell for assistance, required prompt response to all requests for assistance, and documented a self-care deficit requiring staff assistance with ADLs. On the morning of April 3, 2026, the resident requested incontinence care and activated the call bell at 9:48 a.m. The call light remained on until 10:02 a.m., during which time NA 1 walked past the room without assisting. At 10:02 a.m., a staff member turned off the call light and left the room without providing care. At 10:11 a.m., the resident reactivated the call bell; at 10:12 a.m., NA 1 entered, asked, “What is it now?”, turned off the call bell, refused to provide care, and walked away. The resident activated the call bell again at 10:41 a.m. and did not receive incontinence care until 11:00 a.m., more than one hour after the initial request, contrary to the care plan requirement for prompt response and assistance with ADLs.
Failure to Maintain Functioning Call Bell System on All Units
Penalty
Summary
Surveyors identified that the facility failed to provide a properly working call bell system in resident bathrooms and bathing areas on all three units. On multiple observations on March 19, 2026, call bells in rooms 103, 105, 203, and 316 illuminated in the corridor but produced no audible sound when activated. Staff interviews, including with a nurse and another employee, confirmed that the call bells were lighting up in the hallway but not sounding when used. The Administrator also confirmed that the call bell system had not been functioning properly and that this issue, with lights working but no audible alarm, had been occurring since the prior day. Clinical record review showed that one resident had chronic pain and dysphagia, was alert and oriented, and was dependent on staff for toileting and dressing. This resident’s care plan identified a risk for falls and included an intervention for staff to ensure the call light was within reach and to encourage its use; the resident reported that his call bell had not worked properly for two days, and observation confirmed there was no sound when the call bell was activated. Another resident with diabetes and insomnia, who was also alert and oriented and care planned as at risk for falls with the same call light intervention, reported that his call bell sporadically did not work properly. These findings demonstrated that the malfunctioning call system affected multiple rooms and residents whose care plans relied on a functioning call bell for fall-risk interventions.
Failure to Notify Residents/Responsible Parties of Physician-Ordered Treatment Changes
Penalty
Summary
The facility failed to notify residents or their responsible parties of physician-ordered changes in treatment for two of five sampled residents, as required. For one resident with diagnoses including congestive heart failure and dementia, the clinical record showed that on February 1, 2026, the resident complained of sacral pain and the physician ordered application of triad paste, and on February 4, 2026, the physician ordered application of calcium alginate to a right heel wound; there was no documented evidence that the resident or responsible party was notified of these new treatment orders. For another resident with dementia, the clinical record showed that on February 6, 2026, the physician ordered Mucinex for five days for a productive cough and hydrocortisone cream twice daily for a rash, with no documented evidence that the resident or responsible party was notified of these medication and treatment changes. In an interview on February 24, 2026, at 1:04 p.m., the Administrator confirmed there was no documented evidence that the residents or their responsible parties were notified of these physician-ordered changes, constituting a failure to immediately inform the resident, physician, and family of changes affecting the resident, in violation of 28 Pa. Code 211.12(d)(1)(5) Nursing services.
Inadequate Linen Supply and Unclean Linen Areas Across All Nursing Units
Penalty
Summary
Surveyors identified a failure to maintain a safe, clean, comfortable, and homelike environment related to linen availability and cleanliness across all three nursing units and for one sampled resident. On the second floor, a resident reported remaining in the same hospital gown as the previous day due to a lack of clean gowns on the unit. At the same time, a nurse aide confirmed that there were no hospital gowns available on the hallway linen carts. Observation of the second floor linen carts showed no clean resident gowns, and the clean linen room on that unit contained only two clean gowns and no sheets, with the floor noted to be dirty and littered with debris, plastic cups, and dirt. Additional observations on the third and first floor units showed similar deficiencies in linen supply and environmental cleanliness. On the third floor, the linen cart had few gowns, sheets, and towels, and the clean linen room contained few clean gowns and sheets, with debris on the floor and two opened bags of clean linens placed directly on the floor. On the first floor, the clean linen room had no sheets, few clean gowns, and no wash cloths, and three full, odorous bins of soiled linens were located in the hallway outside the clean utility room. Follow-up observation later the same day confirmed that the linen carts and clean linen rooms on these units had not been replenished and remained sparse or empty.
Failure to Provide Ordered Morphine Due to Pharmacy Unavailability
Penalty
Summary
Surveyors identified that the facility failed to ensure a prescribed medication was available from the pharmacy for administration as ordered by the physician for one of three sampled residents. The resident was admitted on a specified date with diagnoses including kidney failure, COPD, respiratory failure, metabolic encephalopathy, and a urinary tract infection. On the day of admission, at 12:06 p.m., the physician ordered 0.25 ml of a morphine solution (20 mg/ml) to be administered every four hours. According to the Medication Administration Record, the resident did not receive any doses of the ordered morphine on two consecutive days because the medication was not available from the pharmacy. In an interview conducted on a later date at 10:45 a.m., the Director of Nursing confirmed that the resident did not receive the morphine as ordered until another specified date at 12:00 a.m. This failure to provide the ordered medication was cited under 28 Pa. Code 211.9(d) related to pharmacy services and 28 Pa. Code 211.12(d)(1)(3)(5) related to nursing services.
Environmental Deficiencies Noted in Facility
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable environment on one of its nursing units. During observations conducted on two separate days, surveyors noted multiple instances of physical damage and cleanliness issues. Specifically, the top left edge of the windowsills was found to be damaged in several resident rooms and in the dining room. Additional damage was observed to the chair rail under the television and to a wall beneath a wooden shelf in the dining room. Furthermore, debris and a black substance were present on the floors of several resident rooms and in an elevator. These findings indicate that the facility did not ensure the environment was properly maintained as required.
Failure to Employ Qualified Dietary Services Manager or Full-Time Dietitian
Penalty
Summary
The facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian. During an interview, the dietary manager confirmed that there was no qualified dietary manager employed. Additionally, the Administrator verified that the facility did not have a full-time dietitian or a qualified dietary manager in place. These findings were based on staff interviews and a review of facility staffing, with no evidence provided to show compliance with the requirement for appropriate dietary service management.
Failure to Store Resident Food in a Sanitary and Labeled Manner
Penalty
Summary
The facility failed to store food in a sanitary manner on both Health Care 1 and Health Care 2 nursing units. According to facility policy, nursing staff are required to label and date resident food items that require refrigeration. However, observations revealed multiple instances of noncompliance. In Health Care 1, the resident pantry refrigerator contained an opened container of ice cream, two cans of soda, an opened bottle of soda, two opened jars of salsa, and a piece of candy, none of which were labeled with a resident name or date. Additionally, the refrigerator shelves had visible food debris, a strand of hair, and a piece of plastic tape with accumulated dust. In Health Care 2, the refrigerator contained a container of chopped fresh fruit, a bag of cherries, an uncovered dish of wilted sliced tomatoes, and a container of oat milk, all undated. Opened bottles of apple cider vinegar, salad dressing, and oat milk were also present without dates or resident names. The refrigerator shelves and bottom area were found to have sticky food debris and a hair strand. The freezer contained items such as a spicy breaded chicken sandwich and ice cream products, none labeled with a resident name. During an interview, the Administrator confirmed that the refrigerators are designated for resident food only and that items are to be labeled with the resident name and dated by staff, as per facility policy. The observations and staff interview demonstrate that the facility did not adhere to its own policies regarding the labeling, dating, and sanitary storage of resident food items, resulting in a deficiency under the cited regulations.
Delayed Response to Call Bell for Resident Requiring Extensive Assistance
Penalty
Summary
A resident with a right leg above the knee amputation, reduced mobility, and chronic pain syndrome, who was able to communicate needs and required extensive assistance with activities of daily living, was observed to have their call bell activated for 29 minutes without response from staff. The resident had a care plan indicating a risk for falls and dependence on staff for toileting, with interventions specifying that staff should encourage use of the call bell and respond promptly to requests for assistance. On the day of the incident, the resident reported waiting for assistance to use the bathroom and expressed concern about missing an activity due to the delay. Facility policy expected call bells to be answered within 20 minutes, but staff did not respond within this timeframe.
Failure to Accommodate Food Allergy in Resident Meal Service
Penalty
Summary
A resident with a documented peanut allergy and moderate cognitive impairment was served a peanut butter bar for dessert, despite clear documentation of the allergy in the clinical record, ongoing plan of care, and admission documentation. The resident required set-up assistance for feeding and was at nutritional risk due to vision problems, with instructions in the care plan to offer alternate food items as needed. On the observed date, staff served the resident a meal that included a peanut butter bar, and the resident identified his peanut allergy when interviewed. The Director of Nursing later confirmed that the resident had received the peanut butter bar, which was not appropriate given his documented allergy.
Failure to Administer Ordered Medication Due to Unavailability
Penalty
Summary
A deficiency occurred when a resident with diagnoses including cervical disc disorder with myelopathy, chronic pain, constipation, and muscle weakness did not receive simethicone as ordered by the physician. The physician's order, dated January 24, 2025, directed staff to administer simethicone twice daily. However, the medication was not available from the pharmacy, and nursing documentation confirmed that the resident did not receive the medication for four consecutive days. The resident reported experiencing severe gas pain during this period. The physician was notified of the unavailability, and a subsequent order was given to administer simethicone as needed, but the medication still was not administered as originally ordered. The Director of Nursing confirmed that the medication was not available and not given as prescribed.
Failure to Implement Physician's Orders and Administer Medications
Penalty
Summary
The facility failed to implement physician's orders for a resident diagnosed with bacteremia, congestive heart failure, and respiratory failure. The physician's order required the resident to be weighed daily, with a directive to notify the doctor if there was a weight gain of two or more pounds in one day. On one occasion, the resident's weight increased by two pounds, but there was no evidence that the staff notified the physician of this change as required. Additionally, the facility did not adhere to several medication administration orders for the resident. There were multiple instances where medications such as ampicillin, ceftriaxone sodium, florastor, heparin sodium, and normal saline were not administered as ordered. Furthermore, the staff failed to change administration tubing and replace antimicrobial caps as directed. These deficiencies were confirmed by the Director of Nursing during an interview.
Inadequate Catheter Care for Resident
Penalty
Summary
The facility failed to provide adequate catheter care for a resident with an indwelling urinary catheter. The facility's policy required that the urinary drainage bag be positioned below the bladder level, not on the floor, and covered at all times to prevent backflow of urine. However, observations on two consecutive days revealed that the resident's catheter drainage bag was hanging off the bed, uncovered, and directly touching the floor. The resident had chronic obstructive pulmonary disease and congestive heart failure, required extensive assistance for activities of daily living, and was at increased risk for infection. The Nursing Home Administrator confirmed that the catheter bag should not be uncovered and on the floor.
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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 Myerstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stoneridge Poplar Run | 0.6 mi | ★★★★★ | 7 | 0 |
| Cedar Haven Healthcare Center | 5.6 mi | ★★★★★ | 4 | 1 |
| Lebanon Skilled Nursing And Rehabilitation Center | 7.1 mi | ★★★★★ | 15 | 0 |
| Alpine Valley Post Acute And Healthcare Center | 7.2 mi | ★★★★★ | 0 | 0 |
| Cornwall Manor | 8.7 mi | ★★★★★ | 0 | 0 |
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