Below 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 Premier Washington Rehabilitation And Nursing Ctr during CMS and state inspections, most recent first.
Surveyors identified that the facility did not maintain its automatic sprinkler system in accordance with NFPA standards when electrical MC wire conduit was found resting directly on sprinkler piping above ceiling tiles in the elevator lobby areas on two separate floors, affecting two of fifteen smoke compartments. The Facility Administrator and Director of Maintenance acknowledged these sprinkler system deficiencies during interview.
Surveyors found that oxygen cylinders were stored in crash cart rooms in two separate cores without the required precautionary signage on the doors indicating oxidizing gas storage and no smoking. Observations in two smoke compartments showed oxygen cylinders present in the 3 East and 2 East core crash cart rooms, yet the doors lacked the mandated "CAUTION: OXIDIZING GAS(ES) STORED WITHIN NO SMOKING" signage. The facility administrator and maintenance leadership confirmed that the proper oxygen storage signs were not posted on these doors.
Surveyors identified that a room equipped with an FM-200 non-water-based fire protection system lacked the required warning sign indicating the presence of this extinguishing system. This deficiency affected one of the facility’s smoke compartments and was confirmed during an interview with the facility’s administrator and maintenance leadership.
Failure to employ a qualified Food Service Director to manage dietary operations. Staff interviews showed the Dietary Supervisor was still working toward CDM certification, the RD had little involvement in dietary management and was struggling to complete assessments, and leadership confirmed there was no current CDM and no documented evidence that any staff met the qualifications for the Food Service Director role.
A facility failed to provide meals and beverages at safe, appetizing temperatures across all nursing units. Residents, family members, and the Ombudsman reported cold food, poor taste, inaccurate meal delivery, and missed alternate choices; some residents said they did not eat the meals or bought food elsewhere. Surveyors observed hot foods plated without covers or warmers, delayed tray delivery, low food temperatures, and a tray delivered with coffee spilled on it.
Failure to Provide Food in the Ordered Form: A resident on a mechanical soft diet continued to receive pureed vegetables, and staff said this had been an ongoing issue that dietary had not resolved. Meal observations showed watery pureed vegetables and mashed potatoes, missing ordered items, and substitutions such as plain applesauce for cinnamon applesauce, while other residents reported not receiving meal choices or getting the wrong texture or foods ordered.
Unsanitary food handling and storage were observed in the main kitchen. Boxes of food were stored on the floors of the deep freezer and refrigerator areas, and a Cook/Dietary Aide was seen plating food, touching the warmer handle, and then returning to plate foods and handle items falling off plates without hand washing or changing gloves. The Dietary Supervisor, NHA, DON, and RDO were made aware of the observations.
Dish machine not functioning properly and staff lacked training. Surveyors observed that the Main Kitchen dish machine had nonworking wash and rinse temperature gauges, appeared to be leaking, and caused water to puddle because the floor drain could not keep up; no nonslip mats were present. Staff interviews confirmed the machine needed repair, and the Dietary Supervisor, DON, and Regional CDM acknowledged staff did not know how to use test strips or document temperature and chemical levels for the final rinse.
Failure to timely address resident council, food committee, and grievance concerns related to meals and food. Residents reported cold meals, inaccurate menu items, missing alternate meals, and ongoing dissatisfaction despite repeated complaints to staff, resident council, and the food committee. The Ombudsman also received multiple complaints about cold food, meals not provided as ordered, and taste concerns, and the DON confirmed the facility did not respond to or address these concerns in a timely manner.
Failure to maintain a safe, clean, comfortable, and homelike environment was identified on multiple nursing units and in the therapy gym. Residents reported dirty rooms and bathrooms with urine, feces, and stains, and the Ombudsman received similar complaints. Surveyors observed food debris, soiled linens, missing trash can liners, soiled toilets, a used diaper on a bathroom floor, dirty clothes, fruit flies, urine odor, worn floors needing deep cleaning, and debris and soiled equipment in the therapy gym; the NHA, DON, and contracted regional director confirmed the conditions.
Failure to Provide ADL Assistance: Residents reported missed showers, delayed call light responses, and being left in soiled briefs and bed linen due to staffing shortages. One resident described incomplete hygiene care and another reported wet briefs with bowel movement left in place, while observations showed residents with poor hygiene, unclean fingernails, and urine odor. The NHA and DON confirmed the facility failed to provide ADL assistance for seven of twelve residents.
Respiratory care and oxygen equipment were not properly maintained for four residents. Three residents had physician-ordered oxygen therapy, but their tubing was observed connected to concentrators without required labels or dates. Another resident had a BiPAP machine at bedside, but the chart lacked a current physician order and care plan for CPAP/BiPAP use, and notes referenced use of the device despite no active order. The DON confirmed the missing order and care plan.
A resident with cancer, a stroke history, chronic pain syndrome, and a Stage 4 sacral pressure injury received Xtampza ER in a manner that was not consistently every 12 hours, with multiple doses given at irregular intervals. The original order did not include instructions to give food with the evening dose, and the later order was timed 8 hours apart then 16 hours apart rather than q12h. The resident reported butt pain, wound pain, and that nothing worked for pain relief; an LPN and the DON confirmed the timing and food-order issues.
Multiple grievances and resident council concerns were documented regarding unclean resident bathrooms. Despite staff claims of daily cleaning, observations found several bathrooms visibly soiled, with stained toilets and dust-blocked vents. Interviews with two residents confirmed inconsistent cleaning, and inspections revealed unsanitary conditions, including feces and urine left in toilets. The DON acknowledged the failure to maintain a homelike environment in several units.
A facility failed to maintain proper hazardous area enclosures when a storage room door in the Inventory Control room was found secured open with a rope, preventing it from closing and latching. This deficiency was confirmed by the Assistant Facility Administrator and Maintenance Director, affecting one of fifteen smoke compartments.
The facility failed to maintain the automatic sprinkler system, leading to deficiencies in two smoke compartments. Observations revealed a gap around sprinkler heads in a storage room and a hangar wire attached to a sprinkler branch line above smoke doors. These issues were confirmed by the Assistant Facility Administrator and Maintenance Director.
The facility failed to ensure that a fire extinguisher in the staff break room had the required annual inspection, as observed during a survey. This deficiency was confirmed by the Facility Administrator and Maintenance Director, who acknowledged the lapse in compliance with NFPA 10 standards.
The facility failed to maintain electrical wiring as required by NFPA 70, with an open electrical junction box found in the ceiling of the transfer switch room. This deficiency was confirmed through an interview with the Facility Administrator and Maintenance Director.
The facility failed to maintain proper use of electrical power cords and extension cords, affecting two smoke compartments. A microwave was plugged into an extension cord in the Supervisor's office, and a coffee pot and microwave were plugged into a power strip in the Pharmacy break room. These issues were confirmed by the Assistant Facility Administrator and Maintenance Supervisor.
The facility's main kitchen had sanitation issues, including ice build-up on a freezer fan affecting food items and improperly covered ground beef showing oxidation. These conditions were confirmed by the Dietary Manager.
The facility failed to store insulin pens in a safe and sanitary manner, with observations revealing unbagged insulin pens in three medication carts, posing a risk of cross-contamination. LPNs confirmed the pens were not bagged and were unaware of the reason for bagging them. The Director of Nursing acknowledged the facility's failure to prevent cross-contamination.
The facility failed to properly dispose of expired medications and biologicals in one of its medication rooms. Expired heparin lock flush syringes and a partially used bottle of vitamin E supplement were found, contrary to the facility's policy requiring the return or destruction of such items. The Unit Nurse Manager and DON confirmed these findings.
The facility did not post the required contact information for Adult Protective Services (APS) on the nursing units, making it inaccessible to residents, families, and visitors. This was confirmed by the DON during an interview.
The facility did not provide the required 3.2 hours of direct resident care per resident in a 24-hour period on multiple occasions. A review of nursing schedules and census data showed that the hours per patient day (PPD) were below the required threshold on 15 out of 21 days. The Nursing Home Administrator confirmed this deficiency.
The facility failed to serve meals at scheduled times on one nursing unit, with lunch trays consistently arriving late. Staff and resident interviews confirmed the issue, and an observation showed significant delays in meal delivery. The Regional Food Service Director acknowledged the problem and mentioned efforts to address it.
The facility failed to provide sufficient dietary staff, resulting in delayed and incorrect meal deliveries. Residents reported receiving cold food and missing items, with some meals arriving hours late. The Food Service Director acknowledged staffing shortages and unreliable equipment, contributing to ongoing issues documented in meeting minutes and grievance logs.
The facility failed to serve meals at scheduled times over three days, with significant delays reported by staff and residents. Meals were often late, cold, and missing requested items. The Food Service Director cited staffing shortages and equipment issues as contributing factors. This deficiency violated dietary service regulations.
The facility failed to respect residents' rights in handling personal property, affecting eleven residents. Observations revealed piles of soiled and clean personal items in the laundry area, and staff interviews confirmed that an afternoon shift staff member refused to deliver personal items. The DON acknowledged the facility's failure in this regard.
The facility failed to follow the posted menu and provide residents with their preferred dietary choices during a lunch meal. Observations and interviews revealed discrepancies between the posted and actual menu, leading to residents not receiving meals as per their preferences. Staff and residents reported ongoing issues with late food delivery and missing items on trays, which were confirmed by the Food Service Director.
The facility failed to maintain a clean and homelike environment in five of six nursing units, affecting 33 residents. Observations showed dirty hallways, lounges, and dining areas, with debris and sticky substances. Resident rooms and shared bathrooms had soiled floors, broken sinks, and unsanitary conditions. The Housekeeping/Laundry Supervisor confirmed these issues.
The facility failed to store medications and biologicals properly and securely in three of six medication carts. Medication carts were observed unlocked and unattended, with resident medical information accessible and personal items improperly stored. These actions violated the facility's policies on medication storage and administration.
The facility failed to provide an environment that promoted dignity during medication administration for five residents. Medications were administered in a public area with other residents nearby, compromising the residents' dignity. The Director of Nursing confirmed this failure.
The facility failed to meet professional standards of quality when staff improperly administered insulin to a resident using a syringe instead of the Kwik Pen as per manufacturer's instructions. Both an LPN and an RN admitted to this practice, which was confirmed by the DON.
The facility failed to notify physicians and assess two residents for hyperglycemia and hypoglycemia despite multiple instances of abnormal blood glucose levels. The care plans were not followed, and the physician was not notified of the changes in condition.
Improper Support of Sprinkler Piping by Electrical Conduit in Two Smoke Compartments
Penalty
Summary
Surveyors found that the facility failed to properly maintain its automatic sprinkler system in accordance with NFPA 25 and NFPA 101 requirements. During observations on April 27, 2026, an electrical MC wire conduit was seen resting directly on sprinkler piping above the ceiling tiles in the elevator 4 lobby on the 3 East unit at 9:15 a.m. A similar condition was observed at 9:35 a.m. above the ceiling tiles in the elevator 4 lobby on the 2 East unit, where another electrical MC wire conduit was resting on sprinkler lines. These deficiencies affected two of fifteen smoke compartments. In an interview on April 28, 2026, at 1 p.m., the Facility Administrator and Director of Maintenance confirmed the identified automatic sprinkler system deficiencies. No residents or specific patient conditions were mentioned in the report, and the deficiency pertains solely to the physical environment and maintenance of the sprinkler system components in the identified areas.
Plan Of Correction
1. On April 27, 2026, the electrical MC wire conduit resting on the sprinkler piping above the ceiling tiles in the Elevator 4 Lobby on 3 East was removed and Elevator 4 Lobby on 2 East was removed and properly supported to eliminate contact with the sprinkler system piping. The Director of Maintenance verified that no damage occurred to the sprinkler piping or system 2. The Director of Maintenance conducted a facility-wide inspection above accessible ceiling spaces to identify any additional instances of electrical conduit, wiring, or other materials resting on sprinkler piping. Any additional findings identified during the inspection were immediately corrected at the time of discovery. 3. The Director of Maintenance educated maintenance department on requirements prohibiting any item from being supported by or resting on sprinkler piping. 4. The Director of Maintenance or designee will conduct weekly inspections x4 weeks and then monthly after, of a minimum of five random above-ceiling locations throughout the facility to verify compliance. Findings will be documented and reviewed during the facility's (QAPI) meetings monthly for three months
Failure to Post Required Oxygen Storage Signage in Crash Cart Rooms
Penalty
Summary
Surveyors identified a deficiency related to NFPA 101 and NFPA 99 requirements for gas equipment cylinder and container storage. The code requires that storage rooms or areas containing oxidizing gases, such as oxygen cylinders, have precautionary signage on each door or gate that is readable from 5 feet and includes, at a minimum, the wording "CAUTION: OXIDIZING GAS(ES) STORED WITHIN NO SMOKING." During the survey, the facility was evaluated for compliance with these standards, which apply to various quantities of stored gas and require proper construction, separation from combustibles, and appropriate labeling of storage locations. On the survey date, observations showed that oxygen cylinders were stored in two separate crash cart rooms, one in the 3 East core and one in the 2 East core, without any signage indicating oxygen storage on the doors. These observations occurred at 10:13 a.m. in the 3 East core crash cart room and at 11:03 a.m. in the 2 East core crash cart room. The Facility Administrator and Director of Maintenance confirmed during an interview that the doors to these rooms did not have the required oxygen storage signage. The deficiency affected two of fifteen smoke compartments in the facility.
Plan Of Correction
1. On April 27, 2026, propersignage for oxygen was placed onthe 3 east crash cart room and the 2east crash cart room. 2. On April 27th, 2026 the Directorof Maintenance conducted afacility-wide inspection of all oxygencylinder storage locations and crashcart rooms to verify that requiredoxygen signage was present and nooxygen cylinders were improperlystored. 3. The maintenance staff wereeducated to ensure that propersignage for oxygen storage is postedfor all rooms where oxygen is stored. 4. The Director of Maintenance ordesignee will conduct weekly auditsx4 weeks and monthly after for 3months of oxygen storage areas toverify proper signage. Auditfindings will be documented andreviewed during the facility'smonthly QAPI meetings
Missing Warning Sign for FM-200 Fire Suppression System
Penalty
Summary
Surveyors found that the facility failed to maintain a non-water-based fire protection system in accordance with NFPA 99 (2012) 15.12.2. During an observation conducted at 11:40 a.m. on April 28, 2026, it was noted that a room equipped with an FM-200 extinguishing system did not have a required warning sign indicating the presence of this system. This omission was identified in one of 15 smoke compartments. In an interview held at 1:00 p.m. the same day, the Facility Administrator and Director of Maintenance confirmed the absence of the warning signage, thereby confirming the deficiency. No residents or specific patient conditions were mentioned in the report, and no additional contextual details beyond the missing warning sign for the FM-200 system and the staff confirmation of this issue were provided.
Plan Of Correction
1. On April 28, 2026, the required warning signage indicating the room was equipped with an FM-200 extinguishing system was installed at the entrance to the affected room. The Director of Maintenance verified the signage was properly posted and visible in accordance with applicable Life Safety Code and NFPA requirements. 2. On April 28, 2026, the Director of Maintenance conducted a facility-wide inspection of all rooms containing clean agent fire suppression systems, including FM-200 systems, to verify required warning signage was present. Any additional deficient areas identified during the inspection were corrected immediately. 3. Maintenance staff were re-educated regarding NFPA requirements for identification and warning signage associated with clean agent extinguishing systems. 4. The Director of Maintenance or designee will conduct monthly inspections for 3 months of all extinguishing system rooms to verify required signage remains in place and legible. Inspection findings will be documented and reviewed during the facility's (QAPI) meetings.
Failure to Employ a Qualified Food Service Director
Penalty
Summary
The facility failed to employ a qualified Food Service Director to manage the daily operations of the Dietary Department for 12 of 12 months, from May 2025 through April 24, 2026. During interviews, the Dietary Supervisor stated that she was the manager and was working on her certification to become a CDM. The Registered Dietician stated that she could barely complete dietician assessments and had no involvement in managing the dietary department because it was run by the food service company. The Regional Certified Dietary Manager and Regional Dietician confirmed that the facility did not currently have a Certified Dietary Manager and that the Registered Dietician was not employed by the food service company, so she did not manage the dietary department. The Regional Certified Dietary Manager also confirmed that the facility did not provide documented evidence that any staff met the qualifications for the Food Service Director position.
Cold and Inconsistent Meal Service
Penalty
Summary
The facility failed to provide residents with food and drink at safe and appetizing temperatures on six nursing units, including 1 South, 1 West, 2 South, 2 East, 3 South, and 3 East. The facility policy stated that each resident should receive three meals a day that are nourishing, palatable, and consistent with resident needs, physician orders, preferences, and plans. During interviews, the Ombudsman reported multiple resident complaints about cold food, meals not provided as ordered, and poor taste, and residents in a group interview said the meals were cold, inaccurate compared with the menu, and that alternate meal requests often were not received. Residents and family members repeatedly described the food as cold, unappetizing, and inconsistent. One family member stated her mother did not receive her meal choices and that the food was never hot. Other residents reported cold coffee, tough meat, burned grilled cheese, water-logged vegetables, and the same foods served repeatedly, including eggs every day for breakfast. Several residents said they did not eat the meals, bought food from the snack shop, or went to bed hungry some days. One resident stated the ordered mechanically altered diet was often replaced with pureed food, and another said dietary preferences were not honored and milk sometimes ran out. During tray line observation, Dietary Employee E11 was plating hot foods and placing regular plates on a cart next to the tray line without plate warmers or covers, stating they were ahead and then fell behind. During lunch observation on one nursing unit, the tray cart arrived between 11:45 a.m. and 12:05 p.m., and measured temperatures included pork loin at 116.8 F, broccoli at 110.3 F, scalloped potatoes at 123.4 F, milk at 46 F, and coffee at 126.7 F. Another observation showed a resident's tray delivered with a cup of coffee spilled on it, with items dripping in coffee. Review of grievances and Resident Council minutes showed repeated meal-related complaints over several months, and the regional dietitians confirmed the facility failed to provide food and drink at safe and appetizing temperatures on all six nursing units.
Failure to Provide Food in the Ordered Form
Penalty
Summary
The facility failed to provide food prepared in a form designed to meet individual resident needs for 13 of 26 residents reviewed. Resident R81 stated she had been upgraded to a mechanical soft diet but continued to receive pureed vegetables, and she reported that the Speech Therapist had raised the issue multiple times without any change. The Speech Therapist confirmed he had discussed the concern with the Dietician and Dietary Supervisor, but nothing had been done. A Nurse Aide stated that residents requiring mechanical soft foods always received pureed vegetables, and that staff had gone to dietary about it without resolution. The Regional Certified Dietary Manager and Regional Dietician confirmed that the system automatically set mechanical soft vegetables to pureed, which was not the correct consistency for a mechanical soft diet, and that the dietary department did not chop vegetables. During meal observations, mechanical soft trays were noted to contain watery pureed broccoli and watery mashed potatoes, with biscuits placed directly on top of the watery food items. A family member stated that a resident did not receive meal choices and that a baked sweet potato listed on the menu was served as mashed sweet potatoes. Another resident was observed missing white rice from the noon meal tray. Several residents reported receiving pureed food when ordered mechanically altered diets, and one resident stated dietary preferences were not honored. During the evening meal observation, multiple residents were missing ordered items such as buttered noodles, water, and chocolate milk, and several residents received plain applesauce instead of cinnamon applesauce. One resident stated he had requested hamburgers about two weeks earlier and had since been receiving them for both lunch and dinner daily. The Nursing Home Administrator, DON, and Regional Director of Operations were made aware of the concerns and confirmed the facility failed to provide food in the form required for each resident's individual needs and physician orders.
Unsanitary Food Handling and Storage in Main Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the main kitchen to prevent potential cross-contamination or foodborne illness. During an observation of the kitchen, boxes of food were seen stored on the floors of the deep freezer and refrigerator areas. In a later observation, a Cook/Dietary Aide was seen plating food and placing plates onto a cart, then putting plates into a warmer while touching the warmer handle, and then returning to plate foods and touching items that were falling off the plates without hand washing or changing gloves. The Dietary Supervisor confirmed the sanitary condition concerns, and the NHA, DON, and Regional Director of Operations were made aware of the observations.
Dish Machine Not Functioning Properly and Staff Lacked Training
Penalty
Summary
The facility failed to ensure the dish machine in the Main Kitchen was in proper working order and that staff had proper education to maintain it and document temperature and sanitation levels. During observation, the dish machine’s wash and rinse cycle temperature gauges were not functioning, and the machine was identified as a high-temperature machine with a chemical final rinse cycle because a bucket of chemicals was attached to the final rinse hose. The dish machine also appeared to be leaking, the floor drain could not drain water fast enough to prevent puddling under the machine, and there were no nonslip mats on the floor. Staff interviews confirmed the gauges had not worked consistently, the Dietary Supervisor could not identify how to fix the issue, the DON confirmed the machine was not in proper working order, and the Regional Certified Dietary Manager stated staff did not know how to use test strips for temperature and chemical concerns for the final rinse. The Regional Director of Operations also confirmed the dish machine needed repair and that staff needed education on its operation and documentation of temperatures and chemical levels.
Failure to Timely Address Resident Council and Food Concerns
Penalty
Summary
The facility failed to respond to or address concerns raised through resident council, the food committee, and grievances in a timely manner for five out of six months. Review of the facility policy stated that the Resident Council is the recognized forum for residents to voice ideas and concerns, that ad hoc committee meetings such as a food committee may be scheduled as needed, and that collective concerns should be addressed using the grievance form in a timely manner. However, resident council and food committee minutes showed repeated monthly concerns about meals and food, including reports from 12/30/25, 1/15/26, 2/19/26, 3/19/26, and 4/16/26, along with grievances filed in November 2025 through April 2026. During a group interview, residents stated they were dissatisfied with meals that were cold, inaccurate compared with the menu, and missing requested alternate items, and they reported that complaints made to staff, resident council, and the food committee did not result in change. Residents also stated they had gone to bed hungry some days and specifically criticized the Enchiladas and black beans meal served for dinner, saying it was not what Southwestern Pennsylvanians eat. The Ombudsman reported receiving multiple resident complaints about cold food, meals not provided as ordered, and taste concerns. The DON confirmed the facility failed to respond to or address concerns from resident council, food committee, and grievances in a timely manner.
Failure to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment on four of six nursing units and in the therapy gym. Review of the facility’s Resident Rights policy indicated staff were trained regarding the resident right to a safe and homelike environment. During a group interview, residents stated they were dissatisfied with the cleanliness of their rooms and bathrooms, describing bathrooms left soiled with urine on the floor, feces on the toilet seat, and stains in the toilet bowl. The Ombudsman also reported receiving multiple resident complaints about dirty rooms and bathrooms with feces on the floor and toilet. Grievances and Resident Council minutes documented repeated concerns about cleanliness over several months. Observations on the units identified multiple environmental cleanliness issues, including unclean tables, food debris under beds and headboards, missing can liners in garbage cans, soiled linens, soiled toilets, a used diaper on a bathroom floor, and a mattress that was soiled and sunken in the center. A resident stated housekeeping did not empty the trash and said her daughter cleaned her room. Another resident’s room appeared unclean with dirty clothes on the floor and fruit flies, and another room had a strong urine odor. On 3 South, room floors throughout the unit had food debris and appeared very worn and in need of deep cleaning. In the therapy gym, debris was observed throughout the floor and equipment was soiled; the therapist and housekeeping supervisor confirmed the gym needed deep cleaning and had not been cleaned by housekeeping. The NHA, DON, and the facility-contracted Regional Director of Operations confirmed the facility failed to provide a safe, clean, comfortable, and homelike environment for the affected units and therapy gym.
Failure to Provide ADL Assistance
Penalty
Summary
The facility failed to provide ADL assistance, including bathing, toileting, linen changes, and general hygiene care, for seven of twelve residents identified during the survey. The facility’s ADL Care - Bathing policy stated residents are to be showered at least weekly based on preference, but residents reported missed showers and delayed or incomplete care. Confidential Resident R500 stated that some aides only did tasks halfway, that showers were sometimes replaced with bed baths because there were not enough aides, and that she was often left in soiled briefs and bed linen overnight until the next morning. Confidential Resident R501 reported being left in wet briefs with bowel movement in them, said staff did not clean her well, and stated she had missed multiple showers or received very brief showers that did not fully clean her. R501 was observed to be malodorous with unbrushed, greasy-appearing hair and unshaven facial hair. Other residents described long call light response times and staffing shortages affecting care. Resident R7 stated call light responses can be long and that there are only two aides for fifty people. Resident R13 said there were not enough staff and that it had been rough to get aides, adding that she accepted she could not always get a shower due to staffing. Resident R106 stated call lights sometimes took too long, that she had been told she could not get a shower due to low staffing, and that she had been left in soiled briefs and bed linen; she was observed with unclean fingernails. Resident R2 also reported waiting up to three hours for someone to come in and confirmed being left in soiled briefs and bed linen. Resident R16 was observed with unbrushed hair, long unclean fingernails, and a strong odor of urine. The Nursing Home Administrator and DON confirmed the facility failed to provide ADL assistance for seven of twelve residents.
Respiratory Care and Oxygen Equipment Not Properly Maintained
Penalty
Summary
The facility failed to provide appropriate respiratory care and maintain oxygen equipment for four of eight sampled residents, including Residents R13, R80, R159, and R256. Facility policy required oxygen tubing to be dated when initiated and at least every 2 weeks when changed, and the BiPAP/CPAP policy stated these devices were to be administered by licensed nurses with a physician's order. Review of the records for Residents R80, R159, and R256 showed physician orders for continuous oxygen therapy with instructions to change and date the oxygen tubing weekly, yet during rounds on 4/20/26 their oxygen tubing connected to the concentrators was observed without labels or dates. Resident R13's record showed diagnoses of COPD, heart failure, and diabetes, but the facility diagnosis list did not include sleep apnea, the care plan did not address CPAP or BiPAP use, and progress notes did not mention sleep apnea. A prior BiPAP order had been discontinued, and later notes referenced CPAP or BiPAP use despite no current physician order being present. During an observation on 4/21/26, a BiPAP machine was present at the bedside with a gallon jug of distilled water on the floor next to the table, and the resident stated she used the BiPAP not every night but often. The DON confirmed that a physician's order and care plan were not in place for the use or refusal of CPAP or BiPAP therapy.
Significant Medication Error With Xtampza ER Timing and Food Instructions
Penalty
Summary
The facility failed to ensure that Resident R7 was free of significant medication errors related to Xtampza ER, an extended-release opioid prescribed for chronic pain. FDA prescribing guidance reviewed in the report stated Xtampza ER is to be given twice daily every 12 hours and must be taken with food, with greater oxycodone bioavailability when taken with food. The facility policy also stated medications must be administered in a timely manner and within one hour of the prescribed time unless otherwise specified. Resident R7 had diagnoses including cancer, a history of stroke, and chronic pain syndrome, and was admitted to the facility with a physician order for Xtampza ER 9 mg every 12 hours at 8:00 a.m. and 8:00 p.m., but that order did not include directions that food must be consumed with the medication. The medication administration audit showed Xtampza ER was given at times that were not consistently 12 hours apart, including doses separated by approximately 15, 9, 14, 10, 16, 14, 7, and 17 hours on multiple occasions. The order was later changed to Xtampza ER 18 mg twice daily at 9:00 a.m. and 5:00 p.m., which placed the doses 8 hours apart and then 16 hours apart rather than every 12 hours. A wound assessment documented a Stage 4 pressure injury on the sacrum, and during interview the resident stated she had cancer, her butt hurt, she had a wound, and that dressing changes caused pain; she also stated that nothing worked when asked about pain medications. Staff interviews confirmed the original order did not include food with the evening dose and that the current order was not scheduled every 12 hours for consistent pain control.
Failure to Maintain Clean and Homelike Resident Bathrooms
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for residents, specifically in the 3 South nursing unit bathrooms. Facility policy guarantees residents the right to a dignified existence and a safe, homelike environment. However, review of grievance logs over several months revealed multiple complaints regarding dirty resident rooms and bathrooms. Resident council minutes also documented concerns about housekeeping services. Despite staff interviews indicating that resident rooms and bathrooms are cleaned daily, observations on the 3 South unit found several bathrooms visibly soiled with debris and stains on the floors, toilets with stains of unknown origin, and ventilation units blocked with dust. Interviews with residents confirmed that bathrooms were not always cleaned, with one resident stating their shared bathroom was never cleaned and was not used by any of the occupants. Inspection of this bathroom revealed feces and urine in the toilet. Another resident also reported inconsistent cleaning, and their bathroom was found unclean upon inspection. The DON confirmed the poor conditions in multiple bathrooms and acknowledged that the facility failed to maintain a homelike environment on three of four observed nursing units.
Hazardous Area Enclosure Deficiency
Penalty
Summary
The facility failed to maintain proper hazardous area enclosures, as evidenced by an observation on April 14, 2025. During this observation, it was noted that the door to a storage room within the Inventory Control room was improperly secured open with a rope or string, preventing it from closing and latching as required. This deficiency was confirmed through an interview with the Assistant Facility Administrator and the Maintenance Director on April 15, 2025. The deficiency affected one of the fifteen smoke compartments in the facility.
Plan Of Correction
Inventory control room door was open with a rope/string, and was unable to close and latch. The rope/string was removed from the door and closed properly. Maintenance audited throughout the facility with no other door issues found. Education to be completed with all maintenance staff making sure all doors are closed properly throughout the facility. Audits will be completed by maintenance to ensure all doors are not propped open and closed properly, Weekly X4 weeks and monthly X 2. All audits will be reported to QAPI.
Automatic Sprinkler System Deficiencies
Penalty
Summary
The facility failed to maintain the automatic sprinkler system, resulting in deficiencies in two of the 15 smoke compartments. During an observation on April 14, 2025, two specific issues were identified: a gap larger than 1/8 inch was found around two sprinkler heads with escutcheons in a storage room inside the Inventory Control room, and a ceiling tile track hangar wire was attached to a sprinkler branch line above the smoke doors near the 2 South Supervisor's office. These deficiencies were confirmed through an interview with the Assistant Facility Administrator and Maintenance Director on April 15, 2025.
Plan Of Correction
Large gap around two sprinkler pipes with escutcheons in the inventory control storage room. Ceiling hanger wire attached to sprinkler branch line above smoke door near 2 south supervisors office. Maintenance adjusted hanger in ceiling to raise the sprinkler head and escutcheon closer to the ceiling tile and replaced the ceiling tile. Maintenance removed hanger from sprinkler. Maintenance conducted audit of facility with no other issues with sprinklers or escutcheons. The maintenance department will be educated on Sprinkler system compliance. Audits will be completed by maintenance to ensure sprinkler system is in compliance, Weekly X4 weeks and monthly X 2. All audits will be reported to QAPI.
Fire Extinguisher Annual Inspection Deficiency
Penalty
Summary
The facility failed to maintain compliance with NFPA 101 standards regarding portable fire extinguishers. During an observation on April 14, 2025, it was noted that the inspection tag on the fire extinguisher located in the 2 core staff break room did not have the required annual inspection. This deficiency was confirmed through an interview with the Facility Administrator and Maintenance Director on April 15, 2025, who acknowledged that the portable fire extinguisher had not undergone the necessary annual inspection as mandated by NFPA 10 standards.
Plan Of Correction
Inspection tag on the fire extinguisher in the 2 core breakroom did not have the annual inspection. Maintenance has ordered new fire extinguishers through Johnson Controls to be delivered. Maintenance conducted an audit of all fire extinguishers in the facility with no other issues found. Maintenance to be educated on compliance for all fire extinguishers. Audits will be completed by maintenance to ensure all fire extinguishers are within compliance, Weekly X4 weeks and monthly X 2. All audits will be reported to QAPI.
Electrical Wiring Deficiency in Transfer Switch Room
Penalty
Summary
The facility failed to maintain electrical wiring in accordance with NFPA 70, National Electric Code, as evidenced by an open electrical junction box found in the ceiling of the transfer switch room. This deficiency was observed during a survey on April 14, 2025, at 10:17 a.m. The issue was confirmed through an interview with the Facility Administrator and Maintenance Director on April 15, 2025, at 1:30 p.m. The deficiency was identified in one of the 15 smoke compartments within the facility.
Plan Of Correction
An open electrical junction box on the ceiling of the transfer switch room was identified. The cover for the box was immediately put back on. Maintenance completed an audit throughout the facility with no other junction box issues. The maintenance department will be educated to make sure all junction boxes are covered. Audits will be completed by maintenance to ensure all junction boxes are covered, Weekly X4 weeks and monthly X 2. All audits will be reported to QAPI.
Improper Use of Electrical Cords in Facility
Penalty
Summary
The facility failed to maintain proper use of electrical power cords and extension cords, affecting two of 15 smoke compartments. During an observation on April 15, 2025, it was noted that a microwave was plugged into an extension cord in the second floor Supervisor's office. Additionally, a coffee pot and microwave were plugged into a power strip in the Pharmacy break room. These deficiencies were confirmed during an interview with the Assistant Facility Administrator and Maintenance Supervisor on the same day.
Plan Of Correction
Appliances cited were removed from power strip to an appropriate outlet. Maintenance completed audit with no other issues with power strips were identified in the facility. Maintenance staff in serviced on what can and can't be plugged into a power strip. Audits will be completed by maintenance to ensure all power strips are used properly, Weekly X4 weeks and monthly X 2. All audits will be reported to QAPI.
Sanitation Issues in Main Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the main kitchen, which could potentially lead to cross-contamination or foodborne illness. During an observation, condensation and ice build-up were noted on the fan in the freezer, causing ice formation on multiple boxes of frozen goods, as well as on trays of cauliflower and broccoli wrapped in tin foil. Additionally, a metal tray containing approximately half of a ten-pound tube of ground beef was found loosely and partially covered with plastic wrap, showing signs of oxidation on the exposed end. These findings were confirmed by the Dietary Manager during an interview.
Improper Storage of Insulin Pens in Medication Carts
Penalty
Summary
The facility failed to store medications in a safe and sanitary manner, specifically concerning the storage of insulin pens in medication carts. During observations, it was noted that insulin pens were stored unbagged in three of the four medication carts reviewed, which included the Three South front cart, Three East front cart, and Two East back cart. This practice posed a risk of cross-contamination. Licensed Practical Nurses (LPNs) responsible for these carts confirmed the insulin pens were not bagged and expressed unawareness of the reason for storing them in bags. The Director of Nursing confirmed the facility's failure to prevent the risk of cross-contamination by not storing insulin pens in bags. The facility's policies on Infection Prevention Control Program Core Practices and Medication Storage, both reviewed on March 4, 2025, indicated the need for maintaining medication storage in a clean, safe, and sanitary manner. However, the observations and interviews revealed a lack of adherence to these policies, leading to the identified deficiency.
Improper Disposal of Medications in Medication Room
Penalty
Summary
The facility failed to ensure proper disposal of medications and biologicals in one of its medication rooms, specifically Unit 1 [NAME] medication room. During an observation, five heparin lock flush syringes with an expiration date of 9/30/24 and an opened, partially used bottle of vitamin E supplement with an expiration date of 3/25 were found. The facility's policy on the storage of medications, dated 3/4/25, mandates that discontinued, outdated, or deteriorated drugs or biologicals should be returned to the dispensing pharmacy or destroyed. The Unit Nurse Manager and the Director of Nursing confirmed these observations, indicating a failure to adhere to the facility's medication disposal policy.
Failure to Post APS Contact Information
Penalty
Summary
The facility failed to comply with the requirement to post contact information for Adult Protective Services (APS) in areas accessible to residents, families, and visitors. During observations conducted on April 10, 2025, at 8:30 a.m., it was noted that the APS contact information, including name, address, email, and phone number, was not posted on the first, second, and third floor nursing units. This deficiency was confirmed during an interview with the Director of Nursing at 8:51 a.m. on the same day, who acknowledged that the APS contact information was not available in the required areas.
Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct resident care per resident in a 24-hour period on 15 out of 21 days. This deficiency was identified through a review of nursing time schedules and staff interviews. The specific dates where the facility did not meet the required hours were documented, with the provided nursing schedules and census information revealing that the hours per patient day (PPD) fell below the required 3.2 hours on these days. The Nursing Home Administrator confirmed the failure to meet the required nursing hours during an electronic communication.
Plan Of Correction
1. Facility did not meet minimum required PPD for the dates of (12/23/24, 12/24/24, 12/25/24, 12/26/24, 12/27/24, 12/28/24, 1/12/25, 1/13/25, 1/15/25, 1/16/25, 1/17/25, 1/18/25, 2/17/25, 2/19/25 and 2/21/25). 2. Review of PA Code 211.12 completed by NHA and DON. Education then provided to scheduler by DON. 3. Facility contracts with multiple staffing agencies. Additionally, the facility also has an active recruitment and retention committee in an attempt to retain staff. There are also consistent advertisements on both Apploi and Indeed and often has a running ad in local paper. The facility currently offers sign on bonus, referral bonus for recruiting new staff, extra shift bonuses when we are projecting low, flexible scheduling, and nursing management staff rotate extra shifts. 4. NHA, DON, and facility Staff Scheduler will review projected current day's PPD, weekly projection as able, and previous day actual PPD 5 x week for 4 weeks.
Delayed Meal Service on Nursing Unit
Penalty
Summary
The facility failed to ensure that meals were served at regularly scheduled times for one of its nursing units, specifically the 1 [NAME] nursing unit. The facility's Meal Delivery Policy, dated 2/28/24, indicated that meals should be served at designated times. However, a review of the [NAME] Meal Delivery Log, revised 8/24/24, showed that lunch trays were consistently delivered late, with the first tray cart arriving at 12:52 p.m. and the second at 12:59 p.m. Staff interviews revealed that food carts were never on time for all three meals, with some deliveries delayed until 2:00 or 3:00 p.m. An observation on 11/14/24 confirmed that the first tray cart arrived at 1:33 p.m., 41 minutes late, and the second at 1:43 p.m., 44 minutes late. Resident interviews corroborated these findings, with one resident expressing dissatisfaction with the timing and quality of the meals. The Regional Food Service Director acknowledged awareness of the issue and mentioned ongoing efforts to address it through staff education and training. The Nursing Home Administrator and the Regional Food Service Director confirmed the facility's failure to adhere to scheduled meal times, as required by 28 Pa. Code: 211.6 (c) Dietary services.
Insufficient Dietary Staff Leads to Meal Delivery Issues
Penalty
Summary
The facility failed to provide sufficient dietary staff to perform essential kitchen duties, leading to significant delays and issues with meal delivery. Observations and interviews revealed that food trucks were consistently late, resulting in residents receiving meals hours after the scheduled time. Staff reported that trays were often incorrect, and residents complained about receiving cold food, missing items, and poor taste. The Food Service Director acknowledged the staffing shortages and the challenges in managing the kitchen effectively, noting that equipment such as hotplate warmers were unreliable. Residents expressed dissatisfaction with the meal service, citing late deliveries and inadequate food quality. One resident reported having to purchase their own condiments due to missing items on trays. The Dietary Council Meeting Minutes and Grievance logs from May to July 2024 documented ongoing issues with late and cold food, as well as complaints about not receiving ordered items. The Food Service Director confirmed the facility's failure to maintain adequate dietary staffing, which contributed to these deficiencies.
Failure to Serve Meals on Time
Penalty
Summary
The facility failed to ensure that meals were served at regularly scheduled times over a period of three days. The Meal Delivery policy, dated 2/28/24, allowed for a ten-minute delay in food truck delivery times, but required an explanation if the delay exceeded this period. Despite this policy, staff and residents reported significant delays in meal delivery, with some meals arriving two to three hours late. Staff Employee E2 noted that food trucks were consistently late, and residents did not receive the meals they requested. Resident R5 reported receiving cold food, particularly at breakfast, and mentioned that dinner was served as late as 9:00 p.m. Resident R7 echoed these concerns, stating that trays were consistently late, lacked condiments, and often had missing items. The Food Service Director, Employee E3, acknowledged the issues with meal delivery, citing staffing shortages and malfunctioning hotplate warmers as contributing factors. During an observation, the lunch cart delivery was noted to be fifteen minutes late, further confirming the facility's failure to adhere to scheduled meal times. The Director of Nursing, Nursing Home Administrator, and Lucent Regional Manager confirmed the facility's inability to serve meals on time for the identified days. This deficiency was in violation of 28 Pa. Code: 211.6 (c) Dietary services.
Failure to Respect Residents' Rights in Handling Personal Property
Penalty
Summary
The facility failed to respect the residents' rights in handling and protecting their personal property and clothing, as observed during a survey. Eleven out of thirteen residents interviewed reported issues with the management of their personal items. During an observation of the facility's laundry areas, surveyors noted multiple heaping piles of soiled and clean personal items on carts, indicating a backlog and mishandling of residents' belongings. Interviews with staff revealed that the afternoon shift staff member refused to deliver personal items, despite being written up several times. The Laundry Housekeeping Manager expressed an inability to replace this staff member due to staffing shortages. The Director of Nursing confirmed the failure to deliver personal clothing, acknowledging the facility's failure to respect residents' rights in this regard.
Failure to Follow Menu and Provide Preferred Dietary Choices
Penalty
Summary
The facility failed to adhere to the posted menu and provide residents with their preferred dietary choices during a lunch meal. Observations and interviews revealed that the facility did not follow the displayed menu for one of the three observed meals, specifically the lunch meal on 7/23/24. The posted menu on the 3 East and 3 South Nursing Units was not the menu being used, as confirmed by the Diet Clerk, who stated that the facility was actually in week 1 of the menu cycle. This discrepancy led to residents not receiving the meals as per their preferences. Interviews with staff and residents highlighted ongoing issues with meal service, including late food delivery and missing items on trays. Staff Employee E2 mentioned that food trucks were consistently late, resulting in residents receiving meals as late as 8:00 p.m. Additionally, Resident R7 expressed frustration over the lack of condiments and the need to purchase their own sugar and salt. The Food Service Director confirmed that the trays did not contain all the requested items for three residents, further indicating the facility's failure to meet dietary needs as per the posted menu.
Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, homelike environment across five of six nursing units, affecting 33 out of 52 residents. Observations revealed that the main entrance hallways leading to various nursing units and the main dining room were spoiled with black substances and debris. The main resident lounges on multiple nursing units were cluttered with wheelchairs, staff equipment, and littered with paper, food debris, and sticky substances. Additionally, the main hallways and dining room floors were found to be dirty and covered with debris. Specific resident rooms and shared bathrooms were observed to have soiled floors, broken sinks with sharp edges, and other unsanitary conditions. For instance, shared bathrooms and rooms had brown and black substances, sticky floors, soiled linens, and full garbage cans. Some residents' wheelchairs were heavily soiled, and several rooms had broken sinks with sharp edges. The Housekeeping/Laundry Supervisor confirmed these findings, acknowledging the facility's failure to provide a clean, comfortable, and homelike environment for the affected residents.
Improper Storage and Security of Medications and Biologicals
Penalty
Summary
The facility failed to store medications and biologicals properly and securely in three of six medication carts. Specifically, the One Front Hall medication cart was observed unlocked with the Electronic Health Record (EHR) visible on the laptop screen and four medication cups labeled with resident room numbers left on top of the cart. An LPN confirmed that the cart was left unattended and unlocked with resident medical information accessible to unauthorized individuals. Similarly, the Three East Back Hall medication cart was also left unattended and unlocked, as confirmed by another LPN. Additionally, the Three South Front Hall medication cart contained unlabeled personal items such as hand cream, hand sanitizer, and lip moisturizer, which were confirmed by an LPN to be improperly stored biologicals. Further observations revealed that the Three East Front Hall medication cart was left unattended and unlocked in the hall outside a resident's room, making it accessible to residents, staff, and visitors. An RN confirmed that she left the medication cart unattended and unlocked. These actions are in violation of the facility's policies on medication storage and administration, which require medication carts to be securely locked when out of the nurse's view and medications to be stored properly to prevent unauthorized access.
Failure to Promote Dignity During Medication Administration
Penalty
Summary
The facility failed to provide an environment and care that promoted dignity during medication administration for five residents. Observations revealed that medications were administered in a public area, specifically at tables in the middle of the nursing unit, with other residents seated nearby or walking around. This practice was inconsistent with the facility's policy on medication administration, which emphasizes safe and timely administration, and the policy on resident rights, which mandates treating all residents with kindness, respect, and dignity. Resident R226, diagnosed with dementia, depression, and muscle weakness, was observed receiving medications at a table in the middle of the nursing unit. Similarly, Resident R178, with diagnoses including dementia, anxiety, and depression, was also administered medications in the same public setting. Resident R119, who has diabetes, high blood pressure, and schizoaffective disorder, was observed receiving medications at a table in the middle of the unit, surrounded by other residents. Resident R131, diagnosed with schizoaffective disorder, diabetes, and anxiety, and Resident R214, with diabetes, COPD, and chronic atrial fibrillation, were also administered medications in the same undignified manner. Notably, Resident R214 was asked about insulin injection preferences in a public setting, which compromised his dignity. The Director of Nursing confirmed the failure to provide an environment that promotes dignity during medication administration for these residents.
Improper Insulin Administration
Penalty
Summary
The facility failed to ensure that the services provided met professional standards of quality for Resident R214. The resident, who was admitted with diagnoses including diabetes, depression, and muscle weakness, had a physician order for Lantus Kwik Pen insulin administration. However, during an observation of medication administration, an LPN was seen drawing insulin from the Kwik Pen using a syringe, which is against the manufacturer's instructions. The LPN admitted to using this practice frequently, as did another RN, indicating a systemic issue within the facility. The facility's policy on employee competence requires staff to demonstrate the knowledge and skills necessary to perform their duties correctly. Despite this, the staff's improper use of the insulin pen was confirmed by the Director of Nursing, who acknowledged that the facility failed to meet professional standards of quality in this instance. This deficiency was identified through a combination of clinical record reviews, staff interviews, and direct observation, highlighting a significant lapse in adherence to proper medication administration protocols.
Failure to Notify Physicians and Assess Residents for Abnormal Blood Glucose Levels
Penalty
Summary
The facility failed to notify physicians of increased and decreased Capillary Blood Glucose (CBG) levels and failed to assess residents for hyperglycemia and hypoglycemia for two residents. Resident R14 had a diagnosis of diabetes and was prescribed Lispro insulin with specific instructions to notify the physician if blood sugar levels were less than 60 or greater than 450. On multiple occasions, Resident R14's CBG levels were significantly above the threshold, but the facility did not assess for hyperglycemia, monitor the effectiveness of treatment, follow care plan interventions, or notify the physician of the abnormal results. Similarly, Resident R229, who also had a diagnosis of diabetes, had physician orders to notify the physician if blood glucose levels were greater than 400. Despite several instances where Resident R229's CBG levels exceeded this threshold, the facility did not assess for hyperglycemia, recheck blood sugar levels, follow care plan interventions, or notify the physician of the abnormal results. The care plans for both residents included specific instructions to monitor and report signs and symptoms of hyperglycemia, which were not followed. Interviews with various nursing staff, including LPNs and RNs, revealed that they were aware of the procedures for handling abnormal blood glucose levels but failed to execute them. The Director of Nursing confirmed that the facility did not notify the doctor of changes in condition related to blood glucose, did not follow care plan interventions, and did not recheck blood sugars for the affected residents.
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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 Washington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Transitions Healthcare Washington Pa | 1.8 mi | ★★★★★ | 13 | 0 |
| Kadima Rehabilitation & Nursing At Washington | 2.4 mi | ★★★★★ | 29 | 0 |
| Southmont Of Presbyterian Seniorcare | 3.7 mi | ★★★★★ | 9 | 0 |
| Greenery Center For Rehab And Nursing | 3.9 mi | ★★★★★ | 45 | 1 |
| Townview Health And Rehabilitation Center | 4.5 mi | ★★★★★ | 4 | 0 |
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