Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Statesman Health & Rehabilitation Center during CMS and state inspections, most recent first.
Required Department of Health postings were not displayed in the main lobby or in the A, B, and C wings. A front desk receptionist confirmed the postings were absent, and the NHA stated there was only one posting area outside the lobby with just the reporting phone number, which had apparently been taken down by a resident.
Unsafe and unsecured heater/cooler outlet covers were observed on C wing, including in the bathroom of one resident's room and in the hallway outside another resident's room. In both areas, the covers were not properly fixated and rusted metal pieces were exposed around the base of the wall. An ADON confirmed the findings.
Failure to post daily nurse staffing information was identified when surveyors found the staffing sheet hidden behind the front desk in the lobby, difficult to access, and left blank except for the date. No other staffing postings were found on the A, B, or C wings, and the ADON confirmed that staffing for each shift and day should be posted.
Late and missed medication administration affected multiple residents. A resident with HTN, CHF, and other diagnoses reported evening meds were being given late, and the MAR showed several ordered meds documented late as "charted late." Another resident with HTN, neuropathy, and muscle spasms also reported late evening meds, with the MAR showing multiple late doses of scheduled meds, and the DON confirmed the MARs were not documented in a timely manner.
A resident with Major Depressive Disorder and incontinence did not have a comprehensive care plan developed to address identified needs. The resident reported feeling frustrated and down about not getting help with incontinence care, and the ADON confirmed the care plan did not include a focus area for depression despite the resident being cognitively intact.
The facility discontinued blood sugar monitoring for several insulin-dependent residents without documenting the clinical reasoning in their progress notes. Interviews with nursing leadership and the Medical Director confirmed there was no facility policy guiding this practice, and the required documentation was not completed when blood sugar checks were stopped for residents with diabetes receiving insulin.
The facility failed to maintain its fire alarm system, with deficiencies identified in the September 2024 inspection report remaining uncorrected. Issues included out-of-sync A-wing strobes, failed batteries in the Main FACP, and overdue sensitivity testing. These were confirmed during an exit interview with the Administrator and Maintenance Director.
The facility failed to maintain its automatic sprinkler system components, impacting the entire facility. A document review revealed that the October sprinkler inspection report listed an uncorrected deficiency: the absence of a required FDC hydrotest. This issue was confirmed during an exit interview with the Administrator and Maintenance Director.
The facility did not perform the required annual fire door inspection as per NFPA standards. A document review revealed the absence of documentation confirming the inspection, which was acknowledged by the Administrator and Maintenance Director during an exit interview.
The facility failed to maintain required testing of emergency generator components, lacking documentation for monthly battery conductance testing and the 3-year 4-hour load test. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director.
The facility failed to maintain emergency exit doors, as observed on multiple occasions. The C wing hallway emergency exit door next to the boiler room and the B wing hallway emergency exit next to the storage room did not release after 15 seconds as required. Additionally, the therapy front entrance emergency exit door next to the clinical reimbursement office also failed to release in the specified time. These issues were confirmed during an exit interview with the facility's administration and maintenance personnel.
The facility did not maintain hazardous areas according to NFPA 101 standards, as observed when the B wing storage room door failed to latch smoke tight. This affected one of four smoke compartments and was confirmed during an exit interview with the Administrator and Maintenance Director.
A facility failed to provide a necessary emergency tool kit for a resident with End Stage Renal Disease receiving hemodialysis. Despite a physician's order requiring the kit to be available at all times, an observation revealed its absence, confirmed by both the resident and a nurse.
A significant medication error occurred when a nurse administered Furosemide 40 mg, one tablet instead of the prescribed two tablets, to a resident with Obstructive and Reflux Uropathy. This error was confirmed through observation, interview, and clinical record review, resulting in a medication error rate of 3.85%.
The facility failed to involve two residents in the development and implementation of their person-centered care plans. Despite being alert and oriented, both residents and their responsible parties were not notified or involved in care plan meetings. The social worker confirmed the absence of documentation for such meetings, indicating a lapse in ensuring residents' rights to participate in their care planning.
A resident with lower extremity impairments and requiring maximal assistance for bathing was not provided with suitable adaptive equipment, leading to discomfort and lack of proper care. The resident's wheelchair was too tight, and the mechanical lift sling caused skin irritation. Additionally, the resident was not accommodated with a shower for several months due to the facility's inadequate equipment and lack of a care plan addressing these needs.
A facility failed to update a resident's care plan after the discontinuation of an anticoagulant medication. The resident, with multiple health issues including deep vein thrombosis, had their Eliquis held due to low hemoglobin levels, as noted in a hospital discharge summary. Despite this, the care plan was not revised to reflect the medication change or to include necessary interventions, as confirmed by the DON.
A facility failed to implement an effective discharge plan for a resident with complex medical needs, including end-stage renal disease requiring dialysis. Despite the resident's mother's efforts to facilitate a transfer closer to family, there was no documented discharge plan or follow-up communication from the facility, as confirmed by the social worker.
A resident with multiple health conditions did not consume any meals and had limited fluid intake on a particular day. The facility failed to notify the physician of this significant change in condition, as required by their policy. The registered nurse supervisor was not informed by the previous unit or the assigned nurse aide about the resident's lack of meal consumption, leading to the deficiency.
The facility did not notify the State LTC Ombudsman of emergency transfers and discharges as required. The DON confirmed the absence of documentation for the past six months, despite attempts to send notifications via email and fax.
Missing Required Department of Health Postings
Penalty
Summary
The facility failed to ensure that required Department of Health postings were displayed in the main lobby, A wing, B wing, and C wing. During observation on September 2, 2025 at 10:05 a.m., surveyors found that none of those areas had postings or signage for the Department of Health. The front desk receptionist confirmed at 10:09 a.m. that the postings were not present in those locations. When interviewed at 10:10 a.m., the Nursing Home Administrator stated there was one posting area outside the lobby where the name and phone number were displayed and said it must have been taken down by one of the residents. The Administrator also confirmed that this was the only place in the facility where the Department of Health reporting phone number was posted. Review after it was put back up showed that the posting contained no information other than the phone number.
Unsafe and Unsecured Heater/Cooler Outlet Covers on C Wing
Penalty
Summary
The facility failed to maintain a safe and home-like environment on C wing when observations showed that the covering of the heater/cooler outlet in the bathroom of Resident R80's room was not properly fixated and rusted metal pieces were exposed around the base of the wall. The same condition was observed again on multiple subsequent dates. In addition, the hallway in front of Resident R8's room had a heater/cooler outlet covering that was not properly fixated, with rusted metal pieces exposed around the base of the wall, and this condition was also observed again on a later date. An interview and observations with the Assistant Director of Nursing confirmed these findings.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to accurately display daily nurse staffing hours as required. On September 5, 2025 at 10:34 a.m., surveyors observed the staffing posting in the front lobby behind the front desk receptionist on a wall in a clear sleeve, positioned at a height and location that would be difficult to access for people with mobility issues. The front desk receptionist stated this was likely the only place staffing was posted. The form in the sleeve was dated September 4, 2025 and was left blank, with only the date written in pencil and none of the staffing information filled in. Surveyors also observed that there was no other staffing posted throughout wings A, B, and C. At 10:37 a.m., the Assistant DON confirmed that staffing for each shift and each day should be posted, and stated the overnight shift supervisor would have been responsible for posting the staffing before the first shift on September 5, 2025.
Late and Missed Medication Administration
Penalty
Summary
The facility failed to ensure timely medication administration for residents receiving ordered evening and scheduled medications. Resident R5, admitted with diagnoses including rhabdomyolysis, hypertension, and congestive heart failure, reported that evening medications were being given late. Review of the MAR showed multiple medications, including atorvastatin, carvedilol, cyclobenzaprine, and Eliquis, were documented as administered late, with the reason recorded as "charted late." The DON confirmed that the MARs for R5 were not documented in a timely manner and stated medications are allowed to be administered an hour before and an hour after the scheduled time. Resident R114, admitted with diagnoses including hypertension, neuropathy, and muscle spasms, also reported receiving evening medications late, which he/she said resulted in poor sleep. Review of the MAR showed several medications were documented late, including atorvastatin, Cardizem, gabapentin, glipizide, paroxetine, and ropinirole, with the reason again documented as "charted late." During a resident council meeting, three residents reported receiving evening medications late and/or missing doses. The cited deficiency also included incontinence care, but the report’s detailed findings focused on the medication administration issues for R5 and R114.
Missing Care Plan for Resident with Depression and Incontinence
Penalty
Summary
A care plan was not developed for one of twenty-two residents reviewed, Resident R57. Facility policy titled Comprehensive Care Planning Policy stated that an interdisciplinary plan of care would be established and updated as indicated for every resident, and that the comprehensive person-centered care plan would include measurable goals and timetables to meet the resident’s medical, nursing, mental, and psychosocial needs identified in the comprehensive assessment. Resident R57 was admitted to the facility with a diagnosis of Major Depressive Disorder and had a BIMS score of 14, indicating cognitive intactness. During interview, the resident stated feeling frustrated and down about not being able to get help from staff for incontinence care. A licensed nurse confirmed the resident was incontinent, and the ADON confirmed the resident had depression and that the care plan did not include a focus area for the diagnosis of depression.
Failure to Document Rationale for Discontinuing Blood Sugar Monitoring in Insulin-Dependent Residents
Penalty
Summary
The facility failed to provide a documented rationale for discontinuing blood sugar monitoring for six residents who were insulin dependent. Clinical record reviews and staff interviews revealed that blood sugar check orders were discontinued for these residents while they continued to receive insulin, without any documentation in the residents' progress notes explaining the clinical reasoning for this decision. Both the Assistant Director of Nursing and the Director of Nursing confirmed that there was no facility policy regarding the discontinuation of blood sugar checks for residents with diabetes who are on insulin, and that practitioners are required to document the clinical reasoning when discontinuing such orders, which was not done in these cases. Further, the Medical Director was not aware that blood sugar check orders were being discontinued for residents with standing insulin orders and stated that regular blood sugar checks are necessary regardless of trends. The Facility Administrator also confirmed that a progress note should have been placed when modifying or discontinuing blood sugar checks after reviewing and confirming the orders with the physician. The lack of documentation and absence of a facility policy led to the deficiency, as there was no evidence in the clinical records to support the discontinuation of blood sugar monitoring for these insulin-dependent residents.
Fire Alarm System Maintenance Deficiency
Penalty
Summary
The facility failed to maintain its fire alarm system, as evidenced by the document review and interview conducted during the survey. The annual fire alarm inspection report from September 2024 identified several deficiencies that remained uncorrected by the time of the survey in December 2024. Specifically, the A-wing strobes were out of synchronization, requiring immediate investigation and correction. Additionally, the two 12V9AH batteries in the Main Fire Alarm Control Panel (FACP) failed and needed replacement as soon as possible. Furthermore, the system was overdue for sensitivity testing, which also required prompt attention. These deficiencies were confirmed during the exit interview with the Administrator and Maintenance Director.
Plan Of Correction
A wing strobes adjusted to be in synchronization, batteries in the main FACP replaced, and sensitivity testing completed. Maintenance Staff and vendor educated to timely repairs following inspections. Maintenance Director will schedule all repairs with vendor immediately following inspections so repairs will be made timely.
Failure to Maintain Sprinkler System Components
Penalty
Summary
The facility failed to maintain automatic sprinkler system components, affecting the entire facility. During a document review on December 3, 2024, it was discovered that the October 2024 sprinkler inspection report listed a deficiency that had not been corrected by the time of the survey. Specifically, there was no record of a Fire Department Connection (FDC) hydrotest, which was required to be conducted on July 19, 2024, and September 16, 2024. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day.
Plan Of Correction
0353 FDC hydrotest completed. Maintenance Staff and vendor educated to timely repairs following inspections. NHA will audit that Maintenance Director schedules all repairs with vendor immediately following inspections so repairs will be made timely.
Failure to Conduct Annual Fire Door Inspection
Penalty
Summary
The facility failed to conduct the required annual fire door inspection as mandated by NFPA 101 and NFPA 80 standards. During a document review on December 3, 2024, it was discovered that there was no documentation available to confirm that an annual fire door inspection had been performed. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director, who acknowledged the absence of the necessary documentation.
Plan Of Correction
0761 Annual Fire Door Inspection completed and doors adjusted/repaired as needed. Maintenance staff educated that Annual Fire Door Inspection must be completed annually. NHA will audit that Maintenance staff will routinely inspect 3 Fire Doors weekly x 90 days to assure they are closing and latching properly.
Failure to Maintain Emergency Generator Testing
Penalty
Summary
The facility failed to maintain the required testing of emergency generator components, specifically affecting one generator. During a document review on December 3, 2024, it was discovered that the facility did not have verifying documentation for monthly battery conductance testing and the 3-year 4-hour load test. These tests are essential to ensure the generator's capability to supply service within 10 seconds, as required by NFPA standards. The deficiency was confirmed during an exit interview with the Administrator and Maintenance Director, who acknowledged the absence of the necessary documentation. This lack of documentation indicates that the facility did not adhere to the maintenance and testing protocols outlined in NFPA 101, NFPA 110, and NFPA 111, which are critical for the proper functioning of the emergency power systems in the facility.
Plan Of Correction
Monthly battery conductance testing completed. 3 year 4 hour generator load test completed. Maintenance staff educated that a 3 year 4 hour load test must be completed on the generator. Maintenance will schedule the next 3yr 4 hour load test with vendor immediately following the completion of load test.
Failure to Maintain Emergency Exit Doors
Penalty
Summary
The facility failed to maintain emergency exit doors as required by NFPA 101 standards, affecting multiple emergency exit doors. During observations on December 3, 2024, it was noted that the C wing hallway emergency exit door next to the boiler room and the B wing hallway emergency exit next to the storage room did not release after 15 seconds as indicated on the posted signs. This failure was confirmed during an exit interview with the Administrator and Maintenance Director. Additionally, another deficiency was observed on the same day at the therapy front entrance emergency exit door next to the clinical reimbursement office, which also failed to release after 15 seconds as indicated on the sign. This issue was similarly confirmed during the exit interview with the facility's administration and maintenance personnel. These deficiencies indicate a failure to comply with the required egress door standards, potentially impacting the safety and rapid evacuation of occupants in an emergency.
Plan Of Correction
C and B wing hallway doors adjusted to release after 15 seconds. Maintenance Staff educated that emergency exit doors must release after 15 seconds. Maintenance staff will test 3 emergency exit doors weekly to assure they release after 15 seconds x 90 days. Any doors that do not release will be adjusted/repaired.
Failure to Maintain Smoke-Tight Hazardous Area
Penalty
Summary
The facility failed to maintain hazardous areas as required by NFPA 101 standards. During an observation on December 3, 2024, at 10:46 a.m., it was noted that the door to the B wing storage room did not latch smoke tight, which is a requirement for hazardous areas. This deficiency affected one of the four smoke compartments in the facility. The issue was confirmed during an exit interview with the Administrator and Maintenance Director on the same day at 12:00 p.m.
Plan Of Correction
B wing storage door adjusted to latch smoke tight. Maintenance staff educated that storage room doors must latch smoke tight. Maintenance staff will audit 3 storage room doors to assure each door latches smoke tight and adjust/repair as necessary.
Failure to Provide Emergency Tool Kit for Dialysis Resident
Penalty
Summary
The facility failed to ensure the availability of a necessary emergency tool kit for a resident receiving hemodialysis. The clinical record review revealed that the resident was admitted with a diagnosis of End Stage Renal Disease and had a physician's order to receive dialysis three times a week. The order also specified that an emergency tool kit, including a clamp, gauze, and tape, should be available with the resident at all times during every shift. However, during an observation and interview, it was found that there was no emergency tool kit located in the resident's room or with the resident, and no emergency clamp was present at the bedside. This absence was confirmed by both the resident and a licensed nurse.
Significant Medication Error in Administration
Penalty
Summary
The facility failed to administer medications correctly in accordance with physician orders, resulting in a significant medication error for one of the seven residents observed. On November 6, 2024, at 10:28 a.m., a Registered Nurse, identified as Employee E12, administered Furosemide 40 mg, one tablet by mouth to Resident R21. However, the physician's order for Resident R21 required the administration of two tablets of Furosemide 40 mg by mouth. This medication is prescribed for Obstructive and Reflux Uropathy, a condition where urine cannot drain through the urinary tract, potentially leading to acute kidney injury or chronic kidney disease. The error was confirmed through observation, interview with Employee E12, and clinical record review. The facility's medication error rate was calculated at 3.85%.
Failure to Involve Residents in Care Planning
Penalty
Summary
The facility failed to ensure that two residents, identified as Resident R61 and Resident R71, had the right to participate in the development and implementation of their person-centered plan of care. Resident R61, who was admitted with multiple diagnoses including muscle weakness, seizures, and end-stage renal disease, was reported by his mother to have not been involved in any care plan meetings since his admission. Despite her efforts to communicate with the facility's social worker and Director of Nursing about transferring her son closer to home, she received no response or notification of any care plan meetings. The clinical records lacked documentation of any such meetings or notifications. Similarly, Resident R71, who was alert and oriented and had diagnoses including diabetes and respiratory failure, reported not having had a care plan meeting in a while. A review of her clinical records from February to November 2024 showed no evidence of care plan meetings or notifications. The social worker confirmed that there was no documentation to show that either resident was invited to participate in care plan meetings, thus failing to uphold their right to be involved in their care planning process.
Failure to Accommodate Resident's Mobility and Bathing Needs
Penalty
Summary
The facility failed to accommodate the needs and preferences of Resident R10, who was cognitively intact but had impairments in both lower extremities, requiring maximal assistance for showering and bathing, and used a wheelchair for ambulation. The resident experienced discomfort and skin irritation due to the use of a mechanical lift sling that was too small, and the wheelchair provided was too tight, causing improper positioning. Despite the resident's complaints, the facility did not provide a suitable wheelchair or address the issue of the mechanical lift sling. Additionally, Resident R10 had not been accommodated with a shower for several months because the facility's shower room doorways could not accommodate the bariatric shower chair required for the resident. The nursing and physical therapy staff informed the resident that he would not fit through the doorway into the central shower room, and the facility did not have a bariatric-designed shower chair available on the C wing nursing unit. This lack of accommodation was confirmed by interviews with nursing staff and observations of the facility's equipment. The clinical records revealed that there was no care plan developed to address the accommodation of medical and physical needs for adaptive equipment to enhance mobility and bathing for Resident R10. Interviews with the Nursing Home Administrator and the Director of Nursing confirmed the absence of a care plan for the adaptive equipment and a restorative exercise program for the resident. The facility's failure to develop and implement a care plan contributed to the deficiency in providing reasonable accommodations for Resident R10's needs.
Failure to Update Care Plan for Anticoagulant Discontinuation
Penalty
Summary
The facility failed to develop a person-centered plan of care for a resident with a history of deep vein thrombosis and who was on anticoagulant medication. The resident, identified as R61, had multiple diagnoses including muscle weakness, seizures, pancreatitis, anemia, paraplegia, heart failure, deep vein thrombosis, and end-stage renal disease. The resident was prescribed Eliquis, an anticoagulant, which was later held due to low hemoglobin levels as noted in a hospital discharge summary. The hospital recommended follow-up with the resident's primary care physician regarding the management of Eliquis. Despite these changes, the resident's care plan was not updated to reflect the discontinuation of the anticoagulant treatment or to include any new services, treatments, or interventions related to the change in the resident's medication orders. This oversight was confirmed during a discussion with the Director of Nursing, who acknowledged the absence of a person-centered plan of care addressing the discontinuation of the anticoagulant. The deficiency was cited under specific Pennsylvania Code regulations related to nursing services.
Failure in Discharge Planning for Resident with Complex Medical Needs
Penalty
Summary
The facility failed to develop and implement an effective discharge planning process for Resident R61, as required by their Discharge Planning Policy. The policy mandates the identification of discharge needs, the development of a discharge plan focusing on the resident's goals, and the involvement of the interdisciplinary team. However, there was no evidence of such a plan in Resident R61's clinical record or person-centered plan of care. The resident, who had multiple complex medical conditions including muscle weakness, seizures, pancreatitis, anemia, paraplegia, heart failure, deep vein thrombosis, and end-stage renal disease requiring hemodialysis, was admitted to the facility with the expectation of being transferred closer to his family. Despite the resident's mother's efforts to facilitate the transfer by providing a list of potential facilities and dialysis centers, and her repeated attempts to contact the social worker and the DON for updates, there was no documented follow-up or communication from the facility. The social worker confirmed that the discharge plan was to transfer the resident closer to his family and connect him to a dialysis center, but admitted there was no documentation of any discharge planning activities in the resident's records.
Failure to Notify Physician of Resident's Change in Meal and Fluid Consumption
Penalty
Summary
The facility failed to notify the physician regarding a significant change in a resident's meal and fluid consumption. The resident, identified as R61, was admitted with multiple diagnoses including muscle weakness, seizures, pancreatitis, anemia, paraplegia, heart failure, deep vein thrombosis, and end-stage renal disease requiring hemodialysis. On a specific day, the resident did not consume any meals and only consumed a limited amount of fluids and supplements. Despite this significant change in the resident's condition, there was no evidence in the clinical record that the physician was notified to provide further instructions or assessments. The facility's policy on Change in Condition requires that the physician be notified of significant changes in a resident's condition, which includes changes in meal and fluid intake. However, the registered nurse supervisor, Employee E14, reported not being informed by the previous unit or the assigned nurse aide, Employee E15, about the resident's lack of meal consumption. This lack of communication and failure to follow the facility's policy resulted in the deficiency noted by the surveyors.
Failure to Notify Ombudsman of Transfers and Discharges
Penalty
Summary
The facility failed to notify the Office of the State Long-Term Care Ombudsman of facility-initiated emergency transfers and discharges as required. This deficiency was identified through a review of facility documentation and staff interviews. On October 1, 2024, the Director of Nursing (DON) was asked to provide documentation of such notifications for the past six months. A follow-up call with the Administrator confirmed that they were working on the request. However, during a telephone interview on October 2, 2024, the DON admitted that the facility did not have documentation to prove that notifications had been sent. The facility had been sending notifications electronically by email until January 2024, and switched to faxing in February 2024, but lacked confirmation pages to verify the transmissions.
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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 Levittown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Langhorne Gardens Health & Rehabilitation Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Oxford Rehabilitation And Healthcare Center | 2.3 mi | ★★★★★ | 15 | 0 |
| Juniper Village At Bucks County Rehab And Skd Care | 2.8 mi | ★★★★★ | 1 | 0 |
| Yardley Rehabilitation And Healthcare Center | 3.1 mi | ★★★★★ | 5 | 0 |
| Crestview Center | 3.6 mi | ★★★★★ | 6 | 0 |
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