Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Transitional Care Unit At Nazareth Hospital during CMS and state inspections, most recent first.
The facility failed to document advance directives and code status for two residents. One resident had a living will and desired a DNR order, but it was not documented due to awaiting a physician's order. Another resident's No CPR and Do Not Intubate order was documented nine days post-admission. Without these, residents were considered full code.
A resident with CHF experienced significant weight gain over several days, but the facility failed to notify the physician as required by their policy. Despite the resident gaining 11 pounds in 8 days, there was no evidence of communication with the physician, highlighting a lapse in following the facility's weight monitoring protocol.
A facility failed to maintain a PICC line according to professional standards for a resident receiving IV antibiotics. The facility's policy requires regular evaluation and measurement of the PICC line, but there was no documented evidence of such assessments. The DON confirmed that the PICC line was not measured during the resident's stay, despite the policy's requirements.
The facility failed to maintain effective infection control during medication administration for two residents. Staff did not change gloves or perform hand hygiene between tasks, despite facility policies requiring it. This posed a risk of pathogen transmission.
Failure to Document Advance Directives and Code Status
Penalty
Summary
The facility failed to ensure that advance directives and code status were in place for two residents, R110 and R111, as required by their policy and Pennsylvania law. Resident R110 was admitted without an advance directive or code status documented in their clinical record. Despite having a living will and expressing a desire for a Do Not Resuscitate (DNR) order, there was no evidence that this was discussed or documented in the resident's record. The social worker was aware of the resident's advance directives but was waiting for a physician's order to document it, which had not been done at the time of the survey. Similarly, Resident R111 was admitted without an advance directive or code status documented in their clinical record. It was not until nine days after admission that a No CPR and Do Not Intubate order was entered by a physician. There was no documented evidence that advance directives were discussed with Resident R111 from admission until the order was placed. The Director of Nursing confirmed that without documented advance directives or code status, residents are considered full code, which was the case for both residents until the physician orders were entered.
Failure to Notify Physician of Resident's Weight Gain
Penalty
Summary
The facility failed to clarify a physician's order regarding daily weight monitoring for a resident diagnosed with hypoxia and congestive heart failure (CHF). The facility's policy required notifying the physician of any weight gain of 2 or more pounds in one day. Despite this, the resident experienced significant weight gains over several days without the physician being notified. Specifically, the resident gained 3 pounds from March 13 to March 14, another 3 pounds from March 14 to March 15, and continued to gain weight, totaling 11 pounds over an 8-day period. The Director of Nursing (DON) confirmed that the rationale for daily weight monitoring was related to the resident's CHF diagnosis. However, there was no evidence that the nursing staff alerted the physician to the resident's weight gain, as required by the facility's policy. The DON mentioned that resident weights are discussed in morning meetings, but could not provide documentation that the physician was informed of the weight changes. This oversight indicates a failure to adhere to the facility's policy and ensure proper communication with the physician regarding the resident's condition.
Failure to Maintain PICC Line According to Standards
Penalty
Summary
The facility failed to maintain a peripheral inserted central catheter (PICC) consistent with professional standards of practice for a resident. The facility's policy on the maintenance of central venous catheters requires that the insertion site be evaluated every shift for evidence of complications, including gentle palpation and visual inspection through the transparent dressing. However, there was no documented evidence that the PICC line site for the resident was evaluated every shift or on a regular basis. Additionally, the PICC line length was not measured at any time from the resident's admission to ascertain proper placement, as confirmed by the Director of Nursing (DON). The resident, who was receiving intravenous antibiotics through the PICC line, was observed with an IV line on the inner side of the left upper arm. The resident confirmed receiving antibiotics via this line. Despite the facility's policy and the DON's acknowledgment that PICC lines should be measured before administering IV antibiotic therapy, the clinical record lacked documentation of such measurements. This oversight occurred from the resident's admission date up to the date of the survey observation.
Inadequate Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to maintain an effective infection control program during medication administration and wound treatment for two residents. The facility's policy on medication administration did not address hand hygiene, and the hand hygiene policy outlined specific times when hand hygiene should be performed, such as before and after patient contact and after removing gloves. However, during observations, it was noted that the staff did not adhere to these guidelines. During medication administration, a licensed nurse was observed wearing gloves while administering oral medications to two residents without changing gloves between tasks. The nurse touched various surfaces, including a bedside table, and administered eye ointment and Nystatin powder without changing gloves or performing hand hygiene. This lack of adherence to proper hand hygiene practices during medication administration and wound treatment posed a risk of transmitting infectious pathogens between 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 Philadelphia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Deer Meadows Rehabilitation Center | 0.2 mi | ★★★★★ | 21 | 0 |
| Wesley Enhanced Living Pennypack Park | 0.3 mi | ★★★★★ | 11 | 0 |
| The Pines At Philadelphia Rehab And Healthcare Ctr | 0.3 mi | ★★★★★ | 1 | 0 |
| Roosevelt Rehabilitation And Healthcare Center | 0.6 mi | ★★★★★ | 24 | 0 |
| Immaculatemarycenter For Rehabilitation&healthcare | 0.8 mi | ★★★★★ | 26 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.