Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Yardley Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
Two residents with hypertension did not receive care in accordance with physician-ordered parameters for antihypertensive medications. For one resident, staff administered amlodipine on multiple occasions even when the SBP was below the ordered hold parameter. For another resident, staff administered diltiazem three times daily over several months without consistently measuring and documenting heart rate as required by the physician’s order. The DON confirmed that these medication orders and parameters were not followed.
The facility did not follow its pain management policy or a resident’s care plan by failing to attempt or document non-pharmacological pain interventions before administering PRN tramadol. Policy required use of measures such as heat or ice, repositioning, massage, and opportunities to discuss chronic pain, and the resident’s care plan specified positioning, relaxation therapy, heat, cold application, bathing, and/or muscle stimulation. Despite these directives, MARs showed repeated administration of PRN tramadol over multiple months with no evidence that non-pharmacological interventions were tried first, a lapse confirmed by the ADON.
The facility failed to follow its Enhanced Barrier Precautions policy for a high-risk resident with Steele-Richardson-Olszewski syndrome, dementia, an enteral feeding tube, and multiple stage 4 pressure ulcers who was dependent on staff for toileting and hygiene. Policy required use of PPE, including gowns and gloves, during high-contact care such as incontinence care. A NA was observed providing incontinence care without a protective gown and acknowledged doing so, and the DON confirmed that staff did not use appropriate PPE during this resident’s care, resulting in noncompliance with infection control requirements.
A resident with bilateral below-the-knee amputations, who required assistance for transfers per the MDS, was being moved from a wheelchair to a weight chair by two NAs when the wheelchair rolled away and the resident was lowered to the floor. Facility documentation and a nurse’s observation identified that both wheelchair brakes were broken and did not fully engage before the transfer, allowing the chair to move. In an interview, the DON confirmed staff were expected to ensure the wheelchair brakes were engaged and working to prevent the wheelchair from rolling during transfers.
A resident with nausea and vomiting had a PIVC placed for ordered IV hydration, but the IV fluids were never administered and documentation showed the line was kept in place for several days without use. Facility policy required daily evaluation of vascular access, removal of PIVCs not used for more than 24 hours or no longer clinically indicated, and documentation of removal and site condition. The record lacked evidence of ongoing assessment of the IV site, justification for continued use, or documentation of removal, and leadership confirmed the PIVC remained in place beyond policy requirements.
The facility failed to store food under sanitary conditions, with raw chicken stored above cooked roast beef and raw poultry stored above raw beef in the walk-in refrigerator. This improper storage was confirmed by the Administrator.
A facility failed to ensure a call bell was accessible for a resident with a self-care deficit due to physical limitations. Despite the care plan's directive for staff to encourage the use of the call bell for assistance, it was observed on multiple occasions that the call bell was placed inside a drawer of the bedside stand, out of the resident's reach.
A facility failed to provide necessary services to improve ADLs for a resident with anxiety, osteoarthritis, and muscle weakness. The resident's care plan required a restorative nursing program for ambulation, but staff did not regularly offer assistance. The resident reported a lack of regular ambulation offers, and records showed no evidence of assistance on multiple dates, with no documented refusals. The Administrator confirmed the deficiency.
A resident with a left wrist contracture did not receive the prescribed soft resting hand splint as per the care plan. Observations on multiple days showed the splint was not applied, and the resident confirmed non-application without refusal. There was no documentation of the splint being used or any refusals.
A resident with dementia and dysphagia was not adequately supervised during meals, despite a care plan requiring supervision and upright positioning. Observations showed the resident eating unsupervised in bed, leading to a choking incident. The DON confirmed the need for supervision.
The facility failed to assess two residents for the cause of their bladder incontinence or the potential to restore normal bladder function. One resident, with heart failure and muscle wasting, was previously continent but became completely incontinent without assessment. Another resident, initially continent, became frequently incontinent and then completely incontinent after hospitalization, yet no assessment was conducted. Both cases show non-compliance with the facility's policy on incontinence management.
The facility was found to have improperly disposed of trash and refuse, with the trash compactor overflowing and trash bags spilling onto the ground. The compactor's lid and back cover could not be closed due to the overflow.
The facility did not post accurate and current nurse staffing information. Observations revealed that the staffing information in the lobby was outdated, displaying a date from three days prior. The DON confirmed the error during an interview.
Yardley Rehabilitation and Healthcare Center failed to provide required written notifications for resident transfers and discharges. A resident did not have their revised discharge notice communicated to their representative, and three residents transferred to the hospital did not receive written notifications. The facility's policy mandates such notices, but it was not followed, leading to a deficiency.
Failure to Follow Physician Parameters for Antihypertensive Medications
Penalty
Summary
The deficiency involves the facility’s failure to follow physician orders for blood pressure medications for two residents. One resident with hypertension and type 2 diabetes had a physician’s order, dated May 26, 2023, for daily amlodipine with instructions to hold the medication if the systolic blood pressure (SBP) was below 120 mm/Hg. Review of this resident’s MAR for October, November, and December 2025, and January and February 2026, showed that staff administered amlodipine despite SBP readings below 120 mm/Hg on multiple occasions: once in October, once in December, six times in January, and once in February. The second resident, with hypertension and multiple sclerosis, had a physician’s order dated May 15, 2025, for diltiazem three times daily, with instructions not to administer the medication if SBP was below 110 mm/Hg or if heart rate was less than 60 beats per minute. Clinical record review revealed that this resident’s heart rate was documented only twice in September 2025 and once each in January and February 2026. Despite this lack of heart rate measurements, review of the MAR for October, November, and December 2025 showed that staff administered diltiazem three times daily without measuring the resident’s heart rate as ordered. In an interview, the DON confirmed that the physician orders for both residents were not followed and that medications were administered outside the ordered parameters.
Failure to Use Non-Pharmacological Interventions Before PRN Pain Medication
Penalty
Summary
The facility failed to follow its pain management policy and the resident’s care plan by not attempting or documenting non-pharmacological pain interventions before administering PRN pain medication to one resident. Facility policy, last reviewed January 25, 2026, required that physicians order both non-pharmacological and medication interventions for pain, and that staff provide a comfortable environment and complementary measures such as local heat or ice, repositioning, massage, and opportunities to talk about chronic pain. Resident 13, who had dementia, diabetes, and abnormalities of gait and mobility, had a physician’s order dated November 26, 2025, for tramadol every 12 hours as needed for pain, and a care plan that directed staff to use positioning, relaxation therapy, heat, cold application, bathing, and/or muscle stimulation for pain relief. Medication Administration Records showed that staff administered PRN tramadol without documented evidence that non-pharmacological interventions were attempted beforehand on 15 occasions in December 2025, 13 occasions in January 2026, and 18 occasions in February 2026. In an interview, the Assistant Director of Nursing confirmed there was no evidence that non-pharmacological pain interventions were provided prior to administering the PRN pain medication as required.
Failure to Use Enhanced Barrier Precautions and PPE During High-Contact Care
Penalty
Summary
The facility failed to implement its infection prevention and control program by not following its Enhanced Barrier Precautions (EBP) policy for a resident requiring high-contact care. The EBP policy, last reviewed January 25, 2026, required the use of PPE, including gowns and gloves, for high-risk residents with wounds or indwelling devices during high-contact care activities such as wound care, care of feeding tubes, hygiene, and changing briefs and linens. Clinical record review showed that Resident 1 had Steele-Richardson-Olszewski syndrome, dementia, an enteral feeding tube, and multiple stage four pressure ulcers on the sacrum, right hip, and buttocks, and was dependent on staff for toileting and personal hygiene. On February 25, 2026, at 12:00 p.m., a nurse aide was observed entering the resident’s room to change briefs without wearing a protective gown and stated she provided incontinence care without a gown. On February 27, 2026, at 1:00 p.m., the Director of Nursing confirmed that staff did not use appropriate PPE during this resident’s care, resulting in noncompliance with the facility’s EBP policy and state regulations at 28 Pa. Code 211.10(d) and 211.12(d)(1)(5).
Failure to Ensure Functional Wheelchair Brakes During Assisted Transfer
Penalty
Summary
The facility failed to ensure a safe environment and adequate supervision to prevent a fall for one resident when staff attempted a transfer using a wheelchair with defective brakes. Clinical record review showed that Resident 3 had bilateral below-the-knee amputations and, per the Minimum Data Set assessment, required assistance for transfers between surfaces such as wheelchair to chair. On October 5, 2025, at 3:38 p.m., a nurse documented that the resident was being transferred from a wheelchair to a weight chair by two nurse aides (NA1 and NA2) when the wheelchair rolled out from under the resident and the resident was lowered to the floor. The nurse’s observation and facility fall documentation for that date identified that both wheelchair brakes were broken and did not fully engage prior to the transfer, allowing the wheelchair to move during the assisted transfer. In a subsequent interview, the Director of Nursing confirmed that staff should have ensured the wheelchair brakes were engaged and functioning so the wheelchair would not roll during the transfer. This deficiency was cited under 42 CFR 483.25(d) Accidents and referenced a prior citation on March 12, 2025, as well as 28 Pa. Code 211.12(d)(1)(5) Nursing services.
Failure to Assess, Use, and Timely Remove Unused Peripheral IV Catheter
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate treatment and care for a peripheral intravenous catheter (PIVC) in accordance with professional standards and its own policy for one resident. A resident with no cognitive impairment, who required supervision/touching assistance for most ADLs and transfers, experienced nausea and vomiting and had an order for placement of a PIVC for hydration. Provider orders directed staff to administer 0.9% sodium chloride at 100 mL/hr every shift for one day, totaling one liter of normal saline, starting late on the day the PIVC was placed and discontinuing the following morning. The Medication Administration Record showed that the ordered IV fluids were never administered. A nurse practitioner note documented that the PIVC was available in case of need but was not currently being used, and there were no further evaluations, assessments, or notes supporting the ongoing need for the PIVC after that. The facility’s policy required staff to evaluate the continued need for vascular access during provider visits and care planning, to remove a peripheral IV if it was not used for more than 24 hours or no longer clinically indicated, and to document the date and time of removal and resident tolerance. According to the resident’s interview and the Assistant DON’s investigation, the PIVC, which the resident reported was never used, remained in place for several days and was not removed until four days after insertion, despite the IV fluid order having been discontinued the day after it was written. Clinical record review revealed no documentation of removal of the PIVC and no documentation of assessment of the catheter or the skin surrounding the IV site. In an interview, the Assistant DON confirmed that the PIVC was not removed until several days after insertion and acknowledged that facility policy should have been followed.
Improper Food Storage in Kitchen
Penalty
Summary
The facility failed to store food under sanitary conditions in the kitchen, as observed on March 9, 2025. In the walk-in refrigerator, a rolling storage rack was found containing raw meat, including a pan of raw chicken stored above a pan of cooked roast beef. Additionally, the same rack held pans of raw turkey, cubed beef, whole beef tenderloins, and ground meat, with raw poultry stored above raw beef, which requires a lower internal cooking temperature than raw poultry. This improper storage was confirmed by the Administrator during an interview on March 12, 2025.
Inaccessible Call Bell for Resident with Self-Care Deficit
Penalty
Summary
The facility failed to ensure that a call bell was accessible for a resident, leading to a deficiency. The resident, who had diagnoses including anxiety, dysphagia, and osteoarthritis, was identified as having a self-care deficit due to physical limitations. The care plan indicated that staff should encourage the resident to use the call bell for assistance. However, observations on two separate occasions revealed that the call bell was placed inside a drawer of the bedside stand, positioned away from the bed and out of the resident's reach. This inaccessibility of the call bell was noted on March 9, 2025, at 11:54 a.m. and 1:53 p.m., and again on March 11, 2025, at 11:02 a.m., indicating a failure to accommodate the resident's needs and preferences as required.
Failure to Provide Daily Ambulation Assistance
Penalty
Summary
The facility failed to provide necessary services to improve activities of daily living (ADLs) for Resident 14, who had diagnoses including anxiety, osteoarthritis, and muscle weakness. The resident's care plan required a restorative nursing program (RNP) for ambulation, with staff assistance for walking daily. However, the resident reported that staff did not regularly offer assistance for ambulation. A review of the nurse aide task record showed no evidence of staff offering ambulation assistance on multiple dates in February and March 2025, with no documented refusals from the resident. The Administrator confirmed the lack of evidence for daily ambulation assistance as required by the RNP.
Failure to Apply Prescribed Hand Splint for Resident
Penalty
Summary
The facility failed to implement necessary interventions to prevent a decline in range of motion for a resident with a left wrist contracture. The resident's care plan required staff assistance for activities of daily living and included a physician's order to apply a soft resting hand splint. However, during observations on three separate days, the splint was not in place. The resident confirmed that staff had not applied the splint recently and that he had not refused its use. There was no documentation to indicate that the splint had been applied or that the resident had refused it.
Failure to Supervise Resident During Meals
Penalty
Summary
The facility failed to provide adequate supervision to prevent accidents for a resident with dementia, anxiety, and dysphagia. The resident, who had moderate cognitive impairment, required supervision with eating and drinking as per her care plan. Despite this, observations revealed that the resident was left unsupervised during meals on multiple occasions. She was found lying in bed with the head of the bed at less than a 45-degree angle, which was not in accordance with the care plan that required her to be upright during meals. On March 5, 2025, the resident experienced a choking episode that required mechanical assistance from staff. Following this incident, a speech therapy evaluation recommended proper positioning and supervision during meals. However, subsequent observations on March 9, 11, and 12, 2025, showed that the resident continued to eat without supervision and was not positioned upright as required. The Director of Nursing confirmed that the resident should have been supervised while eating, indicating a failure to adhere to the care plan and provide necessary supervision.
Failure to Assess and Manage Bladder Incontinence
Penalty
Summary
The facility failed to assess two residents who were incontinent of bladder to determine the cause of their incontinence or if normal bladder function could be restored. Resident 9, who was admitted with diagnoses including heart failure and muscle wasting, was noted to have been previously continent of bladder. However, since admission, the resident was documented as completely incontinent, with no evidence of an assessment to determine the cause or potential for restoring bladder function. The Minimum Data Set (MDS) assessment indicated no cognitive impairment, and the resident was able to communicate needs, yet the facility did not conduct the necessary evaluations. Similarly, Resident 87, admitted with a urinary tract infection and muscle wasting, was initially continent of bladder. Over time, the resident's condition declined to frequent incontinence, and after a hospitalization, the resident became completely incontinent. Despite these changes, there was no documented evidence that the facility assessed the cause of the incontinence or evaluated the possibility of restoring normal bladder function. Both cases reflect a failure to adhere to the facility's policy on urinary continence and incontinence assessment and management.
Improper Disposal of Trash and Refuse
Penalty
Summary
The facility failed to properly dispose of trash and refuse, as observed during an environmental tour. The trash compactor was overflowing with trash bags, which were spilling from the top and out of the back of the machine onto the ground. The lid on top of the machine and the cover on the back could not be closed due to the excessive amount of trash.
Failure to Post Current Nurse Staffing Information
Penalty
Summary
The facility failed to post accurate and current nurse staffing information as required. On March 9, 2025, at 9:29 a.m., it was observed that the staffing information displayed in the lobby was outdated, showing the date of March 6, 2025. This discrepancy was confirmed during an interview with the Director of Nursing on March 12, 2025, at 12:36 p.m., who acknowledged that the incorrect staffing information was posted.
Deficiency in Transfer and Discharge Notifications
Penalty
Summary
Yardley Rehabilitation and Healthcare Center was found to have a deficiency related to the requirements for notice before transfer or discharge of residents. The facility failed to provide a 30-day advanced written notice of discharge to the resident's representative, as required by federal regulations. Specifically, Resident 1 received a revised discharge notice that was not communicated to the responsible party or legal representative in writing, as confirmed by the facility's Administrator. Additionally, the facility did not provide written notifications to residents or their representatives regarding hospital transfers. Residents 2, 3, and 4 were transferred to the hospital following changes in their conditions, but there was no documentation to support that these transfers were communicated in writing to the residents or their responsible parties. This lack of documentation was confirmed during an interview with the Administrator. The facility's policy, last reviewed on January 7, 2025, required that residents and their representatives receive a 30-day advanced written notice for planned transfers or discharges, as well as a transfer notice for hospitalizations. However, the facility failed to adhere to this policy, resulting in a deficiency related to the notice requirements before transfer or discharge.
Plan Of Correction
1. Resident 1, 2, 3 and 4 have had written notification provided to responsible party or legal representative regarding transfer to hospital and pending discharge. 2. A 7 day look back audit was completed to validate written notifications to responsible parties or legal representatives and resident are provided for hospital transfers to hospital and center initiated pending discharges. 3. Nurse supervisors and management are re-educated on written notifications being provided to responsible party or legal representative and resident regarding transfer to hospital and pending discharge due to center initiated discharge. 4. NHA/Designee will complete random weekly audits x4 weeks then monthly x2 to validate written notifications are provided. Audit findings will be submitted to the Quality Assurance Performance Improvement Committee monthly for further review and recommendations as needed. Further audit frequency will be determined based on the outcome of the previously completed audit findings.
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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 Yardley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crestview Center | 3.1 mi | ★★★★★ | 6 | 0 |
| Statesman Health & Rehabilitation Center | 3.1 mi | ★★★★★ | 8 | 0 |
| Oxford Rehabilitation And Healthcare Center | 3.7 mi | ★★★★★ | 15 | 0 |
| Pickering Manor Home | 4.2 mi | ★★★★★ | 15 | 0 |
| Langhorne Gardens Health & Rehabilitation Center | 4.2 mi | ★★★★★ | 0 | 0 |
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