Inspection Reports for Nightingale Nursing and Rehab Center

PA, 16501

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Inspection Report Renewal Census: 14 Capacity: 117 Deficiencies: 8 Jul 1, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the Nightingale Life Center to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including missing annual training for direct care staff, incomplete training records, facility maintenance issues such as damaged plaster and lint accumulation in dryers, incomplete fire drill records, and medication storage and administration errors. Plans of correction were accepted and fully implemented by the time of the report.
Deficiencies (8)
Description
Direct care staff persons did not receive annual training in safe management techniques in 2024.
Training records for direct care staff were missing dates and lengths of courses for medication self-administration and instruction on meeting resident needs.
A section of plaster was cracked and damaged on the ceiling in the St Joseph’s chapel exit area.
Lint was found in the lint trap of the left most industrial dryer in the laundry room.
Fire drill records since June 2024 did not include the time to evacuate in minutes and seconds.
GenTeal PM ophthalmic ointment was found in the medication cart without a current order or listing on the July 2025 MAR.
Resident #2 was administered Aspirin 81mg EC instead of the prescribed Aspirin 81mg chewable tablets.
Resident #1 was administered GenTeal PM ophthalmic ointment instead of the prescribed Refresh PM ophthalmic ointment.
Report Facts
License Capacity: 117 Residents Served: 14 Total Daily Staff: 19 Waking Staff: 14 Fire Drill Times to Evacuate (minutes): 14
Inspection Report Renewal Census: 16 Capacity: 117 Deficiencies: 6 May 16, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the Nightingale Life Center facility on 05/16/2024.
Findings
The inspection found several deficiencies including an unsecured enabler bar posing an entrapment hazard, uncovered trash receptacles in the kitchen, missing exit signs, incomplete medication labeling, and incomplete resident support plans. All deficiencies had plans of correction accepted and were implemented by 07/17/2024.
Deficiencies (6)
Description
The enabler bar on resident #1's bed was not securely attached and could be moved back and forth approximately 8"-10", posing an entrapment hazard.
There was a full, uncovered trash can next to the stove in the main kitchen.
The most recent fire safety inspection and fire drill was completed on 9/7/23, but the previous one was on 7/22/22, indicating scheduling issues.
There is no exit sign over the exit door in building #2 near the 1st floor staff dining room.
Resident #2's medication label lacked proper instructions, indicating 'see attached' with nothing attached.
Resident #1's support plan did not include specific details about the enabler bar device such as need, intended use, risks, and safety information.
Report Facts
License Capacity: 117 Residents Served: 16 Staffing Hours: 23 Waking Staff: 17 Residents Diagnosed with Mental Illness: 5 Residents with Mobility Need: 7 Residents with Physical Disability: 3
Inspection Report Renewal Census: 15 Capacity: 117 Deficiencies: 10 May 3, 2023
Visit Reason
The inspection was conducted as a renewal review of the Nightingale Life Center facility on 05/03/2023 and 05/04/2023 by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, incomplete staff training, lack of a formal training plan, equipment hazards, sanitary condition issues, improper food storage, inadequate fire drill evacuation procedures, and medication labeling and record discrepancies. All deficiencies had plans of correction accepted and were implemented by mid-June 2023.
Deficiencies (10)
Description
Resident #1’s resident/home contract was not signed by the resident.
Direct care staff did not complete required annual trainings during the 2022 training year.
The home did not have a staff training plan indicating scheduled dates of annual trainings.
The enabler bar attached to resident #1’s bed was partially uncovered and posed a potential entrapment hazard.
A 2.5 inch long smear of feces was found on the toilet seat in a private bathroom.
Multiple crumbs and food particles were found on the floor and carpet in a resident's bedroom.
Multiple unsealed food items were found in the walk-in freezer and cooler.
Residents did not evacuate to a designated meeting place during fire drills originating in the skilled nursing facility.
Resident #2’s medication label did not match the prescribed dosage and instructions.
Resident #2’s medication administration record did not match the prescribed dosage and instructions.
Report Facts
License Capacity: 117 Residents Served: 15 Total Daily Staff: 22 Waking Staff: 17 Deficiencies cited: 10
Inspection Report Renewal Census: 10 Capacity: 117 Deficiencies: 4 Feb 8, 2022
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The inspection found several deficiencies including missing resident-home contracts, lack of fire safety orientation for new staff, incomplete rights/abuse orientation within 40 hours for new staff, and failure to post future weekly menus. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (4)
Description
Resident #1 did not have a resident-home contract completed prior to or within 24 hours after admission.
Staff person A did not receive orientation on general fire safety and emergency preparedness topics on the first day of work.
Staff person A did not receive orientation on resident rights, emergency medical plan, mandatory abuse reporting, and reportable incidents within 40 scheduled working hours.
The future weekly menu for 2/13/22 - 2/19/22 was not posted as required.
Report Facts
License Capacity: 117 Residents Served: 10 Total Daily Staff: 14 Waking Staff: 11 Residents Age 60 or Older: 9 Residents with Mobility Need: 4
Employees Mentioned
NameTitleContext
Bernadette AndersonNamed in relation to rights/abuse orientation deficiency and plan of correction
Notice Deficiencies: 0 Sep 15, 2021
Visit Reason
The document serves to notify Nightingale Life Center that their request to waive certain Pennsylvania Department of Human Services preadmission and medical evaluation form requirements has been granted.
Findings
The waiver is granted under the condition that Nightingale Life Center uses the specified alternative forms from Tabula Pro, and compliance will be reviewed during the annual inspection. Failure to comply may result in termination of the waiver or other licensing actions.
Employees Mentioned
NameTitleContext
Jeanne ParisiBureau Director, Human Services LicensingSigned the waiver approval letter

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