Deficiencies (last 5 years)
Deficiencies (over 5 years)
9.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
100% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year
Deficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
12% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Nov 25, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with professional standards of care, medication administration, and medical record documentation at Nightingale Nursing and Rehab Center.
Findings
The facility failed to promptly notify a physician of a resident's change in condition and failed to follow physician's orders for medication administration for two residents. Additionally, the facility did not maintain accurate and complete documentation related to a resident's change of status, including nursing follow-up and interdisciplinary communication.
Deficiencies (3)
Failure to provide immediate physician notification for a resident's low oxygen saturation and confusion.
Failure to follow physician's orders for IV antibiotic administration for two residents.
Failure to maintain accurate and complete medical records documenting resident's change in condition and nursing follow-up.
Report Facts
Residents reviewed: 7
Residents affected: 3
Medication administration dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Home Administrator | NHA | Confirmed lack of physician notification and nursing documentation for Resident CR1 |
| Director of Nursing | DON | Confirmed physician orders were not followed for Residents R2 and R3 |
Inspection Report
Deficiencies: 1
Date: Nov 19, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulations regarding the use of psychotropic medications and to determine if non-pharmacological interventions were attempted prior to administration.
Findings
The facility failed to provide evidence that non-pharmacological interventions were attempted prior to administering PRN psychotropic medication for one of four residents reviewed. Specifically, Resident CR2 received PRN Lorazepam six times without documented attempts of non-pharmacological interventions.
Deficiencies (1)
Failure to provide evidence that non-pharmacological interventions were attempted prior to administration of PRN psychotropic medication for Resident CR2.
Report Facts
PRN Lorazepam administrations: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Home Administrator | Confirmed lack of evidence of non-pharmacological interventions prior to PRN medication administration |
Inspection Report
Renewal
Census: 14
Capacity: 117
Deficiencies: 8
Date: 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)
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
Complaint Investigation
Deficiencies: 3
Date: Feb 28, 2025
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to follow nursing standards for medication administration and resident assessment, as well as medication storage and labeling practices.
Complaint Details
The complaint investigation found substantiated issues including improper administration of nitroglycerin to Resident R108, failure to assess and monitor the resident's condition, expired and unlabeled insulin vials, unsecured medication carts, and improper storage of controlled substances.
Findings
The facility failed to administer nitroglycerin correctly to a resident experiencing chest pain, did not properly assess or monitor the resident's condition, and failed to label and discard expired insulin vials. Additionally, medication carts were found unsecured and controlled substances were not stored in permanently affixed locked compartments.
Deficiencies (3)
Failure to follow nursing standards of practice to ensure medications were administered appropriately and residents were assessed and treated in a timely manner for one resident.
Failure to label a multi-dose insulin vial with the date it was opened and discard an expired multi-dose insulin vial.
Failure to prevent unauthorized access to medications in three medication carts and failure to store Schedule II-V medications in separately locked, permanently affixed compartments in two medication rooms.
Report Facts
Residents reviewed: 24
Nitroglycerin doses administered: 2
Medication carts with unauthorized access: 3
Medication rooms with improperly stored controlled substances: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) Employee E3 | Administered nitroglycerin incorrectly and failed to assess Resident R108's condition | |
| Licensed Practical Nurse (LPN) Employee E4 | Observed seated at nurse's station when Resident R108 called for help; confirmed medication cart should have been locked | |
| Licensed Practical Nurse (LPN) Employee E6 | Confirmed expired multi-dose insulin vial should have been discarded | |
| Registered Nurse Employee E3 | Confirmed insulin vial should have an opened date and discard date | |
| Assistant Director of Nursing | Confirmed refrigerator racks were not permanently affixed and notified LPN Employee E3 about Resident R108's need for nitroglycerin | |
| Director of Nursing | Confirmed nitroglycerin should have been given sublingual and medication carts should be locked when unattended | |
| Licensed Practical Nurse (LPN) Employee E1 | Confirmed refrigerator rack was not permanently affixed |
Inspection Report
Renewal
Census: 16
Capacity: 117
Deficiencies: 6
Date: 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)
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
Complaint Investigation
Deficiencies: 2
Date: Feb 29, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding failure to notify a resident's responsible party of a change in condition and failure to provide oxygen according to physician's orders.
Complaint Details
The visit was complaint-related, focusing on failure to notify a resident's responsible party of a clinical change and failure to provide oxygen as ordered. Both deficiencies were confirmed with minimal harm or potential for actual harm to a few residents.
Findings
The facility failed to notify the responsible party of a resident's newly developed Stage 2 skin breakdown and failed to provide oxygen at the prescribed flow rate for another resident, resulting in minimal harm or potential for actual harm to a few residents.
Deficiencies (2)
Failure to notify the resident's responsible party of a change in condition involving Stage 2 skin breakdown.
Failure to provide oxygen according to physician's orders for a resident requiring respiratory services.
Report Facts
Residents reviewed: 22
Residents reviewed: 1
Oxygen flow rate ordered: 2
Oxygen flow rate observed: 3
Oxygen flow rate observed: 2.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Confirmed failure to notify resident's responsible party of skin breakdown | |
| Licensed Practical Nurse Employee E1 | Confirmed oxygen flow rates were not in accordance with physician's orders |
Inspection Report
Deficiencies: 2
Date: May 5, 2023
Visit Reason
The inspection was conducted to assess compliance with clinical record-keeping and nursing services related to medication administration and bowel movement documentation for residents at Nightingale Nursing and Rehab Center.
Findings
The facility failed to accurately transcribe and timely act upon a physician's order for bowel regimen medication for one resident, causing delayed medication administration. Additionally, the facility failed to maintain accurate and complete bowel movement documentation for three residents, with significant gaps in bowel elimination flow sheets.
Deficiencies (2)
Failed to accurately transcribe and timely act upon a physician's order to promote normal bowel regimen and/or prevent constipation for one resident.
Failed to maintain accurate and complete documentation related to bowel movements for three residents.
Report Facts
Documentation opportunities missed: 23
Documentation opportunities missed: 32
Documentation opportunities missed: 13
Medication administration delay: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Confirmed delay in noting and administering physician's order for bowel regimen medication | |
| Assistant to the Nursing Home Administrator | Confirmed inaccurate and incomplete bowel movement documentation for Residents R1, R2, and R3 |
Inspection Report
Renewal
Census: 15
Capacity: 117
Deficiencies: 10
Date: 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)
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
Annual Inspection
Deficiencies: 7
Date: Mar 31, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, staffing, medication management, infection control, and other facility operations at Nightingale Nursing and Rehab Center.
Findings
The facility was found deficient in multiple areas including respiratory care equipment maintenance, insufficient nursing staff, inadequate dementia care planning, failure to conduct monthly pharmacist drug regimen reviews, improper medication labeling and storage, failure to provide evening snacks, and poor infection control practices related to catheter care.
Deficiencies (7)
Failure to appropriately maintain, promote cleanliness and prevent the spread of infection regarding respiratory care equipment for two residents.
Failure to ensure sufficient nursing staff to meet the needs of residents, resulting in delayed call bell responses, inadequate assistance, and late medication administration.
Failure to document active behaviors, develop intervention orders, and create individualized dementia care plans for a resident with dementia.
Failure to ensure monthly pharmacist drug regimen reviews were completed for five residents.
Failure to appropriately date and store medications, including undated opened vials of Purified Protein Derivative (PPD).
Failure to offer evening snacks to residents as per facility policy.
Failure to follow acceptable infection control practices related to catheter care, including catheter drainage bags lying on the floor without coverings.
Report Facts
Residents reviewed: 24
Residents affected: 21
Residents affected: 5
Residents affected: 2
Residents affected: 5
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E3 | Licensed Practical Nurse (LPN) | Confirmed oxygen tubing change and dating procedures. |
| Employee E1 | Licensed Practical Nurse (LPN) | Confirmed oxygen tubing change and dating procedures and catheter bag placement. |
| Employee E2 | Registered Nurse Unit Manager | Confirmed oxygen tubing and humidification dating requirements. |
| Employee E4 | Licensed Practical Nurse | Confirmed staffing concerns and dementia behavior frequency. |
| Employee E5 | Registered Nurse | Confirmed undated opened vial of PPD. |
| Employee E6 | Nurse Aide | Confirmed catheter drainage bag and tubing lying on the floor. |
| Nursing Home Administrator | Confirmed staffing concerns, mechanical lift requirements, medication storage and dating issues, lack of evening snacks, and catheter bag infection control practices. | |
| Director of Nursing | Confirmed dementia care planning requirements and medication storage and dating issues. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 31, 2023
Visit Reason
The inspection was conducted due to complaints regarding insufficient nursing staff to meet residents' needs, including delayed call bell responses, inadequate assistance with lifts, late medication administration, and poor incontinence care.
Complaint Details
The complaint investigation found substantiated issues of understaffing affecting 21 residents, with reports of delayed call bell responses ranging from 30 minutes to three hours, inadequate assistance with lifts, late or missed medication and showers, and poor incontinence care.
Findings
The facility failed to ensure sufficient nursing staff to meet residents' needs, resulting in long wait times for call bell responses (up to several hours), use of one staff instead of two for lifts, delayed or missed showers, late medication administration, and residents being left in soiled linens. Multiple residents and family members reported these issues, and staff and administration confirmed staffing concerns.
Deficiencies (1)
Failure to provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Report Facts
Residents interviewed: 21
Call bell response times: 180
Pain medication order frequency: 6
Pain medication order frequency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E4 | Licensed Practical Nurse | Confirmed staffing concerns as reported by residents |
Inspection Report
Renewal
Census: 10
Capacity: 117
Deficiencies: 4
Date: 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)
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
| Name | Title | Context |
|---|---|---|
| Bernadette Anderson | Named in relation to rights/abuse orientation deficiency and plan of correction |
Notice
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Jeanne Parisi | Bureau Director, Human Services Licensing | Signed the waiver approval letter |
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