Inspection Reports for Walnut Creek Healthcare and Rehabilitation Center
PA, 16506
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 4
Date: May 22, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments, medication security, food safety, and medical record accuracy at Walnut Creek Nursing and Rehab.
Findings
The facility was found to have deficiencies including inaccurate Minimum Data Set (MDS) assessments for hospice services and discharge status for several residents, unsecured medication carts, improper food storage and dishwashing temperature logging, and inaccurate medical records regarding a resident's diagnosis.
Deficiencies (4)
Failed to ensure that MDS assessments accurately reflected hospice services and discharge status for three residents.
Failed to safely secure medications on one of five nursing unit medication carts (Neighborhood Three medication cart).
Failed to maintain dishwashing machine water temperatures according to manufacturer recommendations and failed to ensure proper food storage in one unit refrigerator (Neighborhood 4).
Failed to maintain complete and accurate medical records for one resident (Resident R44) regarding a diagnosis of Schizophrenia.
Report Facts
Residents reviewed: 22
Residents affected: 3
Medication carts: 5
Unit refrigerators reviewed: 5
Residents reviewed for medical records: 21
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Assessment Coordinator (RNAC) | Confirmed inaccuracies in MDS assessments for Residents R2, R35, and R109 | |
| Licensed Practical Nurse Employee E3 | Confirmed medication cart should have been locked before leaving unattended | |
| Dietary Manager | Confirmed dishwashing machine temperatures were not recorded with each cycle | |
| Licensed Practical Nurse Employee E1 | Confirmed ice packs used for treatments should not be stored with food in freezer | |
| Director of Nursing | Confirmed inaccurate diagnosis of Schizophrenia in Resident R44's medical record |
Inspection Report
Routine
Deficiencies: 2
Date: Jun 28, 2024
Visit Reason
The inspection was conducted to assess compliance with regulations regarding resident privacy during medication administration and proper medication storage, including labeling, security, and disposal of outdated medications.
Findings
The facility failed to maintain resident privacy during medication administration for one resident and failed to prevent unauthorized access to medications and properly discard outdated medications on two medication carts. Observations and staff interviews confirmed these deficiencies.
Deficiencies (2)
Failed to provide resident privacy during medication administration for one of four residents reviewed (Resident R22).
Failed to prevent potential unauthorized access to medications and to appropriately discard outdated medications for two medication carts reviewed (Neighborhood 300 and Neighborhood 400).
Report Facts
Residents reviewed: 4
Medication carts reviewed: 2
Open Insulin Lantus vial date: 5.2
Open Iron Gluconate bottle date: 6.1
Open Iron Gluconate bottle date: 6.1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) Employee E1 | Named in privacy and medication cart security findings | |
| Licensed Practical Nurse (LPN) Employee E2 | Confirmed outdated medication findings | |
| Registered Nurse (RN) Employee E3 | Confirmed outdated medication findings |
Inspection Report
Routine
Deficiencies: 1
Date: Mar 21, 2024
Visit Reason
The inspection was conducted to review the facility's compliance with maintaining complete and accurate documentation related to bathing and meal intake for residents, as part of regulatory oversight.
Findings
The facility failed to maintain complete and accurate documentation regarding bathing and meal intake for 13 of 14 residents reviewed. Multiple residents' clinical records lacked documentation of scheduled showers or baths and meal consumption percentages over the past 30 days.
Deficiencies (1)
Failed to maintain complete and accurate documentation related to bathing and meal intake for 13 of 14 residents reviewed.
Report Facts
Residents reviewed: 14
Residents affected: 13
Scheduled showers missed documentation: 5
Meal intake missed documentation: 14
Meal intake missed documentation: 15
Meal intake missed documentation: 2
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jul 14, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident safety, respiratory care, infection prevention, and overall facility environment at Walnut Creek Nursing and Rehab.
Findings
The facility was found deficient in maintaining safe and clean environments, specifically failing to monitor residents' personal refrigerators for safe temperatures and electrical safety, not adhering to physician orders for respiratory equipment changes, and failing to prevent cross contamination during wound care.
Deficiencies (3)
Failed to monitor safe temperatures and cleanliness of residents' personal refrigerators and ensure electrical safety for use.
Failed to provide safe and appropriate respiratory care by not changing oxygen tubing and canisters according to physician's orders for two residents.
Failed to prevent potential cross contamination during dressing change for a resident with pressure ulcers requiring wound care.
Report Facts
Residents reviewed for respiratory care: 24
Resident refrigerators observed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Confirmed lack of electrical safety tags and temperature monitoring for residents' personal refrigerators. | |
| Nursing Home Administrator | Confirmed the facility does not have a policy for monitoring residents' personal refrigerators. | |
| Director of Nursing | Confirmed oxygen tubing and canister dates and the requirement for weekly changes; also confirmed wound vac machine and tubing should not rest on the floor. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 3, 2023
Visit Reason
The inspection was conducted to investigate complaints related to the facility's failure to ensure timely resolution of Resident Council concerns regarding staff use of foul language and negative interactions with residents.
Complaint Details
The complaint investigation found that Resident Council concerns from November and December 2022 about staff swearing and inappropriate behavior were substantiated, with no evidence of facility follow-up or resolution.
Findings
The facility failed to address Resident Council concerns about staff swearing and inappropriate conversations reported in multiple meetings (October, November, and December 2022). There was no evidence of specific employee education or follow-up to resolve these issues, and the Nursing Home Administrator confirmed the lack of adequate response and monitoring.
Deficiencies (1)
Failed to ensure residents received timely resolution to Resident Council concerns about staff foul language and negative interactions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Home Administrator | NHA | Confirmed lack of follow-up and inadequate staff education regarding Resident Council concerns. |
| Social Worker | Responded to Resident Council concerns by stating he/she would inform the Administrator and continue staff re-education. |
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