Acadia Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Acadia Nursing and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF836Mar 5, 2024

  Based on review of facility documents, interviews with residents, and staff, it was determined that the facility failed to pay staff in a timely manner as scheduled. This resulted in kitchen staff and multiple nurse aides not reporting to work, which created a situation that placed 50 out of 50 residents in immediate jeopardy in which health and safety were impacted due to a potential interruption of proper food, supplies and services. Findings include: 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection 201.14(g), dated July 1, 2023, indicated that a facility owner shall pay in a timely manner bills incurred in the operation of a facility that are not in dispute and that are for services without which the residents' health and safety are jeopardized. […]

• Immediate jeopardy, isolatedF689Mar 5, 2024

  Based on review of facility policy, clinical records, facility documents, resident interview, and staff interview, it was determined that the facility failed to provide adequate supervision resulting in an elopement (resident exits to an unsupervised or unauthorized area without the facility's knowledge). This failure created an immediate jeopardy situation for one of 50 residents (Resident R48). Findings include: The facility Wandering and elopements policy last reviewed 9/28/23, indicated that the facility will identify residents who are at risk of unsafe wandering and strive to prevent harm while maintaining the least restrictive environment. […]

• Immediate jeopardy, isolatedF726Mar 5, 2024

  Based on manufacturer's instructions, clinical record review, and staff interview it was determined that the facility failed to ensure that nursing staff have the specific competencies and skill sets necessary to provide care for a resident with a Life Vest (a wearable defibrillator designed to protect residents from sudden cardiac death), and placed one resident (Resident R37) in immediate jeopardy in which health and safety were impacted. Findings include: Review of the [NAME] Life Vest Patient Manual updated 2023, indicated the following: Wear all day and all night Life Vest slides on and off like a backpack. If the garment fits loosely, call [NAME] (manufacturer). […]

• Actual harm, isolatedF684Aug 8, 2022

  Based on review of facility policy, resident clinical record review, staff, and resident interviews, it was determined that the facility failed to follow physician orders which caused a skin graft to be removed which resulted in actual harm, the failure of a skin graft, to one of 24 residents, and to provide treatment and services necessary to promote wound healing (Resident R34). Findings include: Review of the facility Medication and Treatment Orders policy last revised 7/16 indicates orders for medications and treatments will be consistent with principles of safe and effective order writing. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2026

  Based on a review of policy, observation and staff interview, it was determined that the facility failed to properly label and date food products, failed to properly maintain the dishwater temperature logs, failed to maintain kitchen equipment in a sanitary condition, failed to properly store chemicals, and failed to properly restrain hair creating the potential for cross contamination in the Main Kitchen of the facility and the facility failed to ensure food was stored and maintained in accordance with professional standards for food safety for one of two resident refrigerators (Conference Room - Resident Refrigerator).Findings include: Review of the facility policy Food Receiving and Storage last reviewed 4/30/26, indicated foods shall be received and stored in a manner that complies… […]