Camp Hill Skilled Nursing and Rehabilitation CTR

In the surveyor’s words

From the most serious findings on record at Camp Hill Skilled Nursing and Rehabilitation CTR, in the surveyor’s own words.

• Actual harm, isolatedF600Oct 23, 2025

  Based on facility policy review, clinical record review, facility documentation review, and staff interview, it was determined the facility failed to ensure each resident was free from neglect, which resulted in actual harm as evidenced by fracture of the right hip for one of three residents reviewed (Resident 1).Review of facility policy, titled OPS 300 Abuse Prohibition with a last revision date of October 24, 2022, revealed Neglect is defined as the failure, indifference, or disregard of the Center, its employees, or service providers to provide care, comfort, safety, goods and services to a patient that are necessary to avoid physical harm, pain, mental anguish, or emotional distress.Review of Resident 1's clinical record revealed diagnoses that included history of cerebral infarction… […]

• Actual harm, isolatedF689Oct 23, 2025

  Based on facility policy review, clinical record review, select facility document review, facility training records, and staff interview, it was determined that the facility failed to ensure that residents received adequate assistance to prevent falls, which resulted in harm as evidenced by a fracture of the right hip for one of three residents reviewed for falls (Resident 1).Review of facility policy titled, NSG200 Activities of Daily Living (ADLs), last revised May 1, 2023, revealed Activities of Daily Living (ADLs) were defined as, Hygiene - bathing, dressing, grooming, and oral care;.Elimination - toileting. […]

• No harm, potential for more than minimal, patternF584Feb 26, 2026

  Based on facility policy review, observations, and staff interview, it was determined that the facility failed to maintain a safe, clean, comfortable and home-like environment in one of three nursing units observed. Findings include: Review of facility policy, titled Safe and Homelike Environment last reviewed January 5, 2026, read, in part, The resident/patient has the right to a safe, clean, comfortable, and homelike environment that de-emphasizes the institutional character of the setting. The center must provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior. […]

• No harm, potential for more than minimal, patternF808Feb 26, 2026

  Based on facility policy review, review of facility diet extension sheets, review of nutrition facts label, clinical record review, observations, and staff interviews, it was determined that the facility failed to ensure that residents receive and consume foods in the appropriate form and/or the appropriate nutritive content as prescribed by a physician for six of 36 residents reviewed on a consistent carbohydrate diet (Residents 5, 8, 15, 52, 68, and 106). Findings include: Review of facility policy, titled Consistency Alterations and Therapeutic Menus last reviewed January 5, 2026, read, in part, The menu is written for a regular/liberalized diet and is extended for a number of therapeutic diets. Purpose: to provide diets as ordered by the physician/advance practice provider (APP). […]

• No harm, potential for more than minimal, patternF812Feb 26, 2026

  Based on facility policy review, observations, and staff interviews, it was determined that the facility failed to store food and utilize kitchen equipment in accordance with professional standards for food service safety in the main kitchen.Findings include: Review of facility policy, titled Food Storage: Cold Foods last reviewed February 5, 2026, read, in part, All Time/Temperature Control for Safety foods, frozen and refrigerated, will be appropriately stored in accordance with guidelines of the FDA Food Code. Freezer temperatures will be maintained at a temperature of 0 degrees F (Fahrenheit- unit of measure) or below. All foods will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination. […]