Embassy of Hearthside

In the surveyor’s words

From the most serious findings on record at Embassy of Hearthside, in the surveyor’s own words.

• Actual harm, isolatedF600Oct 7, 2025

  Based on observation, clinical record review, and staff and resident interview, it was determined that the facility failed to protect a resident's right to be free from physical abuse by staff that resulted in bruises to the resident's left arm, and medications administered against the resident's will, for one of five residents reviewed resulting in actual harm (Resident 1) Findings include: Observation and interview with Resident 1 on October 7, 2025, at 11:30 AM revealed she was in bed in her room. The surveyor asked Resident 1 if something happened to her arm and she immediately told the surveyor to leave the room, not to worry about it, and to shut the door. […]

• Actual harm, isolatedF600Mar 14, 2025

  Based on observation, clinical record review, review of facility documents, and resident and staff interview, it was determined that the facility failed to protect the rights of a resident to be free from neglect by not providing the services necessary to avoid physical harm related to a fracture of her right leg on one of two residents reviewed for abuse/neglect (Resident 9). This deficiency is cited as past noncompliance Findings include: Observation and interview with Resident 9 on March 12, 2025, at 10:48 AM revealed the resident was in bed. She stated she was sore on both of her knees and had an injury in her thigh area from an incident with her wheelchair. […]

• Actual harm, isolatedF692Mar 14, 2025

  Based on clinical record review, review of select facility policies and procedures, and resident and staff interview, it was determined the facility failed to ensure acceptable parameters of nutrition status were maintained for four of 15 residents reviewed for nutrition concerns (Residents 49, 81, 105, and 108) and provide timely assessments and interventions from a qualified nutrition professional to promote acceptable parameters of nutrition status resulting in severe weight loss resulting in harm for one of 15 residents reviewed for nutrition concerns (Resident 81). […]

• No harm, potential for more than minimal, widespreadF801May 6, 2026

  Based on staff interview, it was determined the facility failed to employee a full-time qualified director of food and nutrition services in the absence of a full-time qualified dietitian. Findings include: In an interview with Employee 6, certified dietary manager, on May 6, 2026, at 12:17 PM, Employee 6 indicated they were only working at the facility one day a week over the past one to two months to help out until the facility obtained a new food and nutrition services director, and that they were employed by another facility owned by the same company. Interview with the Nursing Home Administrator on May 6, 2026, at 1:19 PM indicated the facility's registered dietitian was only employed on an as needed basis and the facility did not employe a full-time registered dietitian. […]

• No harm, potential for more than minimal, widespreadF801Feb 20, 2026

  Based on staff interview, it was determined that the facility failed to employ a full-time qualified director of food and nutrition services in the absence of a full-time qualified dietitian.Findings include: During an Interview with Employee 9, dietary aide, on February 17, 2026, at 9:25 AM, she revealed that the facility currently did not have a dietary supervisor or a certified dietary manager (CDM) employed. Interview with the Nursing Home Administrator on February 18, 2026, at 2:15 PM confirmed the facility did not employ a full-time registered dietitian or qualified director of food and nutrition services. Cross Refer 801 and 804 S483.60(a)(1) Qualified dietary staffPreviously cited 3/14/25 28 Pa. Code 201.18(b)(1)(3) Management