Emerald Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Emerald Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 22, 2025

  Based on review of facility policies and documentation, clinical record reviews, and interviews with staff, it was determined the facility failed to provide adequate supervision to one of twelve residents reviewed (Resident R1) who was inaccurately assessed as a low risk for elopement. This failure resulted in Resident R1 exiting nursing unit via the elevator and walking out the front entrance doors. The facility was not aware Resident R1 was missing until the resident's daughter called and informed the facility Resident R1 had walked to her house crossing multiple busy streets. This failure placed the resident at high risk for injury and was identified as an Immediate Jeopardy of past non-compliance. […]

• Immediate jeopardy, isolatedF880Feb 10, 2021

  Based on observation, review of facility policies and select documents provided by the facility, and staff interviews, it was determined the facility failed to maintain an infection control program by failing to follow infection control guidelines from the Centers for Disease Control and Prevention (CDC) and the Pennsylvania Department of Health (PA-DOH) to reduce the spread of infection and prevent cross-contamination during the COVID-19 pandemic. This failure placed the facility in an Immediate Jeopardy situation for one of four residents reviewed (Resident R1). […]

• Actual harm, patternF690May 1, 2026

  Based on review of facility policy and procedure, clinical record review, and staff interviews, it was determined the facility failed to provide adequate urinary catheter care for four of six residents reviewed (Residents 6, 8, 28, and 47) resulting in actual harm for three of six residents who contracted urinary tract infections requiring subsequent hospitalizations (Resident 6, 28 and 47).Findings include: Review of the facility's policy, Catheter Care, Urinary (revised September 2014), revealed documentation of catheter care should be documented in the resident's medical record. This documentation should include the date and time catheter care was given, the name of the staff providing the catheter care, and all assessment data obtained during catheter care. […]

• Actual harm, isolatedF684Mar 27, 2026

  Based on review of clinical records, and staff interviews, it was determined that the facility failed to ensure physician's orders were followed for one three of five residents reviewed resulting in actual harm to one, resident Resdient1. (Resident 1, 2, and 3).Findings include: Review of Resident 1's quarterly Minimum Data Set (MDS) assessment (mandated assessment of a resident's abilities and care needs) dated November 27, 2025, revealed the resident was cognitively intact; dependent on staff for daily care needs, and had a diagnosis of Chronic diastolic (congestive) Heart Failure (CHF-progressive condition where the heart cannot pump blood effectively, causing blood to back up and fluid to accumulate in the lungs and body). […]

• Actual harm, isolatedF689May 30, 2024

  Based on a review of facility policy, clinical record and facility documentation, observations, resident and staff interview, it was determined that the facility failed to ensure that one of two residents reviewed was provided with adequate supervision to prevent accidents which resulted in actual harm to Resident 1 sustaining a fall, requiring transfer to the hospital via emergency medical services and the diagnosis of a fracture involving the neck of the right humerus (long bone of the upper arm). […]