Fox Chase Healthcare

In the surveyor’s words

From the most serious findings on record at Fox Chase Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 10, 2023

  Based on a facility-reported incident, reviews of administrative, resident, and other pertinent documentation, and interviews with facility staff, it was determined that the facility failed to have a system in place to: 1) Ensure that all cognitively impaired residents, with exit seeking behaviors, do not leave the building, unauthorized; 2) Ensure that all exit doors were secure, consistently lock and closed; and 3) Ensure that residents with exit seeking behavior have an Alert Bracelet in place to alert the staff when a resident is near an exit door. This was found to be evident for 1 of 6 residents (Resident #4) reviewed for elopement during a complaint survey and resulted in an immediate jeopardy declared on 03/06/23 at 1:25 PM. […]

• Actual harm, isolatedF692Mar 10, 2023

  Based on a complaint, reviews of a closed record, reviews of administrative records, and interviews with staff, it was determined that the facility staff failed to 1) follow the physician's tube feeding orders, and 2) prevent a totally dependent resident from a severe weight loss. This was evident for 1 (Resident #3) of 11 residents reviewed during a complaint survey. The findings include: A review of complaint MD00174985 on 03/03/23 revealed an allegation that Resident #3 was not receiving the correct tube feeding and had lost weight. […]

• No harm, potential for more than minimal, widespreadF679Mar 10, 2025

  Based on observations, record review and interview, it was determined that the facility failed to implement an ongoing resident centered activities program designed to meet the interests and support the physical, mental and psychological well-being of each resident. This was evident for all residents. The findings include: On 03/04/25 at 11:00AM and 03/05/25 at 10:40AM, the surveyor observed residents sitting in the hallways, sitting in the dining room areas without supervision, and walking around common areas in the nursing units. […]

• No harm, potential for more than minimal, widespreadF804Mar 10, 2025

  Based on observation and interview, it was determined that the facility failed to ensure that food was delivered to residents at an appropriate and palatable temperature. This was evident for 1 out of 1 observation of test tray temperatures. This practice has the potential to affect all residents who eat food prepared by the facility. The findings include: On 03/04/25 at 11:57 AM, the surveyor conducted a lunch tray line observation and requested the Certified Dietary Manager (CDM) to include a test tray on the last cart that was going to the unit. Six dietary aids were observed preparing a total of 4 meal carts. The first cart was brought out to the dining room and the last cart was completed at 12: 34PM. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2025

  Based on observation and staff interview, it was determined that the facility failed to store and label food item to maintain the integrity of the specific item. This was evident during the initial tour of the kitchen. This deficient practice has the potential to affect all residents. The findings include: On 03/03/25 at 8:13 AM, the surveyor conducted an initial tour of the kitchen with the assistance of the Certified Dietary Manager (CDM). The surveyor observed 1 large carton (approximately 0.5 gallon) of an opened lactose free milk inside the kitchen refrigerator. The carton had a letter R and 2/12/25 written on it using a black permanent marker, however, it did not contain any label as to when the item was opened and when the contents should have been used. […]