Fox Subacute at Mechanicsburg

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 17, 2026

  Based on facility policy review, clinical record review, review of facility investigation documentation, and staff interviews, it was determined that the facility failed to provide adequate supervision and assistance during incontinence care and linen change for one of seven residents reviewed (Resident 1), which resulted in actual harm as evidenced by Resident 1 falling out of bed resulting in a fracture of the right superior pubic ramus. Findings Include: Review of facility policy, titled Accidents, reviewed December 31, 2025, revealed The facility will ensure that: The resident environment remains as free of accident hazards as is possible. Each resident receives adequate supervision and assistance devices to prevent accidents. […]

• Actual harm, isolatedF600Nov 29, 2023

  Based on review of facility investigation, facility policy review, clinical record review, observations, and staff interviews, it was determined that the facility displayed past noncompliance in that they had failed to ensure each resident the right to be free from neglect, resulting in harm for one of three resident records reviewed (Resident 1). Findings include: Review of facility policy, titled Abuse Reporting, last reviewed January 23, 2023, revealed the policy statement was, The facility shall protect its residents to the fullest extent possible from physical[,] verbal, sexual or mental abuse, acts of neglect, corporal punishment, involuntary seclusion and misappropriation of residents' property. […]

• Actual harm, isolatedF689Nov 29, 2023

  Based on review of facility investigation, facility policy review, clinical record review, observations, and staff interviews, it was determined that the facility displayed past noncompliance in the failure to follow the plan of care and provide the required assistance during a transfer, resulting in harm as evidenced by a leg fracture, for one of three resident records reviewed (Resident 1). Findings include: The facility's expectations for direct care staff states, Our patients all have transfer orders in POC [Plan of Care] and you are expected to follow them. Mechanical Lifts require two (2) [person] assist AND must use the proper sling size determined by weight .All orders must be followed. […]

• No harm, potential for more than minimal, patternF552Jan 22, 2026

  Based on clinical record review and staff interview, it was determined that the facility failed to discuss the risks/benefits and obtain consent for psychotropic medications for two of two resident records reviewed (Residents 48 and 49).Findings include: Review of Resident 48's clinical record revealed diagnoses that included major depressive disorder severe with psychotic features (a severe form of depression characterized by the presence of psychotic symptoms, such as hallucinations or delusions, alongside typical depressive symptoms) and generalized anxiety disorder (a mental health condition that causes fear, a constant feeling of being overwhelmed and excessive worry about everyday things). […]

• No harm, potential for more than minimal, patternF756Jan 22, 2026

  Based on clinical record review, facility policy review, and staff interview, it was determined that the facility failed to ensure Medication Regimen Reviews were reviewed and responded to by the attending physician or prescriber for three of six residents reviewed (Residents 3, 6, and 15).Findings include:Review of facility policy, titled Medication Regimen Review (Monthly Report), without revision date, revealed, Recommendations are acted upon and documented by the facility staff and or the prescriber.Review of Resident 3's clinical record revealed diagnoses that included heart failure (the heart can't pump enough oxygen-rich blood to meet the body's needs, causing symptoms like shortness of breath, fatigue, and swelling; often from underlying issues like high blood pressure or coronary… […]