Fox Subacute at South Philadelphia

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 4, 2026

  Based on observation, clinical record review and interviews with staff, it was determined the facility failed to ensure Resident R1 was kept safe from accidents related to exposed bedframe parts for one of 10 residents reviewed. This failure resulted in actual harm to Resident R1 who sustained lacerations to the forehead and inside of the mouth as well as bruising to the left eye when the resident's face came into contact with the bed frame during care. Resident R1 required transfer to the hospital. This deficiency is cited as past non-compliance. […]

• Actual harm, isolatedF600Jan 20, 2026

  Based on review of clinical documentation and staff interviews, it was determined the facility failed to ensure adequate supervision during care by not ensuring two staff members were present for one of five residents reviewed (Resident R1). This failure constituted neglect and resulted in actual harm to Resident R1, who fell during the provision of incontinence care and sustained a fracture of the right humeral head (upper arm bone at the shoulder). This deficiency was identified as past noncompliance.Findings include:Review of Resident R1's clinical record revealed the resident was admitted to the facility on [DATE], with diagnoses of Sequelae of Cerebral Infarction (area of brain tissue that has died) due to thrombosis of left middle cerebral artery, acute infarction of intestine,… […]

• No harm, potential for more than minimal, patternF695Jun 9, 2023

  Based on observations and interviews with staff, it was determined that the facility failed to provide appropriate respiratory care services related to changing and labelling respiratory equipment's for seven of 12 residents reviewed. (Resident R14, R30, R6, R4, R41, R10, R40). Findings Include: Review of an undated facility protocol Respiratory care shift duty assignments, revealed that on Day shift (7am to 7pm shift, Sunday: Change suction tubing and canisters and portables. Please make sure all equipment is dated with initial. Observation of Resident R14's suction canister revealed that the canister was last changed on May 7, 2023. There was no date on suction tubing. […]

• No harm, potential for more than minimal, isolatedF552Feb 10, 2026

  Based on review of facility policies, clinical record review and interviews with residents and staff, it was determined that the facility failed to ensure that a resident's representative was informed of a resident's change of status to make treatment decisions, for one of 16 residents reviewed (Resident R16). Findings include: Review of facility policy, Resident Rights dated November 18, 2018, revealed that residents and their families or other representatives have the right to be fully informed by a physician of his/her health and medical condition. The facility shall give the resident and family the opportunity to participate in planning the resident's care and medical treatment. […]

• No harm, potential for more than minimal, isolatedF583Feb 10, 2026

  Based on observations, review of facility policies, clinical record review and interviews with staff, it was determined that the facility failed to ensure that personal privacy was provided during treatment and medication administration for two of 16 residents reviewed (Residents R27 and R28).Finding include: Review of Facility policy on Resident's Rights dated November 18, 2018, revealed that under section Policy Statement: All residents in long term care facilities have rights guaranteed to them under federal and state law. Under section POLICY INTERPRETATION #1. The resident has a right to a dignified existence, self-determination and communication with and access to persons and services inside and outside the facility. #2. […]