Gardens at Camp Hill, The

In the surveyor’s words

From the most serious findings on record at Gardens at Camp Hill, The, in the surveyor’s own words.

• Immediate jeopardy, patternF880Sep 10, 2021

  Based on observation, clinical record review, review of facility policies and staff interviews, it was determined that the facility failed to create an infection prevention and control program and 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 infections and prevent cross-contamination during the COVID-19 pandemic for one out of two nursing units (first floor nursing unit). This failure placed the facility in an Immediate Jeopardy situation. […]

• Actual harm, isolatedF755Sep 28, 2023

  Based on review of the pharmacy contract, medication guide review, clinical record review, and staff interviews, it was determined that the facility failed to provide pharmaceutical services to accurately acquire, receive, dispense, and administer drugs to meet the needs of each resident, which resulted in one resident not receiving their seizure medication and suffering from a seizure, for one of 24 residents reviewed (Resident 240). Findings include: Review of the Pharmacy Products and Services agreement, dated February 1, 2018, read, in part, the pharmacy shall provide pharmacy products to the facility and its residents in a prompt and timely manner. The facility will order exclusively from Pharmacy all pharmacy products and services required for individual residents. […]

• No harm, potential for more than minimal, widespreadF880Aug 1, 2024

  Based on review of facility policy, clinical record review, observations, and staff interviews, it was determined that the facility failed to maintain a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases, and failed to ensure staff follow professional standards of infection control practices during medication administration for two of five residents observed for medication administration (Residents 34 and 78). Findings include: Facility policy, titled Infection Control Prevention, Control and Antibiotic Stewardship, last reviewed July 25, 2024, read, in part, E. Measures for the Detection, Control and Prevention of HealthCare Acquired Infections. […]

• No harm, potential for more than minimal, patternF641Aug 13, 2026

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident assessment accurately reflected the resident's status for seven of 18 residents reviewed (Residents 1, 5, 20, 27, 60, 76, and 92). Findings include: Review of Resident 1's clinical record revealed diagnoses that included hypertension (high blood pressure) and dementia (a chronic disorder of the mental processes caused by brain disease, and marked by memory disorders, personality changes, and impaired reasoning). […]

• No harm, potential for more than minimal, patternF657Aug 13, 2026

  Based on facility policy review, clinical record reviews, observations, and resident and staff interviews, it was determined that the facility failed to ensure the residents right to participate in the care planning process for one of one resident reviewed for participation in care planning (Resident 55); and failed to review and revise the care plan for five of 18 residents reviewed (Residents 1, 5, 8, 10, and 29). Findings include: Review of facility policy, titled Care Plans, Comprehensive Person-Centered last reviewed July 23, 2026, read, in part, Each resident's comprehensive person-centered care plan is consistent with the resident's rights to participate in the development and implementation of his or her plan of care, including the right to: participate in the planning process and… […]