Highlands At Wyomissing

In the surveyor’s words

From the most serious findings on record at Highlands At Wyomissing, in the surveyor’s own words.

• Immediate jeopardy, patternF804May 21, 2025

  Based on observation, facility policy review, and staff and resident interview, it was determined that the facility failed to ensure that hot beverages were monitored and served at a safe temperature on the nursing units which placed residents at risk for burn injuries. ([NAME] Court, units 100, 200, and 300) This failure resulted in an Immediate Jeopardy situation. Findings include: Review of documentation by the American Burn Association's Burn Prevention Committee entitled, Scald Injury Prevention, revealed that a scald injury occurred when a hot liquid damaged one or more layers of skin and hot beverages were a frequent source of scald burns. Older adults were the most frequent victims of scald injuries due to thin skin, reduced mobility, and reduced ability to feel heat. […]

• No harm, potential for more than minimal, patternF943Jul 8, 2022

  Based on facility policy review, personnel record review, and staff interview, it was determined that the facility failed to ensure that staff orientation included in-service training on the identification, prevention and reporting of resident abuse for five of five sampled staff. (NA 1, NA 2, LPN 1, LPN 2, RN 1) Findings include: Review of facility policy entitled, Resident Abuse Policy, dated December 30, 2021, revealed that during orientation and annually thereafter, staff were to receive in-service training on identification, prevention, and reporting of resident abuse, exploitation, and neglect, and the improper use of physical and chemical restraints. […]

• No harm, potential for more than minimal, isolatedF640May 21, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to electronically transmit encoded Minimum Data Set (MDS) data to the Centers for Medicare and Medicaid Services (CMS) within 14 days after the facility completed the resident assessment for one of three sampled residents who were discharged from the facility. (Resident 45) Findings include: Clinical record review revealed that Resident 45's discharge MDS assessment was completed on December 20, 2024, but had not been exported as of May 20, 2025. In an interview on May 21, 2025, at 11:00 a.m., Registered Nurse 1 confirmed that the MDS assessment had not been exported.

• No harm, potential for more than minimal, isolatedF550Jul 18, 2024

  Based on a group interview and staff interview, it was determined that the facility failed to ensure that each resident's call bell was answered in a timely manner for three of four alert and oriented residents. (Residents 17, 20, 58) Findings include: During a group interview on July 17, 2024, at 9:40 a.m., Residents 17, 20, and 58 reported that it takes long periods of time of (30 minutes or more) for staff to answer their call bells and get assistance. In an interview on July 18, 2024, at 11:00 a.m., the Administrator revealed that staff was expected to respond to a call light within six minutes. […]

• No harm, potential for more than minimal, isolatedF692Jul 18, 2024

  Based on review of facility policy, clinical record review and staff interview, it was determined that the facility failed to monitor and assess nutritional status for two of 15 sampled residents. (Residents 18 and 42) Findings include: Review of the facility policy entitled Weight Policy, last reviewed February 19, 2024, revealed that the purpose of the policy was to monitor residents' weight status. When a resident's recorded weight showed a five percent difference, plus or minus, from the previous weight, a re-weight was to be obtained. The provider was to be notified of any weight loss or weight gain of five percent or greater. Weights were to be reviewed weekly by the dietician, their designee, and nursing to determine significant changes. […]