Manor at Penn Village, The

In the surveyor’s words

From the most serious findings on record at Manor at Penn Village, The, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 15, 2021

  Based on clinical record review, review of select facility policies, review of facility documentation, and staff interview, it was determined that the facility failed to ensure that residents were free from neglect for one of one resident reviewed resulting in a severe injury (a fractured left humerus) (Residents 67). This deficiency is cited as past non-compliance. Findings include: The policy entitled Abuse, Neglect, Exploitation, and Misappropriation, last reviewed without changes on May 22, 2020, defines neglect as the failure of an employee to provide goods or services to a resident that is necessary to avoid physical harm. The policy further indicates that an example of neglect would be failing to take precautionary measures to protect the safety of the resident. […]

• No harm, potential for more than minimal, widespreadF812Jan 26, 2024

  Based on observation and staff interview, it was determined the facility failed to store food and maintain food service/storage equipment in a sanitary manner in the facility's main kitchen and one of four nursing units (unit F). Findings include: An observation in the facility's main kitchen on [DATE], at 9:15 AM revealed the following: Upon entering the kitchen from the main entrance from inside the facility, a metal shelving unit was observed to the right of the door frame just inside the kitchen doors. Several bottle and boxes of cleaning chemicals were observed on the shelves. Yellow dried spills were observed on the exterior of several large bottles labeled Grease Strip Plus. […]

• No harm, potential for more than minimal, patternF584Dec 5, 2025

  Based on observation and staff and resident interview, it was determined that the facility failed to provide a clean, comfortable, homelike environment on one of three open nursing units (Unit F and Residents 44 and 91) and failed to maintain the facility environment to protect the health and safety of residents, personnel and the public (two of two elevators, the area outside the elevators, and the main hallway after the lobby entrance).Findings include: Observations of Resident 44's room on December 3, 2025, at 11:06 AM revealed multiple light tan and brown colored stains on the privacy curtain in the resident's room. […]

• No harm, potential for more than minimal, patternF695Dec 5, 2025

  Based on clinical record review, observation, and staff interview, it was determined that the facility failed to provide respiratory care consistent with professional standards of practice for two of two residents reviewed for respiratory concerns (Residents 5 and 54). Findings include: Clinical record review revealed the facility admitted Resident 5 on November 6, 2025. A physician's order initiated on November 7, 2025, instructed staff to administer Resident 5 continuous oxygen at three liters per minute (LPM) by nasal cannula (medical tubing that delivers supplemental oxygen directly to the nose). Observations of Resident 5 on December 3, 2025, at 10:53 AM, and 2:17 PM, and December 4, 2025, at 9:59 AM revealed she was receiving supplemental oxygen via nasal cannula. […]

• No harm, potential for more than minimal, patternF726Dec 5, 2025

  Based on review of facility documentation and staff interview, it was determined that the facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to the care and assessment of residents who utilize a gastric tube for two of two employees reviewed for competencies (Employees 7 and 8).Findings include: A review of the facility documentation revealed that the facility had a total of 2 residents with a feeding tube (G-tube, a tube that is placed directly into the stomach through an abdominal wall incision for administration of food, fluids, and medications; also known as a PEG tube). […]