Muncy Place

In the surveyor’s words

From the most serious findings on record at Muncy Place, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 9, 2025

  Based on a review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to protect residents from staff neglect by implementing interventions to prevent falls for two of four residents reviewed (Residents 1 and 2) resulting in harm to include a fracture for one of two residents reviewed (Resident 2). Findings include: The facility policy entitled, Abuse: Prevention, Investigation, and Reporting, last reviewed without changes on June 4, 2025, revealed that Resident abuse is defined as any act of omission or commission, which may cause or does cause actual physical, psychological, or emotional harm or injury to a resident. […]

• No harm, potential for more than minimal, widespreadF812Jul 25, 2025

  Based on observation and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner and maintain the environment in a safe and sanitary condition in the facility's main kitchen and second floor kitchenette.Findings include: Observation of the facility's main kitchen with Employee 6, Dietary Manager, on July 22, 2025, at 8:45 AM revealed the following: A walk-in cooler contained the following: A bag of lunch meat with no dates on it. A container of asiago cheese with a use by date of July 13, 2025. A container of provolone cheese with a use by date of July 5, 2025. A large bag of lettuce opened to the ambient air with a use by date of July 19, 2025. […]

• No harm, potential for more than minimal, widespreadF812Oct 15, 2021

  Based on observation and staff interview, it was determined that the facility failed to store food items and maintain equipment in a safe and sanitary manner in the facility's main kitchen. Findings include: A tour of the facility's main kitchen with Employee 1 (supervisor of food and nutrition) on [DATE], at 8:50 AM revealed a dry food storage area with multiple expired items. These items included the following: Golden Light Brown Pioneer Sugar Pure and Natural (two packs) that had a use by date of [DATE]. Bottles of [NAME] Original Glaze with facility use by dates of [DATE] (one bottle); [DATE] (two bottles); [DATE] (one bottle); and three bottles with no noted received on or use by dates. […]

• No harm, potential for more than minimal, patternF759Aug 13, 2026

  Based on a review of select facility policies and procedures, clinical record review, observation, and staff interview, it was determined that the facility failed to ensure a medication error rate below five percent (Resident 71).Findings include: The facility's medication error rate was 6.67 percent based on 30 medication opportunities with two medication errors. The facility policy entitled, Medication Administration and Charting Guidelines, last reviewed August 3, 2026, listed six recognized standards that included right time and right dose. The, Do's and Dont's, section of the policy included, Do be aware of time window for giving medications, and Do give ACs (before meals) one-half hour before meals and PCs (after meals) within one hour after a meal. […]

• No harm, potential for more than minimal, patternF883Aug 13, 2026

  Based on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to ensure that each resident was offered a pneumococcal immunization, unless the immunization was medically contraindicated, for three of five residents reviewed for immunization concerns (Residents 39, 49, and 60).Findings include: Current CDC website information notes that there are four pneumococcal vaccines available in the United States. Pneumococcal conjugate vaccines (PCVs: PCV15, PCV20 (Prevnar20), and PCV21) and pneumococcal polysaccharide vaccine (PPSV23). Each of these vaccines helps protect against specific serotypes, or strains, of pneumococcal bacteria. […]