Norriton Square Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Norriton Square Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Aug 30, 2022

  Based on observations, staff interviews, review of facility documentation and review of facility policy, it was determined that the facility failed to store perishable food in the walk-in refrigerator below 41 degrees Fahrenheit to prevent potential food borne illness. This failure created an Immediate Jeopardy (IJ) situation for 93 of 93 residents. Findings include: Review of the facility policy title Refrigeration/ Freezer Temperature Standards dated June 15, 2018, stated that refrigerators and freezers operate within an acceptable temperature range. The purpose was to ensure food held in refrigerated equipment is maintained at a safe temperature. […]

• Actual harm, isolatedF600Aug 23, 2021

  Based on review of clinical records, review of facility documentation, review of facility policies and procedures, and interviews with resident and staff, it was determined that the facility failed to ensure one resident was free from staff neglect for one of 19 residents reviewed, which resulted in actual harm to Resident R60 who was not provided with two-person assistance for bed mobility as indicated on the resident's plan of care. Resident R60 sustained a right femur fracture. This failure was identified as past non-compliance. (Resident R60) Findings include: Review of facility policy titled Abuse Prohibition date revised April 09, 2021, revealed the center prohibits abuse, mistreatment, neglect, misappropriate of resident/patient property, and exploitation for all patients. […]

• Actual harm, isolatedF689Aug 23, 2021

  Based on review of clinical records, review of facility documentation, review of facility policies and procedures, and interviews with resident and staff, it was determined that the facility failed to provide appropriate assistance during bed mobility to prevent a fall for one of 19 residents reviewed. This failure resulted in actual harm to Resident R60 who fell off the bed and sustained a right femur fracture. This failure was identified as past non-compliance. (Resident R60) Findings include: Review of documentation revealed a facility policy titled Safe Resident Handling/Transfer Equipment revised November 1, 2019. Facility policy revealed staff may use Safe Resident Handling equipment, such as lifts or repositioning equipment, for patients when needed. […]

• No harm, potential for more than minimal, widespreadF802Jan 23, 2026

  Based on reviews of the established meal delivery schedule, interviews with dietary staff, observations of the food and nutrition services on the nursing units and a review of the dietary staffing schedules for the kitchen, it was determined that the facility failed to employ sufficient staff to carry out the functions of the dietary services department. Findings include: During the sanitation inspection of the main kitchen at 10:00 a.m., on January 20, 2026, the director of dietary services, Employee E7, reported that there were two dietary staff members that had called out of work on January 20, 2026. The only dietary staff working on January 20, 2026, were the director of dietary services, Employee E7, the cook, Employee E20 and a dietary aide, Employee E9. […]

• No harm, potential for more than minimal, widespreadF812Jun 8, 2023

  Based on observations and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. Findings include: A tour of the Food Service Department was conducted on June 5, 2023, at 9:45 a.m. with Employee E7, Food Service Director (FSD), revealed the following concerns: Observation in the receiving area revealed garbage, including paper, latex gloves littered around the trash compactor, and a reclining chair near the receiving door. Observations in the emergency supplies storage area revealed multiple cardboard boxes sitting directly on the floor. […]