Penn Nursing Center

In the surveyor’s words

From the most serious findings on record at Penn Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF727Jan 30, 2025

  Based on the record review and staff interviews, the facility failed to schedule a Registered Nurse (RN) for at least 8 consecutive hours a day for 4 of 60 days (12/7/24, 12/24/24, 1/3/25, and 1/28/25) reviewed for staffing. Findings included: Review of the facility's daily staff posting and staffing schedules from 12/1/24 through 1/28/25 revealed the following: a.) On 12/7/24 the daily staff posting indicated daily census of 67 and 1 RN working for both evening shift (3PM - 11 PM) and night shift (11 PM to 7 AM). Review of the staffing schedule revealed there was no RN working on any shift that day. b.) On 12/24/24 the daily staff posting indicated daily census of 65 and 1 RN working for both evening shift (3PM - 11 PM) and night shift (11 PM to 7 AM). […]

• No harm, potential for more than minimal, isolatedF657Aug 18, 2022

  Based on observation, record review and staff interview the facility failed to revise a care plan intervention for 1 of 2 sampled residents (Resident #26) reviewed for range of motion. The findings included: Resident #26 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] [CONDITION(S)]. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #26's cognition was impaired and he had range of motion impairment on one side. Review of Resident #26's care plan dated 6/10/22 revealed a problem that sated resident required supervision to total assistance with Activities of daily living related to Dementia and impaired mobility secondary to [CONDITION(S)] with right [CONDITION(S)]. […]

• No harm, potential for more than minimal, isolatedF690Aug 18, 2022

  Based on record review, observation, resident, and staff interviews the facility failed to anchor an indwelling urinary catheter for 1 of 1 resident reviewed for indwelling urinary catheters (Resident #54). The findings included: Resident #54 was admitted to the facility on [DATE] with multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The most recent Minimum Data Set (MDS) for significant change in status assessment dated [DATE] indicated Resident #54 to be cognitively intact and totally dependent on bed mobility, transfer, dressing, toilet use, and personal hygiene. The resident was coded as having an indwelling urinary catheter. […]