Peters Township Post Acute

In the surveyor’s words

From the most serious findings on record at Peters Township Post Acute, in the surveyor’s own words.

• Immediate jeopardy, patternF684Jan 19, 2022

  Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to notify physicians of elevated Capillary Blood Glucose (CBG) levels, failed to assess residents for [CONDITION(S)] (high blood glucose) and [CONDITION(S)] (low blood glucose), and failed to educate staff on facility policies related to [CONDITION(S)] and [CONDITION(S)] for 5 of 9 Residents (Residents R8, R11, R53, R81, and R257), resulting in immediate jeopardy. Findings include: The Centers for Disease Control defines diabetes as: Diabetes Mellitus is a chronic (long-[MEDICATION(S)]) health condition that affects how your body turns food into energy. Most of the food you eat is broken down into sugar (also called glucose) and released into your bloodstream. […]

• Actual harm, isolatedF600Dec 10, 2025

  Based on review of facility policy, facility provided documents, clinical records, and staff interviews, it was determined the facility failed to ensure a resident was free from mental abuse and intimidation for one of two residents reviewed (Resident R63), which resulted in psychosocial harm and mental anguish related to the reasonable person concept. Findings Include: Review of the facility policy Abuse, Neglect, Exploitation or Misappropriation- Reporting and Investigating, dated 9/11/25, with a previous review date of 1/20/25, indicated that the facility will document, investigate and report all reports of resident abuse; the Administrator determines what actions are needed to protect the resident involved. […]

• Actual harm, isolatedF689May 16, 2023

  Based on review of facility policies, clinical records, and staff interview, it was determined that the facility failed to prevent injury while pushing a wheelchair resulting in fractures of the cervical spine (C1 and C2 - cervical vertebrae, C1 and C2, form the top of the spine [neck] at the base of the skull) and bilateral nasal bones for one of five residents (Resident R1). Findings include: A review of the facility policy Falls Management reviewed 2/1/23, indicated residents will be assessed for risk of falling as part of the nursing assessment process and interventions to reduce risk and minimizing injury will be implemented. […]

• No harm, potential for more than minimal, widespreadF812Dec 10, 2025

  Based on a review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly label and date food, store food in accordance with professional standards for food service safety and failed to have food service staff wear hair restraints (e.g., hairnet, hat, and/or beard restraint) to prevent hair from contacting food. Findings include: Review of the facility policy Food Receiving and Storage dated 9/11/25, with a previous review date of 1/20/25, indicated that food shall be stored in a manner that complies with safe food handling practices. […]

• No harm, potential for more than minimal, patternF725Apr 6, 2026

  Based on review of facility policy, resident observations, resident interviews and confidential staff interviews, and grievance review, it was determined that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of eight of eleven residents (Resident R1, R2, R3, R4, R5, R6, R7, and R8).Findings Include: Review of the facility policy Staffing dated 9/11/25, indicated Our facility provides adequate staffing to meet needed care and services for our resident population. Review of the facility policy Answering the Call Light dated 9/11/25, indicated the facility will ensure timely responses to the resident's requests and needs. […]