Scenery Hills Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Scenery Hills Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Apr 29, 2026

  Based on review of facility policies, observations and staff interviews, it was determined that the facility failed to ensure residents' environment remained free of accident hazards, by failing to ensure that safe water temperatures were maintained at the appropriate temperatures for resident safety in three of three resident areas (resident rooms on the North and South Halls and resident rooms in the corridor area), which placed residents in immediate jeopardy of the likelihood of serious bodily injury, harm or death. Findings include: The facility's policy regarding safety of water temperatures, dated February 6, 2026, indicated that tap water in the facility shall be kept within a temperature range to prevent scalding of residents. […]

• Actual harm, isolatedF686Apr 12, 2021

  Based on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that a resident with pressure ulcers received necessary treatment and services to promote healing, by failing to use a positioning device to relieve pressure for one of three residents reviewed (Resident 2), resulting in the deterioration of the pressure ulcer, which resulted in an amputation. Findings include: A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 2, dated February 23, 2021, indicated that the resident had moderately impaired cognition, could usually make himself understood and understand others, required extensive assistance with bed mobility, was non-ambulatory (could not walk), was dependent… […]

• No harm, potential for more than minimal, widespreadF812May 29, 2026

  Based on review of policies, observations and staff interviews, it was determined that the facility failed to ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety in the freezer of the main kitchen.Findings include: The facility policy regarding food storage, dated February 6, 2026, revealed that any food that has been opened must be labeled, dated and secured in such a way that the food item is not open to air. Observations in the main kitchen's walk-in freezer on May 27, 2026, at 8:34 a.m. revealed that there were a bag of egg patties, a bag of dinner rolls, a bag of chicken patties, and a bag of waffles that were not dated with an opened date and were all open to the air. […]

• No harm, potential for more than minimal, widespreadF812Feb 22, 2022

  Based on review of Pennsylvania Department of Agriculture Food and Drug Administration Food Code and observations, as well as staff interviews, it was determined that the facility failed to store and prepare food in accordance with professional standards for food service safety by failing to store food under sanitary conditions and failing to ensure that dietary staff wore appropriate hair coverings while serving residents' food. Findings include: The Pennsylvania Department of Agriculture Food and Drug Administration Food Code, dated 2017, revealed Food Storage: Food shall be protected from contamination by storing the food in a clean, dry location; where it is not exposed to splash, dust, or other contamination; and at least 15 centimeter (cm) (6 inches) above the floor. […]

• No harm, potential for more than minimal, patternF689May 30, 2024

  Based on review of facility policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that the resident environment was a free of accident hazards as is possible, by failing to complete safety assessments for air mattress use for three of 18 residents reviewed (Residents 20, 44, 47). Findings include: The facility's policy regarding air mattresses, dated February 15, 2024, indicated that the facility would would provide residents with a bed that met their needs and was comfortable, and air mattresses were reserved for residents with pressure ulcers. […]