Snyder Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF578Oct 29, 2025

  Based on staff interview, clinical record review and facility document review the facility staff failed to provide evidence that Advance Care planning information was provided to residents/resident representatives upon admission and reviewed periodically. The findings included:During clinical record reviews, each clinical record reviewed was found to contain a form entitled, Advance Directives/Medical Treatment Decisions Acknowledge of Receipt which read in part, Resident Understanding Acknowledgement-Advance Directive/Medical Treatment Decision. […]

• No harm, potential for more than minimal, widespreadF656Oct 29, 2025

  Based on staff interviews, clinical record reviews, and facility document review, the facility staff failed to develop comprehensive care plans that included the residents code status for all current residents of the facility.The findings included:During the clinical record reviews, the survey team was unable to identify any information regarding the resident's current code status on the comprehensive care plans.On 10/27/2025 at 5:10 p.m., during an interview with Registered Nurse (RN) #2 this staff stated they did not include the residents code status on their comprehensive care plan. On 10/28/2025 at 8:20 a.m., RN #2 approached the surveyor, and stated she had updated the residents care plans to include their current code status. […]

• No harm, potential for more than minimal, patternF886Feb 11, 2021

  Based on staff interview and review of facility documents, the facility staff failed to conduct COVID-19 testing for asymptomatic staff based on the county positivity rate for 30 of 60 staff members. The findings included: The facility staff failed to conduct routine COVID-19 testing for asymptomatic staff members based on the county positivity rate for staff members that have not previously tested positive. At the time of the survey, there were no residents or staff positive for COVID-19. Testing totals in the facility indicated a cumulative total of 24 COVID-19 positive residents with three (3) deaths and a cumulative total of 30 positive staff members. […]

• No harm, potential for more than minimal, isolatedF627Oct 29, 2025

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide a valid basis for a declination of readmission of the resident after a hospitalization with return anticipated and the facility staff failed to develop and implement an appropriate discharge process to the resident and/or resident representative for (1) one of (2) closed record reviews, Resident #45. The findings included:For Resident #45 the facility staff declined readmission following a hospital stay with a paid bed hold due to the resident electing hospice services. readmission was declined despite the facility offering individualized hospice service contracts. […]

• No harm, potential for more than minimal, isolatedF684Oct 29, 2025

  Based on observation, staff interview, and clinical record review, the facility staff failed to ensure the highest practicable well-being for 2 of 16 current residents of the facility. Resident #39 and #2.The findings included:1. Resident #39 was observed with a chair alarm in place. The clinical record did not include a current provider order for a chair alarm. Resident #39's diagnoses included adult failure to thrive and muscle weakness. Section C (cognitive patterns) of Resident #39's annual minimum data set assessment (MDS) with an assessment reference date (ARD) of 10/03/25 was coded 1/1/2 to indicate Resident #39 had problems with long- and short-term memory and was moderately impaired in cognitive skills for daily decision making. […]