Strasburg Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF684Apr 1, 2026

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to provide the necessary care and services to maintain the highest practicable physical well-being for 1 of 14 residents (Resident #21) reviewed for self-administration of medication (SAM). Failure to assist/observe residents who are not SAM take their medications may result in adverse health consequences.Findings include:Review of the facility policy titled Self-Administration of Medications occurred on 04/01/26. This policy, dated 01/16/26, stated, . A licensed nurse will complete the Self-Administration of Medications [SAM] screen . The Interdisciplinary team (IDT) will make a determination based on the screen . […]

• No harm, potential for more than minimal, isolatedF761Apr 1, 2026

  Based on observation, record review, review of professional reference, and staff interview, the facility failed to ensure medication labels and provider's orders matched for 1 of 8 residents (Resident #21) observed during medication pass. Failure to ensure medication labels matched the provider's order placed residents at risk for medication errors.Findings include: Kozier & Erb's Fundamentals of Nursing, Concepts, Process and Practice, 11th Edition eText, 2021, Pearson, Boston, Massachusetts, pages 838-840, stated, . Obtain the appropriate medication. Compare the label of the medication container or unit-dose package against the order on the MAR [medication administration record] or computer printout. Rationale: This is a safety check to ensure that the right medication is given. […]

• No harm, potential for more than minimal, isolatedF880Apr 1, 2026

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 2 of 2 sampled residents (Resident #2 and #24) observed during dressing changes. Failure to practice infection control standards related to use of personal protective equipment (PPE) for a resident in enhanced barrier precautions (EBP), hand hygiene, and providing a clean surface area for dressing supplies has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Enhanced Barrier Precautions (not regular isolation precautions) occurred on 04/01/26. This policy, dated 04/01/24, stated, . […]

• No harm, potential for more than minimal, isolatedF609Jan 23, 2025

  Based on record review, review of facility policy, and resident and family interviews, the facility failed to ensure an alleged violation of misappropriation of resident property was reported within 24 hours to the State Survey Agency (SSA) for 1 of 1 sampled resident (Resident #20) with a report of missing money. Failure to report the alleged violation to the SSA placed Resident #20 and other residents at risk for misappropriation of property. Findings include: Review of the facility policy titled Abuse, Neglect, Mistreatment, Exploitation &/or Misappropriation of Resident Property occurred on 01/23/25. This policy, dated October 2024, stated, . […]

• No harm, potential for more than minimal, isolatedF610Jan 23, 2025

  Based on record review, policy review, and staff, resident and family interviews, the facility failed to initiate an investigation of an alleged violation of misappropriation of resident property for 1 of 1 sampled resident (Resident #20) with reports of missing money. Failure to investigate the alleged misappropriation of the resident's property and ensure all residents are protected placed them at risk for emotional and mental distress. Findings include: Review of the facility policy titled Lost & Missing Items occurred on 01/23/25. This policy, dated January 2025, stated, . This facility maintains a safe and secure environment to minimize lost and/or missing items. When a resident reports a missing item a. Staff will complete the Missing Item form b. […]