Susquehanna Health and Wellness Center

In the surveyor’s words

From the most serious findings on record at Susquehanna Health and Wellness Center, in the surveyor’s own words.

• Actual harm, isolatedF760Mar 31, 2026

  Based on review of clinical record, hospital record, and facility documentation, and staff interviews, it was determined the facility failed to ensure that one of three residents (Resident R1) were free from significant medication errors which resulted in actual harm to Resident R1 requiring transfer to hospital and in patient monitoring due to medication administration. This was identified as a past non-compliance. Findings include: Review of facility policy titled Administering Medication dated April 2019 revealed 1. Only persons licensed or permitted by this state to prepare, administer and document the administration of medications may do so.9. The individual administering medications verifies the resident's identity before giving the resident his/her medications. […]

• Actual harm, isolatedF656Mar 29, 2024

  Based on review of clinical record and facility documentation and staff interviews, it was determined that the facility failed to follow care plan interventions to prevent falls for one of seven residents, resulting in actual harm to Resident 106, who fell , requiring emergency care and three staples to treat a laceration to the head. The facility also failed to develop a comprehensive care plan regareding aggressive behaviors for one of 30 residents reviewed (Resident 39). Findings include: Review of Resident 106's clinical record revealed diagnoses including Dementia (loss of cognitive functioning that interferes with daily life and activities), Down's syndrome (genetic disorder associated with physical growth delays, characteristic facial features and mild to moderate developmental and… […]

• Actual harm, isolatedF693Mar 29, 2024

  Based on clinical record review, observation, and staff interview, it was determined that the facility failed to provide the appropriate monitoring, care, and services for two of four residents receiving parenteral nutrition (Residents 18 and 37) which resulted in actual harm to Resident 18, who developed an infection to the site of the parenteral tube feed which caused pain, multiple hospital trips, and required IV (intravenous) antibiotic therapy. Findings include: Observation of Resident 18 on March 26, 2024, and March 27, 2024, revealed the resident had a percutaneous endoscopic gastrostomy (PEG tube - tube placed through the abdomen directly into the stomach to provide nutrition and medication when oral intake is not adequate). […]

• Actual harm, isolatedF684May 10, 2023

  Based upon review of facility documentation and clinical record review, it was determined the facility failed to ensure that upon admission, Resident 240 had appropriate medications necessary to prevent and treat seizures which resulted in hospitalization for one of 27 residents reviewed. Findings include: Review of Resident 240's clinical record revealed diagnoses including Lennox Gestaut Syndrome (severe form of epilepsy - seizure disorder). Review of pre-admission hospital documentation provided to the facility, dated April 7, 2023, revealed patient with hx [history] of Lennox-Gestaut and is on multiple oral seizure medications. […]

• Actual harm, isolatedF760May 10, 2023

  Based upon review of facility documentation and clinical record review, it was determined the facility failed to ensure that residents were free from significant medication errors resulting in one resident suffering actual harm from seizures that required hospitalization and treatment for one of 18 residents reviewed (Resident 240). Findings include: Review of Resident 240's clinical record revealed diagnoses including Lennox Gestaut Syndrome (severe form of epilepsy - seizure disorder). Review of pre-admission hospital documentation provided to the facility from a previous acute care facility dated April 7, 2023, revealed patient with hx [history] of Lennox-Gestaut and is on multiple oral seizure medications. […]