Transitional Care Unit at Nazareth Hospital

In the surveyor’s words

From the most serious findings on record at Transitional Care Unit at Nazareth Hospital, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF578Mar 20, 2025

  Based on review of clinical record, review of facility policy and interviews with staff, it was determined that the facility failed to ensure that advanced directives/code status were in place for two of 11 clinical records reviewed (Resident R110 and Resident R111). Findings include: Review of facility policy on Advance Directive and Healthcare Agents and Representatives revealed that under section Purpose: The purpose of this policy is to ensure that [NAME] Hospital physicians and colleagues respect the health care decisions of its patients and comply with the requirement of Pennsylvania law governing Living Wills. Under section Policy: [NAME] Hospital will comply with the Living Will of a patient. […]

• No harm, potential for more than minimal, patternF655Jul 27, 2023

  Based on review of facility policy, clinical records review, it was determined the facility did not develop a person centered baseline care plan for two of five resident clinical records reviewed. (Residents R3 and R116) Findings include: Review of facility policy titled Care Plan Policy last revised August 2012 revealed The transitional care unit at [NAME] Hospital will develop a comprehensive care plan for each resident that includes measurable objectives a timetables, to meet a residents medical, nursing and mental , and psychosocial needs that are identified in the comprehensive assessment. […]

• No harm, potential for more than minimal, isolatedF550Feb 11, 2026

  Based on review of facility policy, observations, and staff interview, it was determined that the facility failed to ensure the privacy and dignity for a resident with an indwelling foley catheter (tubing inserted into the bladder to drain urine) for one of three residents reviewed for catheters (Resident R34). Findings include: Review of facility policy Patient Privacy, Dignity & Confidentiality, dated 2019, revealed all staff members have a duty to ensure that the privacy and dignity of all service residents are respected. Patients have the right to be treated with dignity at all times and have their modesty protected. […]

• No harm, potential for more than minimal, isolatedF684Mar 20, 2025

  Based on staff interviews and the review of clinical records, it was determined that the facility failed to clarify a physician's order related to daily weights for one out of 11 residents reviewed (Resident R61). Findings include: Review of the facility policy, Weights, with a review date of August 2019 indicted that the purpose of the policy is to monitor weight gain or loss. The policy also indicated that nursing will notify the physician or any weight gain of 2 or more pounds in one day, and the dietician of any weight loss. […]

• No harm, potential for more than minimal, isolatedF694Mar 20, 2025

  Based on observation, interviews with resident and staff, review of clinical records and facility policy, it was determined that the facility failed to maintain a peripheral inserted central catheter (PICC) consistent with professional standards of practice for one of one resident with a PICC line. (Resident R4) Findings include: Review of facility policy on Maintenance of Central Venous Catheters (CVC) revealed that under section Purpose: intravenous therapy for the administration of blood products, fluids, and parenteral nutrition, as well as for hemodynamic monitoring is an essential part of medical practice. The following policy pertains to all central venous catheters (CVC) utilized at [NAME] Health Mid-Atlantic region, including PICC. […]