Tunkhannock Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Tunkhannock Rehabilitation & Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Sep 16, 2025

  Based on review of clinical records, the facility's abuse prohibition policy, facility investigative documentation, and interviews with staff and residents, it was determined that the facility failed to ensure that a resident was free from neglect by not providing care with the required assistance of two staff members as planned to ensure safety and prevent major injuries. As a result, one resident (Resident 1) sustained multiple subdural hematomas and a scalp laceration requiring hospitalization, representing actual harm for one resident out of one sampled for abuse prohibition.Findings include: Review of the facility's policy entitled Abuse, Neglect, and Exploitation last revised by the facility March 2025, defined neglect as the failure of the facility, its employees, or service… […]

• No harm, potential for more than minimal, isolatedF600Apr 8, 2026

  Based on review of clinical records, facility policy, investigative documentation provided by the facility, and staff interviews, the facility failed to protect one of 11 sampled residents (Resident CR1) from neglect when staff did not help a resident after a witnessed fall, leaving the resident on the floor, neglecting to immediately assess and care for the resident. This deficiency is cited as past noncompliance.Findings include: A review of a facility policy titled Abuse, Neglect, and Exploitation, last reviewed by the facility on April 8, 2025, revealed it is the facility's policy to provide protection for the health, welfare, and rights of each resident by developing and implementing written policies that prohibit and prevent abuse and neglect. […]

• No harm, potential for more than minimal, isolatedF641Feb 20, 2026

  Based on review of the Resident Assessment Instrument (RAI) Manual, clinical records, and staff interviews, it was determined that the facility failed to complete an accurate Minimum Data Set (MDS) for two of 13 residents sampled (Residents 2 and 45).Findings include: The Long-Term Care Facility RAI User's Manual, which provides instructions and guidelines for completing the Minimum Data Set assessment (MDS, a federally mandated standardized assessment process conducted periodically to plan resident care) dated October 2025, requires that each MDS assessment accurately reflect the resident's status during the assessment reference period (the specific look-back period of days the assessor must review). […]

• No harm, potential for more than minimal, isolatedF656Feb 20, 2026

  Based on select facility policy, a review of clinical records, the Resident Assessment Instrument (RAI) manual, and staff interviews, it was determined the facility failed to follow the care plan process after the completion of a comprehensive assessment for one out of 13 residents sampled (Resident 8).Findings include: A review of facility policy entitled Resident Care Planning Requirements (reviewed April 8, 2025) revealed the facility will develop and implement a person-centered care plan that supports the residents' highest practicable physical, mental, and psychosocial well-being. […]

• No harm, potential for more than minimal, isolatedF692Feb 20, 2026

  Based on a review of select facility policy, a review of clinical records, and staff interviews, it was determined the facility failed to monitor resident weights consistently and accurately to timely identify changes in nutritional parameters and implement nutritional interventions for one resident out of 13 residents sampled (Resident 2).Findings include: A review of a facility policy entitled Resident Heights and Weight Policy last reviewed by the facility April 8, 2025, indicated residents will be weighed upon admission to facility and on day two after admission. After the second day weight, all newly admitted residents will be weighed weekly for four weeks and then on a monthly basis unless otherwise specified. The resident weights will be recorded in the electronic medical record. […]