Vibra Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Vibra Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF686Jun 4, 2026

  Based on clinical record review and staff interviews, it was determined that the facility failed to ensure that residents receive necessary treatment and services, consistent with professional standards of practice, to promote healing of a pressure ulcer for three of four residents reviewed for pressure ulcers (Residents 1, 2 and 4), which resulted in actual harm for Resident 2 as evidenced by increased size and surface area of the pressure ulcer.Findings Include: During an interview with the Director of Nursing (DON) on June 3, 2026, at 2:41 PM, it was revealed that the facility does not have a pressure ulcer policy. […]

• Actual harm, isolatedF684May 22, 2026

  Based on clinical record review and staff interviews, it was determined that the facility failed to ensure care and services were provided for a resident with hypoglycemia (low blood sugar) in accordance with professional standards of practice that meet each resident's physical, mental, and psychosocial needs, for one of 18 residents reviewed (Resident 1), which resulted in actual harm as evidenced by Resident 1 becoming unresponsive and requiring hospitalization. Findings Include: Review of Resident 1's clinical record revealed she was admitted to the facility on [DATE], with diagnoses that included Type 2 Diabetes Mellitus (a chronic condition where the body either resists the effects of insulin or doesn't produce enough of it) and congestive heart failure (CHF-when the heart muscle… […]

• Actual harm, isolatedF600Jan 30, 2025

  Based on clinical record review, facility policy review, review of investigation documentation, as well and resident and staff interviews, it was determined that the facility failed to ensure that residents were free from abuse, resulting in actual harm as evidenced by skin tears, bruising, and mental anguish caused by rough treatment, for one of four residents reviewed (Resident 1). Findings include: Review of facility policy, Abuse, Neglect and Exploitation, effective November 1, 2017, revealed, Each resident has the right to be free from abuse, neglect, misappropriation of resident property and exploitation . […]

• No harm, potential for more than minimal, widespreadF880Aug 28, 2025

  Based on review of facility policy, clinical record review, observations, and resident and staff interviews, it was determined that the facility failed to establish Enhanced Barrier Precautions (EBP) and maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections on two of two nursing units; and failed to maintain an effective infection control program related to the administration of medications for one resident observed during medication administration observation (Resident 63). […]

• No harm, potential for more than minimal, widespreadF885Nov 9, 2021

  Based on review of select facility documents and staff interview, it was determined that the facility failed to inform residents, their representatives, and families of a confirmed infection of COVID-19 in the facility. Findings Include: Review of facility's employee COVID-19 line listing revealed that an employee at the facility tested positive for COVID-19 on October 14, 2021. During a staff interview on November 8, 2021, at 11:45 AM the Nursing Home Administrator stated that notification was not made to residents or their representatives and families of the confirmed COVID-19 infection. 28 Pa. Code 201.14(a)Responsibility of licensee 28 Pa. Code 201.18(e)(1) Management