Westmoreland Manor

In the surveyor’s words

From the most serious findings on record at Westmoreland Manor, in the surveyor’s own words.

• Actual harm, isolatedF658Apr 29, 2026

  Based on review of Pennsylvania's Nursing Practice Act, facility policy, clinical records, and facility investigations, as well as staff interviews, it was determined that the facility failed to ensure that nursing services met professional standards of quality by failing to ensure that medications were administered by licensed medical or nursing personnel in accordance with the medical and nursing regulations of Pennsylvania which resulted in the need for transfer to the hospital. […]

• Actual harm, isolatedF760Apr 29, 2026

  Based on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to provide medication as ordered by the physician, resulting in a significant medication error for one of nine residents reviewed (Resident 2) that resulted in a transfer to the hospital. This deficiency was cited as past non-compliance.Findings include:Review of a facility policy for Medication Administration: Rights dated February 1, 2026, indicated that to ensure accountability and six rights' (right resident, right drug, right dose, right time, right route, right dosing form), charting guidelines are set. All medications are to be administered by licensed medical or nursing personnel in accordance with the medical and nursing regulations of Pennsylvania. […]

• Actual harm, isolatedF600May 29, 2025

  Based on review of facility policies, clinical records, and investigation reports, as well as staff interviews, it was determined that the facility failed to ensure that one of six residents reviewed (Resident 3) was free from abuse perpetrated by a resident with aggressive behaviors (Resident 2), resulting in an incident in which one of six residents reviewed suffered a fractured hip (Resident 3). Findings include: The facility's abuse policy, dated February 1, 2025, revealed that the facility would implement policies and procedures to prevent and prohibit all types of abuse, neglect, misappropriation of resident property, and exploitation that achieved the identification, ongoing assessment, care planning for appropriate interventions, and monitoring of residents with needs and behaviors… […]

• Actual harm, isolatedF689May 8, 2025

  Based on a review of facility policies, clinical records, and investigation reports, as well as staff interviews, it was determined that the facility failed to ensure that the environment was free of accident hazards for one of 58 residents reviewed (Resident 48) resulting in a hot liquid spill with injury. This deficiency was cited as past non-compliance. Findings include: The facility policy regarding hot liquids safety, dated February 1, 2025, indicated that in order to promote safety, appropriate precautions will be implemented to maximize choice of beverages while minimizing potential for injury. Hot liquids will be severed at a temperature not greater than 140 degrees Fahrenheit (F). […]

• No harm, potential for more than minimal, patternF686Apr 9, 2026

  Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to follow treatment recommendations from wound consultations for one of 55 residents reviewed (Resident 15).Findings include:The facility's wound treatment management policy, dated February 1, 2026, indicated that to promote wound healing of various types of wounds, it was the policy of the facility to provide evidence-based treatments in accordance with current standards of practice and physician orders. […]