Wyomissing Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF641Sep 30, 2022

  Based on clinical record review it was determinied that the facility failed to ensure that the Minimum Data Set (MDS) assessments were complete for six of 19 sampled residents. (Residents 21, 49, 54, 59, 68, 80) Findings include: Clinical record review revealed that Section C (the Brief Interview for Mental Status) of Resident 21's MDS assessment dated [DATE], was incomplete. Clinical record review revealed that Section C of Resident 49's MDS assessment dated [DATE], was incomplete. […]

• No harm, potential for more than minimal, patternF880Oct 6, 2021

  Based on review of facility policy, observation, and staff interview, it was determined that the facility failed to implement proper infection control in regards to use of personal protective equipment (PPE) when practicing transmission based precautions on one of two nursing units. (First Floor) Findings include: Review of the facility's policy entitled COVID-19 response to Outbreak and Residents with Exposure to COVID-19, dated October 2021, revealed that unvaccinated new admissions and readmissions should be placed in a 14-day quarantine. Quarantine was further defined as a yellow zone with standard and transmission based precautions. […]

• No harm, potential for more than minimal, patternF658May 21, 2021

  Based on clinical record review, personnel record review, and staff interview, it was determined that the facility failed to ensure that an employee practicing as a Registered Nurse (RN 1), maintained professional standards of quality of care in the administration of medication in accordance with restrictions set forth by the State Board of Nursing, as authorized by the Pennsylvania Code Title 49, Professional and Vocational Standards, for five of seven sampled residents who were prescribed controlled substances. […]

• No harm, potential for more than minimal, isolatedF580Jul 23, 2026

  Based on clinical record review and staff interview, it was determined that the facility failed to notify the resident or responsible party of physician ordered changes for one of five sampled residents. (Resident 1)Findings include: Clinical record review revealed that Resident 1 had diagnoses that included Alzheimer's disease, dysphagia (difficulty swallowing), and cognitive communication deficit. Review of the clinical record revealed that on July 14, 2026, the physician ordered for staff to administer ipratropium-albuterol inhalation (a breathing treatment). There was no documentation to support that Resident 14 and/or the responsible party were notified of the physician orders for the breathing treatment. […]

• No harm, potential for more than minimal, isolatedF689Jul 23, 2026

  Based on clinical record review, observation, facility documentation review, and staff interview, it was determined that the facility failed to ensure that staff provided adequate supervision to prevent wandering and access to resident restricted areas for one of five sampled residents. (Resident 1) In addition, the facility failed to document and thoroughly investigate the incident.Findings include: Clinical record review revealed that Resident 1 had diagnoses that included Alzheimer's disease, dysphagia (difficulty swallowing), and cognitive communication deficit. The Minimum Data Set assessment dated [DATE], indicated that the resident was cognitively impaired and was independent for transfers and ambulation (walking). […]