York North Skilled Nursing and Rehabilitation CTR

In the surveyor’s words

From the most serious findings on record at York North Skilled Nursing and Rehabilitation CTR, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880Apr 21, 2021

  Based on observation, review of facility policies, and staff interviews, it was determined that the facility failed to maintain an infection prevention and control program by failing to follow infection control guidelines from the Centers for Disease Control and Prevention (CDC) and the Pennsylvania Department of Health (PA DOH) to reduce the spread of infections and prevent cross-contamination during the COVID-19 pandemic. This failure placed the facility in an Immediate Jeopardy situation for one of five nursing units (MedBridge unit). […]

• Actual harm, isolatedF689Sep 22, 2021

  Based on clinical record review, review of facility investigation documentation, and resident and staff interviews, it was determined that the facility failed to ensure that interventions were put into place to prevent accident hazards resulting in a fall with fractures for one of four residents reviewed (Resident 1). Findings include: Review of Resident 1's clinical record revealed diagnoses that included [CONDITION(S)] (a group of lung diseases that make it hard to breathe and get worse over time), Peripheral Vascular Disease (a slow and progressive circulation disorder causing narrowing, blockage, or spasms in a blood vessel which may affect any blood vessel outside of the heart including the arteries, veins, or lymphatic vessels) and Cerebral Vascular Accident ([CONDITION(S)])… […]

• No harm, potential for more than minimal, patternF804Mar 26, 2026

  Based on resident and staff interviews, observations, and completion of a test tray for one meal, it was determined that the facility failed to provide foods that are palatable, attractive, and at appetizing temperatures. Findings include: Review of facility provided Test Tray Evaluation form, not date marked, read in part, cold foods should be less than or equal to 45 degrees Fahrenheit (F), and hot foods should be greater than 140 degrees F. During an interview with Resident 41 on March 24, 2026, at 9:42 AM, she revealed her food is always served cold. Interview with Resident 106 on March 24, 2026, at 10:03 AM, revealed he said the food is cold. […]

• No harm, potential for more than minimal, patternF812Mar 26, 2026

  Based on observation, review of facility policy, and staff interviews, it was determined that the facility failed to store and serve food/beverages in accordance with professional standards for food safety in the kitchen and in four nourishment pantries (A, B, Medbridge, and C stations).Findings include: Review of facility policy, titled Food Storage: Cold Foods, dated February 2023, read, in part, all foods will be stored in wrapped or in a covered container, labeled and dated. Observation March 23, 2026, at 9:20 AM, in the walk-in refrigerator revealed: one 5l pound American cheese package was open and not date marked. At that time, Employee 17 (Food Service Director) stated that the cheese was opened that morning. […]

• No harm, potential for more than minimal, patternF623Feb 13, 2025

  Based on clinical record review and staff interviews, it was determined that the facility failed to notify the resident/resident representative and the representative of the Office of the State Long-Term Care Ombudsman of resident transfers in writing to include the following: the reason for the transfer or discharge, date of transfer, location of transfer, statement of the resident's appeal rights, and name, address (mailing and email) and telephone number of the Office of the State Long-Term Care Ombudsman for three of four resident records reviewed regarding hospitalization s (Residents 37, 66, and 121). […]