Haven Place Rehabilitation And Nursing Center

Based on observation and staff interview, it was determined the facility failed to store food and maintain food service equipment in a safe and sanitary manner in the facility's main kitchen. Findings include:Findings include: Observation of the facility's main kitchen with Employee 15, Dietary Manager, on September 2, 2025, at 9:45 AM revealed the following: A walk-in cooler contained multiple individually prepared food items (that included bowls of fruit, coleslaw, pudding, pureed and regular peaches, and pasta salad) that were placed on trays and stored on baking racks. The items were open to the ambient air and were not protected from any type of environmental contamination. A plastic chemical dispenser on top of the dishwasher was leaking a blue colored liquid that was pooling on top of the dishwasher and on the floor beneath. A walk-in freezer contained a box labeled gluten bread that was past the noted due date of July 31, 2025, and a bag of frozen corn with no date or labels. A plastic container that held saltine crackers was noted to be broken and had jagged plastic edges.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on review of the facility's arbitration agreement and resident and staff interview, it was determined that the facility failed to ensure that the resident or their representative understood the agreement for one of one resident reviewed (Resident 9) and failed to ensure the facility's arbitration agreement contained information indicating residents or their representatives are able to communicate with federal, state, or local officials.Findings include: Review of the facility's Arbitration Agreement (an agreement that the resident and the facility will resolve legal disputes through binding arbitration, waiving their right to a trial) provided to all residents on admission revealed no evidence that the facility made the residents or their representatives aware that signing the Arbitration Agreement does not exclude them from being able to communicate with federal, state, or local officials, such as federal and state surveyors, other federal or state health department employees, and representative of the Office of the State Long Term Care Ombudsman. Interview with the Nursing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on a review of Quality Assessment and Performance Improvement (QAPI) meeting attendance and staff interview, it was determined that the facility failed to ensure the committee consisted of the minimum required members (medical director) at least quarterly.Findings include: Review of QAPI meeting attendance records from October 30, 2024, to the most recent QAPI committee meeting on July 24, 2025, revealed the facility medical director only attended one meeting on July 30, 2025. Interview with the Nursing Home Administrator on September 4, 2025, at 2:05 PM confirmed that the facility failed to ensure at least quarterly QAPI meeting attendance by the facility's medical director (or designee). 28 Pa. Code 201.14(a) Responsibility of licensee28 Pa. Code 201.18(b)(3)(e)(3) Management

Based on review of select facility policies and procedures, observation, and staff interview, it was determined that the facility failed to ensure a resident's privacy during a medication pass on one of two nursing units (First Floor) and for one of 18 sampled residents (Resident 11). Findings include: The facility policy entitled Administering Medications, last reviewed without changes August 7, 2025, revealed medications that are given by routes other than mouth, nursing staff will administer in such a way as to maintain privacy. Oral medications can be given in a common area with the resident's consent. Observation of the First Floor nursing unit on September 2, 2025, at 11:55 AM revealed Employee 19 (licensed practical nurse) was in Resident 11's room administering his enteral feed. Resident 11's shirt was pulled up, and he was exposed to anyone walking in the hallway. Resident 11's roommate was sitting in his personal chair watching Employee 19 administer Resident 11's enteral feed. There was no privacy curtain pulled. Interview with Employee 19 on September 2, 2025, at 11:57…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, clinical record review, and resident family and staff interview, it was determined that the facility failed to provide a dependent resident with activities of daily living assistance for one of four residents reviewed (Resident 12). Findings include: Observation of Resident 12 on September 2, 2025, at 11:42 AM revealed several days of beard growth on his face. During an interview with Resident 12 at this time, he stated he likes to be clean shaven, but he doesn't know where staff put his razor. Observation of the room revealed that a razor was on his nightstand out of his reach. Further observation of Resident 12 revealed his fingernails were long with brown substances under several nails. Clinical record review revealed the facility admitted Resident 12 on November 11, 2024, with diagnosis including cerebral palsy (brain disorder affecting body movement and muscle coordination). Review of Resident 12's plan of care initiated November 8, 2024, revealed Resident 12 has cerebral palsy, and has declined in his activities of daily living (ADL). Resident 12's care…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to appropriately implement a fall intervention to prevent potential resident injury for one of three residents reviewed for falls (Resident 10).Findings include: Clinical record review for Resident 10 revealed a diagnosis list that included Alzheimer's Disease (a brain disorder that leads to a gradual decline in memory, thinking, and the ability to complete simple tasks), a need for assistance with personal care, and abnormalities of gait and mobility. A current physician's order for Resident 10 revealed an order dated March 27, 2025, for a bed alarm and check functioning every shift. Further clinical record review for Resident 10 revealed a significant change Minimum Data Set Assessment (MDS, an assessment completed at specific intervals to determine care needs) dated May 2, 2025, that noted facility staff assessed the resident as having a BIMS (Brief Interview for Mental Status) of 99, which indicated cognitive impairment. Resident 10's care plan…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, clinical record review, review of select facility documentation, and staff interview, it was determined that the facility failed to conduct ongoing assessments to assure that bedrails were used to meet a resident's needs and an ongoing evaluation of risks associated with bedrail usage for one of six residents reviewed for accident hazards (Resident 15). Findings include: Observation of Resident 15's bed on September 4, 2025, at 2:19 PM revealed the bed had bilateral enabler bars. Observation of Resident 15 on September 5, 2025, at 9:15 AM revealed the resident was in bed resting. The bed had bilateral enabler bars. Clinical record review for Resident 15 revealed a diagnosis list that included dementia (a loss of cognitive function that is caused by the permanent damage or death of the brain's nerve cells, or neurons). Further clinical record review for Resident 15 revealed an annual Minimum Data Set Assessment (MDS, an assessment completed at specific intervals to determine care needs) dated July 28, 2025, that noted facility staff assessed the resident's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on employee personnel record review and staff interview, it was determined that the facility failed to complete a performance evaluation of each nurse aide at least once every 12 months for two of two nurse aides reviewed (Employees 11 and 12).Findings include: The facility noted the following hire dates for two employees reviewed for performance evaluations (EPR, employee performance review): Employee 11's hire date of July 22, 2019. Employee 12's hire date of March 28, 2022. A request to review the annual performance evaluations revealed no documented evidence that the facility completed performance evaluations for Employees 11 and 12 (nurse aides) at least once every 12 months. Interview with the Nursing Home Administrator on September 4, 2025, at 2:19 PM confirmed that performance evaluations were not completed annually on the two employees requested. 28 Pa. Code 201.19 (2) Personnel policies and procedures

Based on clinical record review and staff interview, it was determined that the facility failed to develop and implement individualized person-centered care plans to address dementia and cognitive loss displayed by one of five residents reviewed (Resident 2). Findings include: Clinical record review for Resident 2 revealed the facility admitted her on April 8, 2025, with diagnoses including dementia (loss of memory, language, problem-solving, and other thinking abilities that interfere with daily life) added August 5, 2025. A review of Resident 2's admission Minimum Data Set Assessment (MDS, a form completed at specific intervals to determine care needs) dated April 9, 2025, indicated that the facility assessed Resident 2 as having a diagnosis of dementia, or cognitive loss. The facility determined that a care plan for dementia and cognitive loss would be developed. A review of Resident 2's care plan revealed that there was no indication that the facility had developed and implemented a person-centered care plan to address the resident's dementia and cognitive loss. The findings…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on review of select policies and staff interview, it was determined that the facility failed to implement an effective Water Management Program for the prevention and control of water-borne contaminants, such as Legionella (a bacteria that may cause Legionnaires' Disease, a serious type of pneumonia), and failed to implement enhanced barrier precautions or one of six residents reviewed for infection control concerns (Resident 11). Findings include: The CDCs (Centers for Disease Control and Prevention) current Water Management Program Toolkit, Practical Guide to Implementing Industry Standards, indicated that many buildings need a water management program to reduce the risk for Legionella (bacteria that can grow and spread in water systems and can cause a serious type of pneumonia (lung infection) known as Legionnaires' disease) growing and spreading within their water system and devices. Developing and maintaining a water management program is a multi-step process that requires continuous review. Steps to building an effective Legionella water management program include: A…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on clinical record review and staff interview, it was determined that the facility failed to monitor and assess a resident to maintain acceptable weights regarding nutrition management for one of three residents reviewed (Resident 1). Findings include: Clinical record review for Resident 1 revealed diagnoses which included Dysphagia (difficulty swallowing), Gastro-esophageal reflux disease (GERD), Vitamin D Deficiency, Hypokalemia (low Potassium levels), and Dementia with Psychotic Disturbance. Further review revealed that Resident 1's weights were as follows: December 5, 2024, 110.4 pounds January 6, 2025, 109.6 pounds (0.8 pounds, 0.7 percent weight loss in one month) February 13, 2025, 106.4 pounds (4 pounds, 3.6 percent weight loss in two months) March 5, 2025, 101.6 pounds (8.8 pounds, 7.9 percent weight loss in three months) April 5, 2025, 99.2 pounds (11.2 pounds, 10.14 percent weight loss in four months) April 17, 2025, 99.0 pounds (11.4 pounds, 10.32 percent weight loss in 4.5 months) On February 14, 2025, Employee 1, speech therapist, ordered a full liquid diet with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on review of select facility policies, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to ensure resident's privacy during care and services including incontinence care for two of three sampled residents (Residents 1 and 2). Findings include: Review of a Centers for Medicare and Medicaid Services (CMS) Memo S&C: 16-33-NH entitled, Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recording by Nursing Home Staff, dated August 5, 2016, revealed that each resident has the right to be free from all types of abuse, including mental abuse. Mental abuse includes, but is not limited to, abuse that is facilitated or caused by nursing home staff taking or using photographs or in a manner that would demean or humiliate a resident. There may be situations in which the resident is unable to express him/herself due to a medical condition and/or cognitive impairment, cannot relate what has occurred, or may not express outward signs of physical harm, pain, or mental anguish.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, it was determined that the facility failed to establish clear and consistent resident wishes regarding advance directives for one of three residents reviewed (Resident 34). Findings include: Review of Resident 34's electronic clinical record revealed a physician's order dated [DATE], indicating the resident was a DNR, (do not resuscitate) in the event the resident's heart stops beating. A review of Resident 34's paper clinical record revealed a large sticker on the outside of the chart indicating DNR. At the front of Resident 24's paper clinical record a sheet entitled Physician Provider Orders - Indication of resuscitation level noted it was discussed with the POA (power of attorney) DNR/DNI (do not resuscitate/do not intubate), over the phone and this is also what the patient wants. The form was signed by the resident on [DATE]. Directly behind the form noted above in the paper record was a POLST (Physician Orders for Life-Sustaining Treatment, a document…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, clinical record review, and resident family and staff interview, it was determined that the facility failed to provide a dependent resident with activities of daily living assistance for one of one resident reviewed (Resident 35). Findings include: Observation of Resident 35 on October 1, 2024, at 10:52 AM revealed several days of beard growth on his face. Resident 35 stated that he had a shower that morning and prefers to be clean shaven. Further interview with Resident 35's family on October 1, 2024, at 12:38 PM revealed that the staff do not shave Resident 35 because the razors were too dull, and they cut his face. Resident 35's family stated that he only gets shaved when he goes to the beautician. Clinical record review for Resident 35 revealed a plan of care developed by the facility to address his activity of daily living deficit initiated on March 6, 2024, noting Resident 35 required extensive to total dependence on staff for personal hygiene. Clinical record review for Resident 35 revealed his most recent MDS (Minimum Data Set, an assessment completed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on clinical record review and staff interview, it was determined that the facility failed to provide the highest practicable care regarding physician ordered pain medications for two of two residents reviewed (Residents 59 and 63) Findings include: Clinical record review for Resident 59 revealed physician orders for the following pain medications: Ordered on March 28, 2024, and discontinued on June 14, 2024, Acetaminophen (Tylenol, for mild pain) 325 milligrams (mg) 2 tablets by mouth (PO) every 6 hours as needed (PRN) for pain, not to exceed 3 grams per 24 hours. Ordered on May 25, 2024, and discontinued on May 28, 2024, Oxycodone (for moderate to severe pain) 5 mg one-half tablet PO every 4 hours PRN for moderate pain 4-6 on a scale of 1-10. Ordered on May 28, 2024, Oxycodone 10 mg PO every 4 hours PRN for pain 5-10. There was no documentation that the facility identified which pain medication staff were to administer for mild, moderate, and/or severe pain parameters or that the facility identified that multiple medications were available for the same pain parameter. Review…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, and staff interview, it was determined that the facility failed to ensure an environment free from the potential spread of infection for one of one resident reviewed for COVID-19 transmission-based precaution concerns (Residents 218). Findings include: The Infection Control Guidance: SARS-CoV2 https://www.cdc.gov/covid/hcp/infection-control/index.html, last updated June 24, 2024, notes that health care personnel who enter the room of a patient with suspected or confirmed SARS=CoV-2 should adhere to standard precautions and use a NIOSH approved particulate respirator with N95 filters or higher, gown, gloves, and eye protection (i.e., goggles or a face shield that covers the front and sides of the face. Clinical record review for Resident 218 revealed the resident was admitted to the facility on [DATE]. A nursing note dated September 27, 2024, noted the resident's COVID swab results positive. An observation of Resident 218's room on October 1, 2024, at 12:47 PM…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, it was determined that the facility failed to establish clear and consistent resident wishes regarding advance directives for one of one resident reviewed (Resident 26). Findings include: A review of Resident 26's clinical record revealed that the facility admitted him on [DATE]. A review of Resident 26's POLST (Physician Orders for Life-Sustaining Treatment, a document for specific medical orders to be honored by health care workers during a medical crisis) form indicated Resident 26's responsible party chose CPR (cardiopulmonary resuscitation). A physician's order dated [DATE], indicated that Resident 26 was a DNR (do not attempt resuscitation). An interview with the Director of Nursing on [DATE], at 2:24 PM confirmed these findings for Resident 26. 28 Pa. Code 201.18(b)(1) Management 28 Pa. Code 201.29(a) Resident rights 28 Pa. Code 211.5(f) Clinical Records

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, it was determined that the facility failed to provide a written notice of the facility's bed hold policy to the resident or responsible party for three of eight residents reviewed for hospitalizations (Residents 6, 26, and 65). Findings include: Review of Resident 6's clinical record revealed that she was admitted to the hospital on [DATE], after going to a cardiology appointment. Resident 6 was in the hospital until August 15, 2023. There was no documented evidence in Resident 6's clinical record to indicate that the facility provided her, or her responsible party written information on the facility's bed hold policy. Interview with the Administrator and Director of Nursing on November 9, at 9:00 AM confirmed the above findings for Resident 6. A review of Resident 26's clinical record revealed that the facility sent him to the hospital from [DATE] to 19, 2023. There was no documented evidence in Resident 26's clinical record to indicate that the facility…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, it was determined that the facility failed to ensure accurate completion of a resident assessment for two of 24 residents reviewed (Resident 22 and 49). Findings include: Clinical record review for Resident 22 revealed an admission Minimum Data Set Assessment (MDS, an assessment completed at specific intervals by the facility to determine care needs of the resident) dated October 4, 2023, that indicated he was on a ventilator (a machine that is used to push air in and out of the lungs to assist with breathing), while a resident in the facility. Interview with Employee 5, Registered Nurse Assessment Coordinator (RNAC), on November 7, 2023, at 12:52 PM revealed that Resident 22 was not on a ventilator while a resident at the facility and that this was a coding error. The Nursing Home Administrator and Director of Nursing were made aware the MDS coding error related to Resident 22 during a meeting on November 8, 2023, at 11:02 AM. Review of Resident 49's clinical…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, clinical record review, and staff interview, it was determined that the facility failed to provide care, consistent with physician orders, for the administration of supplemental oxygen for one of one resident reviewed for oxygen use (Resident 6). Findings include: Review of Resident 6's clinical record revealed a physician's order dated October 20, 2023, for nursing staff to administer 4 Liters of oxygen per minute via nasal cannula (a tubing that connects the flow of oxygen to the resident's nose) every day and night shift related to her chronic obstructive pulmonary disease. The physician's order indicated that the oxygen may be removed as needed for toileting and bathing. There was no addendum in Resident 6's physician's order to indicate that nursing staff were to change the liter flow of the oxygen based on titration levels. Observation on November 7, 2023, at 9:36 AM revealed Resident 6's oxygen was running at 1.5 liters per minute. Observation on November 7, 2023, at 12:15 PM revealed Resident 6's oxygen was running at 1.5 liters per minute. Observation…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, review of select policies and procedures, and staff interview, it was determined that the facility failed to secure medications and biologicals on one of two nursing units (First Floor Nursing Unit). Findings include: Review of the policy entitled Storage of Medications, last reviewed July 17, 2023, indicates that medications and biologicals are stored safely, securely, and properly, following manufacture's recommendations or those of the supplier. The medication supply is only accessible to licensed personnel. Observation on November 9, 2023, at 9:11 AM revealed the following tubes of biologicals on top of a medication cart: Multiple tubes Triamcinolone cream (a prescription steroid cream used to treat skin diseases) Multiple tubes of Voltaren cream (used to treat arthritic pain) Nystatin powder (a prescription powder used to treat fungal infections) Metronidazole vaginal gel (a prescription medication used to treat vaginal fungal infections) Employee 1, licensed practical nurse, approached the medication cart during the surveyors observations at 9:12 AM, and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, review of select policies and procedures, and staff interview, it was determined that the facility failed to implement a restorative range of motion physical therapy program to maintain range of motion for one of four residents reviewed (Resident 1). Findings include: The policy entitled Restorative Nursing Policies, last reviewed October 2022, indicates that referrals will be made by the appropriate discipline via a restorative therapy referral. It is the responsibility of the restorative nurse to plan, develop, and implement a restorative therapy program to oversee daily operations. Review of Resident 1's clinical record revealed a physician's order for a physical therapy evaluation on July 24, 2023. Resident 1 was on physical therapy caseload from July 24, 2023, until August 25, 2023, at which time Resident 1 was noted to not be progressing in therapy and therapy was then discontinued. Review of the physical therapy Discharge summary dated [DATE], indicated that the physical…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.