Delaware Valley Veteran's Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 14% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 171 beds and averages 162.3 residents a day — about 95% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.23 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.82 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.46 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.64 hrs/resident/day on weekends vs 4.47 on weekdays — 19% thinner on weekends. RN hours go from 0.97 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 13 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-10-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policies and documentation, clinical record reviews and interviews with staff, it was determined that the facility failed to provide adequate supervision during a planned out-of-facility activities outing to a theater, for one of six residents reviewed who were at risk for elopement. This resulted in Resident R138 exiting the theater and was unable to be located for one hour and 45 minutes. This failure placed the resident at high risk for injury and was identified as an Immediate Jeopardy of past non-compliance. (Resident R138) Findings include: Review of facility policy, Policies and Procedures Related to Wandering and Elopement dated May 20, 2014, revealed that the purpose of the policy is to assess residents for the purpose of assuring their safety and determine the risk for wandering and/or elopement within or out of the home. Continued review revealed that all staff must maintain a heightened awareness of their surroundings, the residents in our care, and environmental issues…

  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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2026-04-15 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, facility documentation, staff interview and review of facility policy, the facility failed to ensure Resident R3 was free of abuse from Resident R2, who was known to have an aggressive behavior. This failure resulted in actual harm to Resident R3 who was shoved by Resident R2, resulting in a fall sustaining a left eyebrow abrasion, forehead bruising, and a left humeral head fracture for one of six residents reviewed. (Resident R3)Findings include: Review of the facility policy title Freedom from Abuse, Neglect, Exploitation and Misappropriation of Resident Property updated August 7, 2023 revealed It is the purpose of protocol to give guidance to the Department of Military and Veterans Affairs (DMVA), Bureau of Veterans Homes (BVH), State Veterans Homes (SVHs) to provide protections for the health, safety, welfare, and rights of each resident residing in the SVH by prohibiting and preventing abuse, neglect, exploitation, misappropriation of resident property, corporal…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-04-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, facility documentation, and staff interview, it was determined that the facility failed to provide adequate supervision to Resident R1, who was at risk for falls related to decreased mobility, and poor safety awareness, This failure resulted in actual harm, to Resident R1 who sustained a fall and was diagnosed with a hip fracture for one of 30 residents reviewed for one of six residents reviewed. (Resident R1) Findings include: Review of Resident R1's clinical record revealed the resident was admitted to the facility on [DATE], with diagnoses including Dementia (decline in cognitive function that interferes with daily life), Chronic Obstructive Pulmonary Disease (COPD - airway disease that restricts breathing), and Generalized Anxiety disorder. Review of Resident R1's Minimum Data Set (MDS - federally mandated resident assessment and care screening), dated January 21, 2026, revealed a Brief Interview for Mental Status (BIMS) score of 6, indicating severe cognitive impairment.…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-12 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview and review of facility policy, it was determined that the facility failed to ensure that residents drug regimen reviews were free from unnecessary drugs related to an increased medication dosage for one out of seven residents reviewed. (Resident R1)Findings Include: Review of facility policy titled, Medication Controlled Drug Administration Record Disposal of Schedule CII-CV Medications with a revision date of July 19, 2024 states, Policy-All schedule CII-CV medications will be counted by the outgoing and incoming nurses responsible for the medication cart at shift change on each unit . Under procedure the policy states, 1. Each medication nurse will complete a narcotic count at the beginning and the end of the shift for their medication cart. The nurse on duty and the relieving nurse will sign off on the Controlled Drugs-Count Record verifying all narcotics are accounted for and that the total for each Controlled Substance Administration Record matches the master…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility documentation, review of clinical record, observation and staff interviews, it was determined that the facility failed to provide adequate supervision for one of one resident observed who utilized outdoor relaxation time. (Resident R21). Findings:A review of the facility policy titled Outdoor Relaxation for Nursing Care Residents, revised July 2025, revealed: Residents who are not at risk for elopement/wandering will be able to enjoy the outdoor areas that are within the boundaries between daylight hours, from sunrise to sunset, for safety purposes.A review of the clinical record revealed that Resident R21 was admitted to the facility on [DATE], with diagnoses including unspecified dementia, psychotic disturbance, mood disturbance and anxiety, unspecified sensorineural hearing loss, and major depressive disorder, single episode.On July 21, 2025, at 9:00 a.m. and 3:01 p.m., observations showed that three to four residents were sitting outside with no staff supervision.On July 22, 2025,…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of clinical records, observations, facility policy and staff interviews, it was determined that the facility failed to identify that a resident was free from physical restraint due to locking the wheelchair as a restraint for one of the one resident reviewed. (Resident R70)Findings include:A review of the facility policy titled, Restrain Management Protocol revised August 2023 revealed The purpose of this protocol is to provide guidance to the Department of Military and Veterans Affairs (DMVA), Bureau of Veterans Homes (BVH), State Veterans Homes (SVHs) to maintain the resident's right to be free from any physical or chemical restraints that are implemented for discipline or convenience and not required to treat a medical condition.A review of the clinical record revealed that Resident R70 was admitted to the facility on [DATE], with a diagnosis of hemiplegia and hemiparesis following a cerebral infarction affecting the right dominant side. (Hemiplegia refers to complete paralysis of one side…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of clinical record, observations, and staff interview, it was determined that the facility failed to ensure the proper care of a resident with an indwelling urinary catheter for one of three residents observed with urinary catheters. (Resident R143) Findings include:Review of Resident R143's clinical record revealed Resident R143 was admitted to the facility on December17, 2024 with a diagnosis that included hemiplegia (total paralysis on one side of body) and hemiparesis (partial weakness on one side of body), obstructive and reflux uropathy (urine can't flow normally through urinary tract due to blockage), edema (swelling caused by too much fluid trapped in the body's tissue). Observation on July 21, 2025 at 11:25 revealed Resident R143 in his/her wheelchair in the hallway with his/her urinary catheter bag (collects urine from at tube inserted into the bladder) dragging on the floor.28 Pa. Code 211.12(d)(1) Nursing services Observation on July 21, 2025 at 11:35 p.m. revealed Resident R143 in the dining room with his/her urinary catheter on the floor. Interview on…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interviews, meal tray observations, and staff interviews, it was determined that the facility failed to provide palatable, appealing and attractive meals during lunch for one of one meal observations (lunch meal).Findings include:On July 21, 2025, at 12:31 p.m., observation and interview with Resident R52 revealed that he was served three pierogies with kielbasa for lunch and was unable to cut through the skin of the kielbasa. Resident R52 also reported that the pierogies appeared dry and were difficult to cut. He stated, The kielbasa is overcooked, and the pierogies are too hard to cut. Resident R52 only attempted to scoop out the soft potatoes from one pierogi and appeared visibly upset.On July 21, 2025, at 12:54 p.m., a test tray was conducted by the Dietary Director, Employee E3, to assess the palatability of the pierogies and kielbasa. The kielbasa was too hard to cut, and the pierogies were dry and difficult to cut through. Employee E3 reported that the facility could improve the meal by cutting the kielbasa into smaller pieces and adding more butter or…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, review of facility's menu and staff interviews, it was determined that the facility failed to meet resident's food preference for three of three residents reviewed. (Residents R111, R89, R98).Findings include:On July 21, 2025, at 11:50 a.m., an interview with Resident R111 stated, This is the second time this week we only have salads to choose from for dinner, no hot food.On July 21, 2025, at 12:24 p.m., an interview with Resident R89 revealed that, based on the current menu, only cold items would be available for dinner. Resident R89 took the menu off the table and reported that cold salads would be served for dinner, and that residents, including himself, would prefer one hot meal to be offered. A review of the grievance form for Resident R98, filed on June 9, 2025, revealed a concern related to the dinner menu on that date. Resident R98 reported that there were two cold options on the dinner menu and stated he/she spoke with someone from dietary, who explained that the menu comes from headquarters. The resolution, completed on June 12, 2025, was to ensure…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-24 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, policy review, and staff interviews, it was determined the facility failed to develop and implement a water management program for the prevention, detection, and control of waterborne contaminants such as Legionella (a bacteria that may cause [legionnaires disease, a serious type of pneumonia).Findings include: Review of Centers for Disease Control and Prevention (CDC) guideline for “Water Management and Healthcare Facilities” Revealed “Legionella water management programs identify hazardous conditions and include taking steps to minimize the growth and spread of Legionella in the building water system. Having a water management program is now an industry standard for large buildings in the United States” Review of Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) Memo titled “ Requirement to reduce legionella risk in healthcare facility water systems to prevent cases and outbreaks of legionella disease” Dated July 6 2018, Revealed “ Facilities must develop and adhere to policies and procedures that inhibit microbial…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-24 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, review of clinical records and interviews with staff, it was determined that the facility failed to follow and or clarify physician's orders relating to advance directives for one of eight residents reviewed. (resident r 168)Findings include:Review of the facility document Advanced Healthcare Directives dated [DATE], revealed the purpose of this protocol is to provide guidance for the facility, regarding honoring the resident's choice and self-determination related to their advanced healthcare directives. The components of this policy are defined as the following: The Pa. POLST, Pennsylvania physician orders for life sustaining treatment, a voluntary, portable medical order designed to support individuals transitioning between health care facilities or living in the community by communicating choices for care at the end of life. It is a document designed to help health care providers honor the wishes of their patients. A do not resuscitate, DNR order is a legally recognized…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-18 · tag F0699 — pattern
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of clinical records, staff and resident interviews, it was determined that the facility failed to provide culturally competent, trauma informed care in accordance with professional standards of practice, accounting for the resident's past experiences and preferences in order to eliminate and/or mitigate triggers that may cause re-traumatization of the resident for four of four sampled residents (Resident R128, R24, R74 and R106 ). Findings include: Review of facility policy Culturally Competent Trauma Informed Care dated July, 2024, revealed that The (FACILITY NAME) will use a multi-pronged approach to identifying a resident's history of trauma, as well as his or her cultural preferences This will include asking the resident about triggers that may be stressors or may prompt recall of a previous traumatic event, as well as screening and assessment tools such as the Resident Assessment Instrument (RAI), admission Assessment, the history and physical, the social history/assessment, and others. The United States Department of Veterans Affairs sanctions the PCL-5…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-18 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, review of clinical records, and interview with staff, it was determined that the facility failed to ensure medications were dispensed and administered in according to professional standards of practice relating to medication administration for one of 3 residents reviewed. (Resident R125) Findings include: Review of facility policy titled Medication Administration Protocol dated May 2022, revealed that every medication will have a physicians order, including the order route and dose of med and will be transcribed into medication administration record (MAR). Review of Resident R125's physician orders revealed that Resident R125 had an order for Methadone 20 milligrams (mg). U.D. ( unit dose) bottle once a day due to opioid dependence. Special Instructions: DRINK THE WHOLE BOTTLE, THEN FILL WITH WATER AND DRINK TO RINSE OUT REMAINING DRUG. NURSE AND PATIENT SIGN ASSOCIATED SHEET AFTER EACH ADMINISTRATION. DO NOT DISCARD BOTTLE. DX: OPIOD DEPENDENCE Once A Day Review of Drugs.com…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$10,036 in federal fines across 1 penalty.

• $10,036 — penalty dated 2024-09-10

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in PA