Rosemont Center

Based on review of facility policy, observations, and staff interview it was determined that the facility failed to store and prepare food in accordance with standards of food service safety (Main Kitchen). Findings Include:Review of undated facility policy Food Storage revealed leftover food is stored in covered containers or wrapped carefully and securely.Observations during an initial tour of the main kitchen on September 2, 2025, at 9:00 a.m. with Food Service Director, Employee E6, revealed the following:Observations of the walk-in refrigerator revealed deli meats in open plastic bags, not sealed. Further observations revealed opened containers of chicken and beef broth base, with no open date.Observations in the walk-in freezer revealed a box of cauliflower open to air, not sealed. 28 Pa. Code 201.14 (a) Responsibility of licensee.

Based on review of facility policy, review of clinical records, observations, and staff interviews it was determined that the facility failed to implement an effective infection control program related to medication administration and the use of personal protective equipment (PPE) in enhanced barrier precautions 4 of 17 residents reviewed (Resident R27, R47, R14, R59). Findings Include:Review of facility policy on Enhanced Barrier Precaution (EBP) dated April 1, 2024, revealed that it is the policy of the facility to follow state and federal guidelines to minimize the spread of Multidrug Resistant Organism (MDRO's) by implementing effective personal protective equipment (PPE) usage. The policy is intended to provide guidance for PPE use as well as room restriction for preventing transmission of MDRO's. Under section Key Points #2. EBP is indicated for residents with the following: wounds or indwelling medical devises, regardless of MDRO colonization status; infections or colonization with an MDRO when contact precaution do not otherwise apply. Observation of the first-floor unit…

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 review of clinical records and interviews with staff, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 6 of 18 resident records reviewed (Residents R17, R41, R44, R48, R49, and R59). Findings include: Review of Resident R17's clinical record revealed the resident was initially admitted to the facility on [DATE], diagnosed with Acute and Chronic Respiratory Failure With Hypoxia (a condition that occurs when the body doesn't have enough oxygen in its tissues); and was ordered, dated August 6, 2024, with oxygen at 2L/Min, via nasal cannula continuously, every shift, related to acute and chronic respiratory failure with hypoxia (low lwvels of oxygen) On October 10, 2024, at 1:13 p.m., Resident R17 was observed that R17 receiving oxygen via nasal…

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 review of facility documentation and staff interview, it was determined that the facility failed to ensure that the resident's rights to privacy and confidentiality of his/her medical records was maintained for one of 24 residents observed (Resident R28). Findings include: Upon request of facility's HIPAA (Health Insurance Portability and Accountability Act) policies and procedures, the facility provided surveyors with the facility's HIPAA Training Program on confidentiality. Review of facility HIPAA Training Program on confidentiality revealed that policy statement. All facility personnel, including business associates, are required to attend our HIPAA Compliance training program. Under section Policy Interpretation and Implementation. Number one to ensure the confidentiality of our residents protected health information and facility information, HIPAA and Data Security training program will be provided for all employees and business associates who have access to protected health and facility information. The HIPAA training program…

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 clinical record review, review of facility documentation and interview with staff, it was determined that the facility failed to ensure that resident/resident representative were notified of resident's discharge/transfer for three of three residents reviewed (Resident R11, R41, R42) Findings include: Request for the policy on Resident/Resident Representative and Ombudsman notification of resident's discharge/transfer revealed that the facility was not able to produce a policy. Review of Resident R11's clinical record revealed that Resident R11 was transferred to a local hospital on September 28, 2024, after a seizure episode which resulted in a fall. Further review of Resident R11's clinical record revealed no documented evidence that the facility notified the resident and the resident's representative(s) of the transfer or discharge and the reasons for the move in writing and in a language and manner they understand. Review of Resident R41's clinical record revealed the resident was admitted to the facility diagnosed with epilepsy, depression, anxiety and past…

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 a review of clinical records, review of the Resident Assessment Instrument and staff interviews, it was determined that the facility failed to conduct a significant change Minimum Data Set Assessments (MDS - a federally mandated standardized assessment process conducted at specific intervals to plan resident care) for one of twenty-four residents reviewed who had a below the knee amputation (Resident R59). Findings include: Review of Resident R59's clinical record revealed that Resident R59 was initially admitted to the facility on [DATE], with a most recent readmission of September 15, 2024, from a local hospital status post (S/P or after) Right Below the Knee Amputation. Further review of Resident R59's clinical record revealed that Resident R59 had the following diagnoses Acute Osteomyelitis of the right ankle and foot dated July 20, 2024, Type two Diabetes Miletus dated July 20, 2024, and Acquired Absence of Right Leg Below the Knee dated September 16, 2024. Review of Resident R59's clinical record…

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 observations, review of facility policy, review of clinical records, and staff and resident interviews, it was determined that the facility failed to ensure a resident with limited range of motion received treatment and services to maintain or improve range of motion/mobility for one of 24 residents reviewed for limited range of motion (Resident R49). Findings include: Review of Resident R49's OT (Occupational Therapy) Discharge summary dated [DATE], revealed a discharge recommendation for splint/brace and AROM (active range of motion) and PROM (passive range of motion), transfers and grooming. Review of Resident R49's physician's order dated March 14, 2024, revealed Splint: RUE (right upper extremity) resting hand splint, on after lunch meal daily and worn per tolerance; patient may remove independently. Review of Resident R49's March 2024- October 2024 Treatment Administration Record no documented evidence that donning and doffing of splint was performed. Further review of resident R49'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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, review of facility policy and staff interview, it was determined that the facility failed to provide appropriate respiratory care and services for two of 18 residents reviewed (Residents R17, R38). Findings include: Review of Resident R17's clinical record revealed the resident was initially admitted to the facility on [DATE], diagnosed with Acute and Chronic Respiratory Failure with Hypoxia (a condition that occurs when the body doesn't have enough oxygen in its tissues); and was ordered, dated August 6, 2024, with oxygen at 2 liters/min, via nasal cannula continuously, every shift, related to acute and chronic respiratory failure with hypoxia (low levels of oxygen). On October 10, 2024, at 1:13 p.m., observed that Resident R17 was administered oxygen at 3 liters/min via nasal canula. and not 2 liters/min, as ordered by the physician, and the same was confirmed with a Licensed Nurse, Employee E5, at the time of the finding. Review of Resident R38's clinical record…

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, and interviews with staff, it was determined that the facility failed to maintain an effective infection control program related with wound treatment for one out of one resident observed and disinfecting of medical equipment (R44). Findings include: Review of physician order for Resident R44, dated September 27, 2024, indicated to administer wound care to right hip to right buttock, with cleanser: normal saline, Primary; Santyl, Calcium Alginate; Secondary: bordered gauze dressing, every shift and as needed; apply Santyl to the Slough and Eschar only, every shift to maintain Skin Integrity and every 8 hours, as needed to maintain skin integrity. On October 10, 2024, at 12:22 p.m., observed the wound treatment administered to Resident R44, by a Licensed Practical Nurse (LPN), Employee E4. It was observed that Employee E4, transported the whole treatment cart into R44's room, the room which was marked for Enhanced Barrier Precaution. Employee E4 was observed cleansed the wound of R44 without following the rule to cleanse from center to outer side of the wound.…

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 observations and staff interviews, it was determined that the facility failed to provide a safe, sanitary, and comfortable environment in one resident room on the 1st floor. (room [ROOM NUMBER]) Findings: On June 25, 2024, at 10:08 a.m. observations were conducted in rooms 105A bed and 105C bed. Bed 105A Resident R1 was lying in a bariatric bed which was located between the A and B section of the room. Room was cluttered with open and closed boxes on the floor against the wall. Room had two drawers full of items on the top. On the top of those boxes there was large number of random items including spices, hygiene, snacks, multiple basins, jewelry, clothing stored. Open grocery paper bags were stored on the floor with random items such as snacks, nuts, sodas, jams, bottles of water. Underneath the bed there were grocery paper bags with random papers, snacks, fruit cups and there was a urinal container. The chair was full of clothing, papers, snacks, sodas, on the top of each other. In addition, a 5-power…

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 staff interviews and the review of the clinical record, it was determined that the facility failed to ensure that the physician was notified of a change in the resident's medical status for one out of four residents reviewed (Resident R1). Findings include: Review of the facility policy, Change in a Resident's Condition of Status, with a revision date of May 2021 indicated that the facility will notify the resident, his/or attending physician and the resident's representative of changes in the resident's medical/mental condition and/or status. Continued review of the policy indicated that the nurse will notify the resident's attending physician or the physician on call when incidents including, but not limited to the following has occurred with the resident: accident or incident involving the resident; discovery of injuries of an unknown origin; adverse reaction to medication; significant change in the resident's physical/emotional/mental condition; refusal of treatment for two or more consecutive times, or the need to transfer the resident out of the hospital. Review of…

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 interviews with staff, it was determined that the facility failed to develop a comprehensive care plan related to psychotropic medications and behavior management for one of 14 residents reviewed (Resident R27). Findings include: Review of Resident R27's admission MDS (Minimum Data Set - a mandatory periodic resident assessment tool), dated December 19, 2023, revealed that the resident was admitted to the facility on [DATE], and had diagnoses including dementia (decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities), anxiety disorder (intense, excessive, persistent worry or fear) and sleep disorder. Review of progress notes for Resident R27 revealed a nurses note, dated December 15, 2023, at 6:49 a.m. which indicated that the resident exhibited several behaviors, including agitation, verbal aggression, inability to be re-directed and disrobing. Continue review of progress notes for Resident R27 revealed a nurses…

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 observations, reviews of clinical records, facility policies and procedures, and interviews with staff and resident, it was determined that the facility failed to provide adequate treatment and care for a peripherally inserted central catheter (PICC) line in accordance with professional standards of practice for one of 30 residents reviewed (Resident R354). Findings include: According to the standards of nursing practice guidelines in the Journal of the American Nurse's Association, dated November 2013, complications of a PICC line includes, but is not limited to catheter-tip migration (assessed by external length of the catheter-amount of catheter tubing that is visible outside of the vein moves from original insertion and may cause medical complications). Review of this facility policy Peripherally Inserted Central Catheter (PICC's) , dated May 18, 2020, revealed that Must be assessed using sterile technique with the maintenance of positive pressure. PICC's are to be capped when not in use. The extension tubing attached to the PICC at the time of the insertion must not be…

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 the review of clinical records, facility documentation, observations, interview with staff, it was determined that the facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to the care of residents with PICC line ( a tube placed in a large vein in the neck, chest, groin, or arm to give fluids, blood, or medications or to do medical tests quickly). Two of two employee records reviewed. (Employee E4 and E5). Findings Include: Observation of a PICC line medication administration for Resident R354 on January 30, 2024, at 12:16 p.m. with the extension tube and the cap for both lumens were missing which exposed the PICC line. Employee E4 was preparing medication to be administered via PICC line. It appeared that the staff was given instruction by Employee E5 during the medication preparation, setting up of IV pump, and medication administration. Employee E4 worn gloves when preparing medication in the hallway, using the same gloves touched medication cart, IV pump pole and the resident. Further observation revealed that the…

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 the review of Quality Improvement Program (QUAPI) plan, facility documentation, and interview with staff, it was determined that the facility failed to demonstrate and maintain an effective Quality Improvement Program with systems and reports demonstrating systematic identification, reporting, investigation, analysis, and prevention of adverse events and performance indicators. Findings include: Review of the facility policy QUAPI, revealed, Our organization's written QAA/QAPI plan provides guidance for our overall quality improvement program. Quality assurance performance improvement principles will drive the decision making within our organization. Decisions will be made to promote excellence in quality of care, quality of life resident choice person directed care, and resident transitions. Focus areas will include all systems that affect resident and family satisfaction, quality of care and services provided, and all areas that affect the quality of life for persons living and working in our organization. The facility's QUAPI policy failed to address the following…

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 facility documentation and staff interview, it was determined that the facility failed to ensure its nurse aide staff was receiving in-service training to be proficient and competent and that the training be no less than 12 hours annually for five of five nurse aide staff training information reviewed (E6. E7, E8, E9 and E10). Findings Include: Review of the nurse aide annual training information provided during the survey revealed that there were no training logs/tracking to review for nurse aides E6. E7, E8, E9 and E10 Review of the nurse aide training/in-service information provided during the survey revealed that nurse aides training logs did not contain evidence that the training met the twelve hours of annual training requirement. An interview with the Director of Nursing on February 1, 2024, at 11:00 a.m. confirmed that the facility did not track the in-service training for their nurses' aides and the facility documentation did not contain evidence of that the training for E6. E7, E8, E9 and E10 met the twelve hours of annual training requirement. 28 Pa.…

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 review of facility policies, clinical record review and interviews with residents and staff, it was determined that the facility failed to provide written notice, including reason for transfer before a resident's room was change for two of four residents reviewed (Residents R1 and R2). Findings Include: A review of facility policy titled, Room Change/Roommate Assignment revised May 2017, indicated that prior to changing a room or roommate assignment all parties involved in the change/assignment, residents and their representatives will be given a notice in advance of such change. Advance notice of room change will include why the change is being made. Review of Resident R1's Quarterly Minimum Data Set (MDS - federally mandated assessment of a resident's abilities and care needs) dated November 4, 2023, revealed Resident R1 was admitted to the facility on [DATE]. Continued review of Resident's MDS revealed a BIMS (Brief Interview for Mental Status) score of 14, indicating that the resident was…

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 interview with staff, it was determined that the facility failed to provide wound treatment related to a resident's wound for one of two residents reviewed. (Resident R1) Findings include: Review of Resident R1's clinical record revealed that Resident R1 was admitted to the facility on [DATE] with the diagnoses of Peripheral Vascular Disease (a systemic disorder that involves the narrowing of peripheral blood vessels) and open wound on the lower leg. Review of Resident R1's quarterly MDS (Minimum data set-a federally required resident assessment completed at a specific interval) dated September 15, 2023, revealed that Section C0500 BIMS (brief interview for mental status) scored 13 suggesting that Resident R1 was cognitively intact. Review of MDS section M (skin conditions) revealed that Resident R1 was at risk for pressure ulcer, had venous or arterial ulcers and skin tears. Further review of Resident R1's quarterly MDS dated [DATE], section M1200 (I) Application of dressing…

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 observations, staff interviews, review of facility policy and the review of clinical records, it was determined that the facility failed to ensure a care plan was updated with the correct positioning device for 1 resident (Resident R3) and not updated for colostomy care for one resident for 2 out of 15 residents reviewed (Resident R3 and Resident R49). Findings include: Review of the policy, Care Plans Comprehensive Person-Centered, with a revision date of March 2022 indicated that the resident's comprehensive, perso-centered care plan describes the services that are to be furnished to attain or maintained the resident's highest practicable physician, mental and psychosocial well-being, including any specialized services, and describes which professional services are responsible for each element of care; reflects currently recognized standards of practice for problem areas and conditions. The policy also indicated that assessments are ongoing and revised as information about the residents and the…

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 observations, review of facility policy, staff interviews and the review of clinical records, it was determined that the facility failed to ensure that resident received appropriate care and services related to activities of daily living for 2 out of 15 records reviewed (Resident R3 and Resident R34). Findings include: Review of the facility policy Activities of Daily (ADL), Supporting with a revision date of March 2018, residents will [sic] provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs). The policy also indicated that residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. Review of the September 2023 physician orders for Resident R3 included the following diagnosis: history of traumatic brain injury; hearing loss; Chronic Obstructive Pulmonary Disease (COPD-a disease characterized by…

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 observations, staff interviews and the review of clinical records, it was determined that the facility failed to ensure that a resident's restorative nursing care program was implemented for 2 out of 15 residents reviewed (Resident R15). Findings include: Interview with Resident R15 on September 25, 2023, at 1:30 p.m., stated he was supposed walk with staff assistance five times a week and he was not receiving it. He stated most of the days there was short staffing and staff did not get time to assist him to walk. Review of care plan for Resident R15 dated December 2, 2021, revealed that the resident had self-care deficit related to impaired ambulation and required one person assist and rolling walker for ambulation. Continued review of the care plan revealed that Resident R15 was care planned to walk up to 120 feet with rolling walker and with stand by assist of one person for 15 minutes, five times a week for the goal to maintain lower extremity strength and walking ability. Review of nursing assistant restorative nursing documentation for Resident R15 revealed that for…

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 the review of facility policies, clinical records, observations and interview with resident and staff, it was determined that the facility failed to provide pain management consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one of 18 residents reviewed. (Resident R49). Findings Include: Review of facility policy Pain Assessment and Management, dated March 2020, revealed that During the comprehensive pain assessment gather the following information as indicated from the resident (or legal representative): a. History of pain and its treatment, including pharmacological and non-pharmacological interventions. b. Characteristics of pain: (1) Location of pain; (2) Intensity of pain (as measured on a standardized pain scale); (3) Characteristics of pain (e.g., aching, burning, crushing, numbness, burning, etc.); (4) Pattern of pain (e.g., constant or intermittent); and (5) Frequency, timing and duration of pain. c. Impact of pain on quality of life; d. Factors that precipitate or exacerbate…

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.