Wayne Center

Based on interview and record review it was determined that the facility failed to hold care plan meetings with the required members of the interdisciplinary team for one out of eight residents reviewed (Resident 9).Findings include:Review of Resident 9's quarterly MDS assessment (Minimum Data Set - a mandatory assessment of resident care needs and medical condition) dated May 13, 2026, revealed Resident 9 was cognitively intact and their own representative. Resident 9 was totally dependent on facility staff to complete activities of daily living and dependent on facility staff for mobility. Resident 9 was totally dependent on facility staff to get out of bed.Review of clinical records revealed that Resident 9 had quarterly MDS assessments on May 13, 2026, February 13, 2026, September 5, 2025, and a significant change (a decline or improvement affecting multiple health areas and requiring an interdisciplinary care-plan revision) MDS assessment on November 14, 2025. Further review of clinical records failed to reveal that an interdisciplinary care plan meeting occurred after those…

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 policy reviews, clinical records review and staff interviews, it was determined that the facility failed to develop physician orders regarding respiratory care for one of one resident's reviewed (Resident 117). Findings Include:Review of Resident 117's diagnosis list revealed chronic obstructive pulmonary disease, unspecified (a common lung disease causing restricted airflow and breathing problems).Observations of Resident 117 on June 23, 2026, at 10:40am; June 24, 2026, at 1:15pm and June 25, 2026, at 10:20am revealed resident was receiving oxygen at 2L/min via Nasal Cannula (tube inserted into the nose to deliver extra oxygen).Review of Resident 117 physician orders failed to reveal orders for oxygen therapy including method of administration, volume to be administered, or frequency of administration.Interview with Licensed Nurse Employee E3 on June 25, 2026, at 10:29am confirmed that resident does not have an order for oxygen therapy.Interview with Director of Nursing on June 25, 2026, at 11:00am confirmed the above findings.28 Pa code: 211.12(d)(1)(3)(5) Nursing services

Based on a review of the facility's policy, clinical records review, and staff interview, it was determined that the facility failed to ensure that as-needed anti-anxiety medication were administered with appropriate indications and that non-pharmacological interventions were provided before administering the medication for one of five residents reviewed (Resident 58). Findings include: A review of the facility's policy titled Medication Management, undated revealed non-pharmacological interventions such as behavior modification or social services and their effects are documented as part of the care planning process and are utilized by the prescriber in assessing the continued need for medication. The same policy revealed that the clinical record must reflect an adequate indication for the use of psychotropic medications. A review of Resident 58's physician's order dated May 9, 2025, revealed an order for Clonazepam (An anti-anxiety medication) 0.5 mg giving one tablet every 12 hours as needed for anxiety. A review of Resident 58's May 2025, Medication Administration Record revealed…

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 records review and staff interview, it was determined that the facility failed to follow physician's order regarding insulin/blood sugar parameters and fluid restrictions for three of 22 residents reviewed (Residents 15, 58, and 87) Findings include: Review of Resident 15's clinical record revealed diagnoses including but not limited to chronic kidney disease stage 3 (failure of kidney function to remove toxins from blood), diabetes type 2, heart disease and dementia (general loss of cognitive abilities, including memory). Review of Resident 15's physician order dated October 3, 2024 ,revealed an order for daily fluid restriction of 2000 ml daily as follows: Breakfast tray 540 ml; Free fluids day shift 400ml; Lunch tray 180 ml; Free fluids evening shift 600ml; Dinner tray 180ml; Free fluids Night shift 100ml. Review of Resident 15's Medication Administration Record (MAR) revealed no evidence of fluid monitoring. Interview with Director of Nursing on May 23, 2025, at approximately 10:30 am confirmed the above findings. A review of Resident 58's physician's order…

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 facility policy, observations, and interview with staff, it was determined that the facility failed to store food in accordance with professional standards for food service safety in the main kitchen area. Findings included: Review of facility policy, Food Storage: Cold Foods, revised February 2023, revealed that all foods will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination. Observations in the main kitchen on May 20, 2025, at 9:20 a.m. in the presence of Employee E4 revealed uncovered scoops on top of the flour and sugar bins. Observations in the freezer during the same time frame revealed a bag of frozen green beans on the shelf with no label or date. Additionally, there were four frozen turkey burgers without a date. Observations in the walk-in refrigerator revealed ten 32 ounce containers of yogurt with a use by date of May 11, 2025. Observations in the dry storage room revealed a five pound open box of pancake mix with a use by date of March 25, 2025. Interview on May 20, 2025, during 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 clinical records review and staff interview, it was determined that the facility failed to ensure wound treatment and assessment were completed and recommendation of a wound physician was followed for three of eight residents reviewed (Residents 83, 87, and 242). Findings include: Review of Resident 83's clinical records revealed that the resident was admitted to the facility on [DATE], with a diagnosis of Bladder Cancer and duodenal ulcer with surgical treatment. Revie of Resident 83's clinical record revealed resident was admitted with a Stage 2 Pressure Ulcer (Partial-thickness skin loss with exposed dermis) to the lower back with a measurement of 3.7 x 1.2 cms. The wound was treated with normal saline and then covered with an Optifoam (silicone-bordered dressing) dressing every three days. Review of Resident 83's clinical record revealed a wound consult dated June 11, 2024, indicating the lower back/lumbar spine wound was an Unstageable Pressure Ulcer (Obscured full-thickness skin and tissue loss),…

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, staff interviews, clinical records, and the facility's policy and procedure review, it was determined that the facility failed to ensure proper care and maintenance of a peripherally inserted central catheter (PICC- medical device that is placed into a vein to allow access to the bloodstream) dressing to one out of one resident reviewed (Resident 243). Findings include: Review of the facility's policy titled Central Vascular Access Device (CVAD) Dressing Change, last revised on June 21, 2021, revealed that sterile dressing changes using standard -ANTT is performed: Upon admission, if the transparent dressing is dated, clean, dry and intact, the admission dressing change may be omitted and scheduled for seven days from the date on the dressing label; At least weekly; and if the integrity of the dressing has been compromised. Review of Resident 243's physician order revealed an order made on June 17, 2024, for Cefazolin Sodium (Antibiotic) two grams intravenously (medication/fluids administered through a needle or tube inserted into a vein) every eight hours 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 clinical records review and staff interview, it was determined that the facility failed to ensure PRN (as needed) anti-anxiety psychotropic (any drug that affects brain activities associated with mental processes and behavior) medication was administered with appropriate indication for one of five residents reviewed (Resident 2). Findings include: Review of Resident 2's diagnosis list includes Depression (mental health disorder characterized by low mood or loss of interest in activities that last for a long time and can interfere with normal functioning) and anxiety disorder (mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities) Review of Resident 2's Physician order (POS) dated June 12, 2024, revealed Alprazolam (anti-anxiety medication) 0.5 mg one tab at bedtime. Review of Resident 2's POS dated June 8, 2024, revealed Alprazolam 0.5 mg two tablets every six hours as needed for anxiety. Review of Resident 2's June 2024, Medication Administration Record revealed that from June 9, 2024,…

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.