F 0568
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing
home.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interviews with staff and residents, reviews of clinical records, review of personal funds accounting records
and facility's policies and procedures, it was determined that for one of eight residents reviewed, the facility
failed to maintain separate accounting and records for each resident's personal funds entrusted to the
facility on the resident's behalf. (Resident Cl1)Findings include:A review of the facility's policy titled
accounting and records of resident funds dated April 2021 it was revealed that the business office manage
was responsible for maintaining accounting records on resident funds. The policy also indicated that the
business office manager was responsible for maintaining records of all financial transactions involving each
resident's personal needs account. The policy said that individual accounting ledgers are to be maintained
in accordance with generally accepted accounting principles. The date of the resident's admission was to
be indicated. The date and amount of each deposit and withdrawal. The name of the person who accepted
or withdrew the funds. Receipts for chargers imposed by the facility and interest earned. The policy
indicated that the business office manager was to provide copies of the accounting records to the resident
or the resident's representative for services charged. The policy indicated that the resident was to ask the
business office manager or the nursing home administrator any questions or concerns about their
resident's personal funds account. Clinical record review revealed that Resident CL1 was admitted to the
facility on [DATE], and was discharged to another facility on November 14, 2024. Clinical record review
revealed a physician's progress note dated November 14, 2024, that indicated Resident Cl1 was being
discharged today to [facility's name] for continued close follow-up with the primary care physician. Clinical
record review revealed a physician's progress note dated November 14, 2024, that confirmed Resident Cl1
was admitted to the facility on [DATE], after a hospital stay for cerebral vascular accident, right arm
weakness and atrial fibrillation. The physician indicated that Resident Cl1 was alert and oriented and
ordered rehabilitation services with physical therapy upon admission to the facility. Clinical record review
revealed an admission comprehensive assessment MDS (an assessment of care needs) dated January 12,
2024, for Resident Cl1. The assessment indicated that this resident was admitted to a Medicare and/or
Medicaid certified facility. The assessment also indicated that this resident was cognitively intact. A review
of the personal funds accounting records for Resident Cl1 revealed that the facility did not establish and
maintain a complete accounting of funds, according to generally accepted accounting principles for
Resident Cl1.Resident Cl1 was admitted to the facility on [DATE]. There was no accounting documentation
available for review that indicated Resident Cl1 was admitted on [DATE]. There was no documentation
available for review that indicated the business office manager or facility administrator assisted Resident
Cl1 to establish a personal funds account to paid for his stay during (January 8, 2024, through November
14, 2024). Interview with the administrator, Employee E1 and the business office manager, Employee E3, at
2:00 p.m., on January 2, 2026, confirmed
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
395135
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
395135
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/02/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Pennypack Rehab and Care Center
8015 Lawndale Avenue
Philadelphia, PA 19111
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0568
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
that the facility had no documentation concerning the accounting records or financial transactions involving
Resident Cl1's funds, although the facility did accept the responsibility for the resident's financial affairs.
Interview with the administrator, Employee E1 and the business office manager, Employee E3, at 2:15 p.m.,
on January 2, 2026, revealed that they were both unaware what insurances, pensions and private pay
funds were scheduled to be deposited into Resident Cl1's personal funds account to pay for his stay
(January 8, 2024, through November 14, 2024).28 PA. Code 211.10(a)(b)(c)(d) Resident care policies28
PA. Code 201.14(a) responsibility of licensee28 PA. Code 201.18(b)(2)(3)(d)(e)(1)(1)(g)(h) Management
Event ID:
Facility ID:
395135
If continuation sheet
Page 2 of 2