Inspection visit
Inspection
11 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 11 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0641
Ensure each resident receives an accurate assessment.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
clinical record review and staff interviews, it was determined that the faciliy failed to ensure the resident
assessment was accurate for two of 21 residents reviewed (Residents 10 and 49).
Residents Affected - Few
Findings include:
Review of Resident 10's clinical record on December 5, 2023, at approximately 10:00 AM, revealed
diagnoses that included diabetes mellitus type II (decreased ability of the body to utilize insulin for the
transport of glucose from the blood into the cells) and chronic kidney disease stage 4 (severe decrease in
the ability of the kidneys to filter toxins from the blood).
Review of Resident 10's Quarterly Minimum Data Set (MDS - standardized assessment tool utilized to
identify a residents physical, mental, and psychosocial needs), with an assessment reference date of
September 13, 2023, revealed that section N0410 Medications Received, subsection E - Anticoagulants,
was coded to reflect Resident 10 had received an anticoagulant medication for seven of seven days of the
look-back period.
Review of Resident 10's clinical record revealed that Resident 10 was not receiving an anticoagulant
medication during the assessment reference period of the September 13, 2023 Quarterly MDS.
During a staff interview on December 7, 2023, at approximately 11:00 AM, Director of Nursing (DON)
confirmed that Resident 10 had not received an anticoagulant, and that the MDS was incorrectly coded.
Review of Resident 49's clinical record revealed diagnoses that included Alzheimer's Disease (a
progressive disease that destroys memory and other important mental functions) and Schizophrenia (a
disorder that affects a person's ability to think, feel, and behave clearly). Further review of Resident 49's
diagnoses revealed the Schizophrenia was dated November 4, 2019, and present on admission to the
facility, but not added to the diagnosis list until August 4, 2023.
Review of Resident 49's hospital documentation dated October 31, 2019, revealed that the Resident had a
history of paranoid schizophrenia.
Review of Resident 49's quarterly MDS dated [DATE]; annual MDS dated [DATE]; quarterly MDS dated
[DATE]; and significant change MDS dated [DATE], all revealed that in section I, Schizophrenia was not
coded as a diagnosis.
Review of Resident 49's significant change MDS dated [DATE], revealed that in Section N, it was
(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 8
Event ID:
395142
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
395142
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/07/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amoroso Healthcare and Rehabilitation Woodridge
3625 North Progress Ave
Harrisburg, PA 17110
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 0641
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
coded that a gradual dose reduction (GDR) of Resident 49's antipsychotic medication had been attempted
on August 16, 2023.
Review of Resident 49's clinical record revealed no evidence of a GDR being attempted on that date.
During an interview with the Nursing Home Administrator and DON on December 7, 2023, at 11:28 AM, it
was confirmed that Resident 49 had a diagnosis of Schizophrenia in 2019, was missed being placed on the
diagnosis list, and, therefore, was missed being placed on the MDS assessments. It was also confirmed
that the GDR was incorrectly coded on the September 22, 2023, MDS, as no GDR was attempted.
28 Pa Code 211.5(f)(vi) Medical Records
28 Pa Code 211.12 (d)(3)(5) Nursing Services
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395142
If continuation sheet
Page 2 of 8
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
395142
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/07/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amoroso Healthcare and Rehabilitation Woodridge
3625 North Progress Ave
Harrisburg, PA 17110
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 0658
Ensure services provided by the nursing facility meet professional standards of quality.
Level of Harm - Minimal harm
or potential for actual harm
Based on observation, policy review, and resident and staff interviews, it was determined that the facility
failed to ensure services provided meet professional standards of quality and practice for one of 21
residents reviewed (Resident 28).
Residents Affected - Few
Findings Include:
Review of the facility's policy, titled Self -Administration of Medications, revised December 2016, read
Residents have the right to self-administer medications if the interdisciplinary team has determined that it is
clinically appropriate and safe for the resident to do so.
Review of the facility's policy, titled Medication Administration-Preparation and General Guidelines, read
Medications are administered as prescribed in accordance with good nursing principles and practices and
only by persons legally authorized to do so.
The policy continued, Residents are allowed to self-administer medications when specifically authorized by
the attending physician and in accordance with procedures for self-administration of medications. Also, The
resident is always observed after administration to ensure that the dose was completely ingested.
An observation of Resident 28 in her room, on December 4, 2023, at 10:06 AM, revealed the Resident in
bed with a cup of water in one hand and one small medicine cup containing multiple medications in the
other hand.
An immediate interview with Resident 28 revealed the licensed practical nurse (Employee 1) provided her
the medications and water and exited the room.
An interview with the Director of Nursing on December 6, 2023, at 11:16 AM, revealed Resident 28 has not
been assessed to self-administer her medications, and agreed Employee 1 should not have left the
medications with Resident 28.
28 Pa. Code 211.12 (d) (1) (2) (5)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395142
If continuation sheet
Page 3 of 8
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
395142
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/07/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amoroso Healthcare and Rehabilitation Woodridge
3625 North Progress Ave
Harrisburg, PA 17110
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 0675
Honor each resident's preferences, choices, values and beliefs.
Level of Harm - Minimal harm
or potential for actual harm
Based on clinical record review, observation, policy review, and resident and staff interviews, it was
determined that the facility failed to ensure residents receive the necessary care and services to attain or
maintain the highest practicable physical, mental, and psychosocial well-being for one of 21 residents
reviewed (Resident 9).
Residents Affected - Few
Findings include:
Review of facility policy, titled Activities of Daily Living (ADLs), Supporting, last revised in March 2018,
revealed the following: Resident will be provided with care, treatment, and services to ensure that their
activities of daily living (ADLs) do not diminish unless the circumstances of their clinical condition(s)
demonstrate that diminishing ADLs are unavoidable.
Review of the clinical record for Resident 9 revealed diagnoses that included peripheral vascular disease (a
slow and progressive circulation disorder caused by narrowing, blockage, or spasms) and schizophrenia (a
disorder that affects a person's ability to think, feel, and behave clearly).
During an interview with Resident 9 on December 5, 2023, at 1:32 PM, they revealed that they requested to
get out of bed today, but was told by staff the mechanical lift battery was dead so they will get out of bed
tomorrow (December 6, 2023). Resident was observed laying in bed during the interview.
During an interview with CNA 1 (CNA - Certified Nurse Aide) on December 5, 2023, at 1:35 PM, revealed
that Resident 9 was not assisted out of bed due to the mechanical lift battery being dead, CNA 1 confirmed
Resident 9 will get out of bed tomorrow (December 6, 2023). Interview with CNA 1 revealed that the facility
has multiple batteries for the mechanical lift.
Review of Resident 9's current comprehensive care plan on December 6, 2023, at 9:36 AM, which was last
reviewed on October 2, 2023, revealed an intervention that stated the following: Resident prefers to be out
of bed in wheelchair ., with an initiation date of February 19, 2023. Another intervention on Resident 9's
current comprehensive care plan revealed the following: Resident to be encouraged to be up in wheelchair
for two-three hours at a time; then return to bed to help with would healing to sacrum, with an initiation date
of March 27, 2023. Furthermore, Resident 9 has an intervention on their current comprehensive care plan
that was initiated on June 17, 2020, that stated, Out of bed to wheelchair as tolerated'
During an interview with the Nursing Home Administrator on December 6, 2023, at 11:22 AM, revealed the
facility has plenty of mechanical lift batteries, and that their expectation would have been for the staff to
have gotten a charged battery to assist getting Resident 9 out of bed when requested.
28 Pa. Code 211.10(a) Resident care policies
28 Pa. Code 211.10(c) Resident care policies
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395142
If continuation sheet
Page 4 of 8
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
395142
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/07/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amoroso Healthcare and Rehabilitation Woodridge
3625 North Progress Ave
Harrisburg, PA 17110
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 0689
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to
prevent accidents.
Based on observations, clinical record review, and staff interviews, it was determined that the faciliy failed
to ensure that the resident enviornment was free of accident hazards two of three residents reviewed for
falls (Residents 14 and 35).
Findings include:
Review of Resident 14's clinical record revealed diagnoses including type 2 diabetes (a chronic condition
that affects the way the body processes blood sugar) and aphasia (loss of ability to understand or express
speech, caused by brain damage).
Observation made on December 4, 2023, at 9:51 AM, revealed Resident 14 had a fall mat down on the left
side of their bed, while the Resident was lying in bed.
Observation made on December 5, 2023, at 9:08 AM, revealed Resident 14 had a fall mat down on the left
side of their bed, while the Resident was lying in bed.
Observation made on December 5, 2023, at 1:48 PM, revealed Resident 14 had a fall mat down on the left
side of their bed, while the Resident was lying in bed.
Observation made on December 6, 2023, at 10:15 AM, revealed Resident 14 had a fall mat down on the
left side of their bed, while the Resident was lying in bed.
Review of Resident 14's current physician's orders, with last order review date November 29, 2023,
revealed an order for bilateral fall mats with the indication being for safety, with the original order date being
March 6, 2023.
Review of Resident 14's current comprehensive care plan last reviewed on August 21, 2023, revealed a
focus area of: Resident is at risk for falls related to impaired mobility, left side hemiplegia, neuropathy,
prescribed medications; with an intervention of: Bilateral fall mats, initiated on February 13, 2023.
Review of a fall incident report on Resident 14 that revealed Resident 14 sustained a fall out of bed on
February 11, 2023, at 1:58 PM. The intervention that was for a fall mat to be added to the right side of the
bed, will now be on both sides of bed.
Review of a fall risk assessment completed on Resident 14 on February 15, 2023, revealed Resident 14
scored a 10 on the assessment, indicating they are a high risk for falls.
Review of electronic correspondence received from the Nursing Home Administrator (NHA) on December
7, 2023, at 10:07 AM, revealed the facility identified this concern as an issue, and the rehab manager
assessed Resident 14's room yesterday (December 6, 2023), and found that the Roommate is upset with
Resident 14 having both fall mats down.
During an interview with the NHA on December 7, 2023, at 11:23 AM, revealed that their expectation would
have been for Resident 14's bilateral fall mats to be down as ordered by the physician.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395142
If continuation sheet
Page 5 of 8
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
395142
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/07/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amoroso Healthcare and Rehabilitation Woodridge
3625 North Progress Ave
Harrisburg, PA 17110
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 0689
Level of Harm - Minimal harm
or potential for actual harm
Review of Resident 35's clinical record on December 5, 2023, at approximately 1:00 PM, revealed
diagnoses including history of cerebral vascular accident (stroke - loss of blood to an area of the brain) with
hemiplegia (paralysis of one side) and hemiparesis (muscle weakness of one side), and mild cognitive
impairment (decreased ability of decision making, trouble remembering, and/or difficulty with concentration
and learning).
Residents Affected - Few
During general observations on December 4, 2023, at approximately 11:00 AM, it was observed that the
power-cord to a portable HVAC unit (portable unit that heats or cools air) was partially taped to the floor
across Resident 35's doorway. Observation of the power-cord revealed some area was loose and
moveable.
Review of Resident 35's comprehensive plan of care revealed a care plan with a focus of, .risk for falls
[related to] deconditioning, hemiplegia and she will attempt to self ambulate without her walker, which was
last revised on September 21, 2023. Review of the interventions for the fall care plan revealed an
intervention of, The resident needs a safe environment with: even floors free from spills and/or clutter .
Review of Resident 35's care plan for activities of daily living, revealed Resident 35 was independent with
transfers (how one moves from the bed, to chair, or chair to standing positions).
Review of Resident 35's most recent fall risk evaluation completed on June 1, 2023, revealed Resident 35
was assessed as High Risk of falls.
Review of Resident 35's nurse aide documentation for walking in her room revealed that on 25 of 30 days
reviewed, Resident 35 ambulated independent of staff assistance.
During a staff interview on December 7, 2023, at approximately 11:00 AM, NHA revealed that the HVAC
system was portable and that it could be moved to a separate area of the hallway so that the power-cord
was not traversing Resident 35's doorway.
42 CFR 483.25(d) Accidents
28 Pa. Code: 201.18(b)(1)(e)(1) Management
28 Pa. Code: 211.10(d) Resident care policies
28 Pa. Code 211.12(d)(1)(3)(5) Nursing services
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395142
If continuation sheet
Page 6 of 8
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
395142
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/07/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amoroso Healthcare and Rehabilitation Woodridge
3625 North Progress Ave
Harrisburg, PA 17110
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 0756
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart,
following irregularity reporting guidelines in developed policies and procedures.
Based on clinical record review, facility policy review, and staff interviews, it was determined that the facility
failed to ensure residents pharmacy reviews are acted upon appropriately by the attending physician for
four of five residents reviewed for unnecessary medication (Residents 19, 45, 49, and 63)
Findings include:
Review of facility policy, titled Consultant Pharmacist Reports IIIA1: Medication Regimen Review (Monthly
Report), dated 2006, revealed Recommendations are acted upon and documented by the facility staff and
or the prescriber. Physician accepts and acts upon suggestion or rejects and provides an explanation for
disagreeing.
Review of Resident 19's clinical record revealed diagnoses that included dysphagia (difficulty swallowing)
and parkinsonism (brain conditions that cause slowed movements, stiffness, and tremors).
Review of Resident 19's pharmacy recommendation dated July 15, 2023, revealed the consultant
pharmacist's recommendation stated, This resident has been receiving Pyridoxine 50 milligrams (mg) twice
a day and Valproic Avid 1500 mg once a day for bipolar disorder/depression with psychotic features. The
review requested evaluation of the continued need and effectiveness, if determined necessary, to include a
risk-vs-benefit analysis.
Review of the pharmacy recommendation revealed that on July 18, 2023, the physician declined the
recommendation and failed to provide an explanation.
During an interview with the Director of Nursing (DON) and Nursing Home Administrator (NHA) on
December 7, 2023, at 11:23 AM, revealed their expectation would have been for the physician to have
provided a rationale for declining the pharmacist's recommendation.
Review of Resident 45's clinical record revealed diagnoses that included type 2 diabetes (a chronic
condition that affects the way the body processes blood sugar) and essential hypertension (high blood
pressure).
Review of Resident 45's pharmacy recommendation dated March 14, 2023, revealed the consultant
pharmacist's recommendation stated, This resident is using the Percocet as needed quite frequently.
Please review the usage to determine if a low-dose routine order would be appropriate for treating pain.
Review of the pharmacy recommendation revealed that the physician declined the recommendation and
failed to provide an explanation.
During an interview with the DON and NHA on December 7, 2023, at 11:23 AM, revealed their expectation
would have been for the physician to have provided a rationale for declining the pharmacist's
recommendation.
Review of Resident 49's clinical record revealed diagnoses that included Alzheimer's Disease (a
progressive disease that destroys memory and other important mental functions) and Schizophrenia (a
disorder that affects a person's ability to think, feel, and behave clearly).
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395142
If continuation sheet
Page 7 of 8
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
395142
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/07/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amoroso Healthcare and Rehabilitation Woodridge
3625 North Progress Ave
Harrisburg, PA 17110
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 0756
Level of Harm - Minimal harm
or potential for actual harm
Review of Resident 49's pharmacy recommendation dated August 16, 2023, revealed that Resident 49 was
currently receiving two antipsychotic medications, Seroquel and Haldol, and while this therapy may be well
suited for the resident, there is the concern of increased side effects with 2 or more similar agents being
used for the same condition. If this is clinically relevant, please include a risk-vs-benefit notation.
Residents Affected - Some
The physician responded disagree on August 23, 2023, but provided no rationale for the disagreement.
During an interview with the NHA and DON on December 7, 2023, at 11:28 AM, they confirmed the
physician should have documented a rationale for the disagreement.
Review of Resident 63's clinical record on December 4, 2023, at approximately 12:00 PM, revealed
diagnoses including degenerative disease of the nervous system (disease state with multiple causes that
affects balance, movement, talking, breathing, and heart function) and hypertension.
Review of Resident 63's pharmacy recommendation dated April 24, 2023, revealed the consultant
pharmacist's recommendation stated, This resident's order for Buspar (medication used to treat anxiety) 5
mg [milligrams - metric unit of measure] is due for assessment in accordance with CMS [Centers for
Medicare and Medicaid Services] guidelines for psychopharmacologic medications . The review requested
consideration of a gradual dose reduction of the medication.
Review of the pharmacy recommendation revealed that on April 26, 2023, the physician declined with a
rational of Hospice [patient].
Review of Resident 63's pharmacy recommendation dated August 16, 2023, revealed the consultant
pharmacist's recommendation stated, This resident's order for Zoloft (medication used to treat depression)
25 mg [in the morning] is due for assessment in accordance with CMS guidelines for psychopharmacologic
medications.
Review of the pharmacy recommendation revealed that on August 23, 2023, the physician declined with a
rational of Hospice.
Finally, on October 14, 2023, the consultant pharmacist made the recommendation to attempt a gradual
dose reduction of Resident 63's Buspar 5 mg twice a day in accordance with CMS guidelines for
psychopharmacologic medications.
Review of the recommendation revealed that on October 15, 2023, the physician declined with a rational of
Hospice.
During a staff interview on December 7, 2023, at approximately 11:00 AM, Regional Director of Clinical
Services revealed that the facility has been providing education with physicians on providing appropriate
rationales for declining pharmacy recommendations.
28 Pa. Code 211.10(c) Resident care policies
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395142
If continuation sheet
Page 8 of 8
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Back to topCitations
11 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0291GeneralS&S Cno actual harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0293GeneralS&S Cno actual harm
Have properly located and lighted "Exit" signs.
- 0345GeneralS&S Epotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0355GeneralS&S Cno actual harm
Properly select, install, inspect, or maintain portable fire extinguishes.
F712 - Frequency of physician visits
Have simulated fire drills held at unexpected times.
F914 - Be designed or equipped to assure full visual privacy for each
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
F641 - Accuracy of Assessments
Ensure each resident receives an accurate assessment.
F658 - Comprehensive Care Plans
Ensure services provided by the nursing facility meet professional standards of quality.
F675 - Quality of life
Honor each resident's preferences, choices, values and beliefs.
F689 - Accidents
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F756 - Drug Regimen Review
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
FAQ · About this visit
Common questions about this visit
What happened during the December 7, 2023 survey of AMOROSO HEALTHCARE AND REHABILITATION WOODRIDGE?
This was a inspection survey of AMOROSO HEALTHCARE AND REHABILITATION WOODRIDGE on December 7, 2023. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at AMOROSO HEALTHCARE AND REHABILITATION WOODRIDGE on December 7, 2023?
Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Install emergency lighting that can last at least 1 1/2 hours."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.