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Inspection visit

Health inspection

GARDENS AT YORK TERRACE, THECMS #3952522 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

395252 01/05/2024 Gardens at York Terrace, The 2401 West Market Street Pottsville, PA 17901
F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on clinical record review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of 16 sampled residents. (Resident 10) Residents Affected - Few Findings include: Clinical record review revealed that Resident 10 had diagnoses that included congestive heart failure, diabetes mellitus, dementia, and peripheral vascular disease. On November 20, 2023, the physician ordered that staff administer a medication (Lasix) if the resident gained more than three pounds in one day to treat the resident's swelling in her legs. Review of Resident 10's weights revealed that on December 7, 2023, Resident 10 weighed 134 pounds (lbs). On December 8, 2023, the resident weighed 145 lbs, indicating a nine pound weight gain. On December 15, 2023, the physician ordered for staff to weigh the resident three times a week and administer Lasix if the resident gained more than three pounds when weighed on Monday, Wednesday, or Friday. On December 25, 2023, the resident weighed 140 lbs and on December 27, 2023, she weighed 145 lbs, indicating a five pound weight gain. A review of the December 2023, Medication Administration Record revealed that there was no evidence that staff administer the Lasix as ordered on December 8, 2023, or December 27, 2023. In an interview on January 5, 2024, at 10:15 a.m., the Director of Nursing confirmed that Resident 10 did not receive the Lasix as ordered by the physician. 28 Pa. Code 211.12(d)(1)(5) Nursing services. Page 1 of 2 395252 395252 01/05/2024 Gardens at York Terrace, The 2401 West Market Street Pottsville, PA 17901
F 0812 Level of Harm - Minimal harm or potential for actual harm Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation and staff interview it was determined that the facility failed to store food under sanitary conditions in the kitchen. Residents Affected - Many Findings include: Observation of the kitchen during a tour on January 3, 2024, at 10:00 a.m. revealed an opened container of thickener that was not labeled or dated, an opened bag of spaghetti that was undated, and a grilled cheese sandwich on the bottom shelf in the dry storage area. There was trash and food debris on the floor in the freezer. In an interview on January 3, 2024, at 10:20 a.m., Employee 1 confirmed that the opened items should have been dated and that the grilled cheese sandwich should have been discarded. 28 Pa. Code 201.18(b)(3) Management. 395252 Page 2 of 2

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Citations

2 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.

  • 0684GeneralS&S Dpotential for harm

    F684 - Quality of care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0812GeneralS&S Fpotential for harm

    F812 - Food safety requirements

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

FAQ · About this visit

Common questions about this visit

What happened during the January 5, 2024 survey of GARDENS AT YORK TERRACE, THE?

This was a inspection survey of GARDENS AT YORK TERRACE, THE on January 5, 2024. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at GARDENS AT YORK TERRACE, THE on January 5, 2024?

Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."

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

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.