F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited
to receiving treatment and supports for daily living safely.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment
on three of four nursing units and the beauty salon. (Second, Third, and Fourth Floors) Findings
include:Observations on January 21, 2026, from 10:00 a.m. through 12:00 p.m., revealed the following
environmental issues:In resident room [ROOM NUMBER] (bed A) there were areas of missing and peeling
wallpaper above the resident's bed.In the hallway next to resident room [ROOM NUMBER], the wallpaper
below the air conditioner unit had separated from the wall and bubbled along the length of the wall. There
was some drywall exposed in this area. In the hallway next to the door to room [ROOM NUMBER] there is a
dark mark on the wall. The ceiling adjacent to the air conditioner unit had several brown stains. In the
hallway next to room [ROOM NUMBER] the ceiling tile was stained. Below the stained tile, the wallpaper
was peeling and the exposed dry wall had a black substance on it.In resident room [ROOM NUMBER] (bed
B) there was a ceiling tile that had five stains on it.In the hallway between resident rooms 421 to 423 on the
wall there was a large area of wall that was stained black with dried liquid on the wall. In the hallway, the air
conditioner unit next to room [ROOM NUMBER] had a black substance along the bottom of it with dried
black drip marks from the unit. In the hallway next to the door of resident room [ROOM NUMBER], there
was an area of a dark, dried liquid substance on the wall. The handrail next to this room below the air
conditioner unit had a black substance that covered the length of the corner piece. In resident room [ROOM
NUMBER] (bed A) there were ceiling tiles that had red stains on them and there was a red stain on the
ceiling tile above bed B. In resident room [ROOM NUMBER] (bed B) the ceiling tile above the bed had a
dark area on it.In the hallway, next to resident room [ROOM NUMBER], the air conditioner unit had a black
substance below the water drainage cup connected to it. In the hallway between rooms [ROOM
NUMBERS] there were black marks along the length of the wall. There was a pervasive musty odor
throughout the hallway between rooms [ROOM NUMBERS] from 10:19 a.m. through 11:15 a.m.In the
beauty salon there were black discolored areas on the wallpaper above the sink area and above the hair
dryer chairs.28 Pa. Code 201.14(a) Responsibility of licensee. 28 Pa. Code 201.18(b)(1) Management.
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:
395402
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
395402
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/21/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Pottstown Skilled Nursing and Rehabilitation Cente
724 North Charlotte St
Pottstown, PA 19464
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 0732
Post nurse staffing information every day.
Level of Harm - Potential for
minimal harm
Based on observation and interview, it was determined that the facility failed to post accurate and current
nurse staffing information. Findings include:During a tour of the facility conducted on January 21, 2026, at
9:14 a.m., the staffing information that was posted in the lobby was dated January 14, 2026. In an interview
on January 21, 2026, at 2:15 p.m., the Director of Nursing confirmed that incorrect staffing data was
posted. CFR 483.35(i)(2)(i) Nurse Staffing InformationPreviously cited 8/12/2528 Pa Code 201.18(b)(3)
Management.
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395402
If continuation sheet
Page 2 of 2