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Inspection visit

Health inspection

Pottstown Skilled Nursing and Rehabilitation CenteCMS #3954022 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.

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

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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.

  • 0584GeneralS&S Epotential for harm

    F584 - Safe Environment

    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.

  • 0732GeneralS&S Cno actual harm

    F732 - Nurse Staffing Information

    Post nurse staffing information every day.

FAQ · About this visit

Common questions about this visit

What happened during the January 21, 2026 survey of Pottstown Skilled Nursing and Rehabilitation Cente?

This was a inspection survey of Pottstown Skilled Nursing and Rehabilitation Cente on January 21, 2026. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Pottstown Skilled Nursing and Rehabilitation Cente on January 21, 2026?

Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receivin..."

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.

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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.