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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
clinical record review, review of facility documentation, and staff interview, it was determined that the facility
failed to provide adequate supervision to prevent a fall for one of nine sampled residents. (Resident
8)Findings include:Clinical record review revealed that Resident 8 had diagnoses that included dementia,
end stage renal disease, and muscle weakness. Review of the Minimum Data Set assessment dated
[DATE], indicated that Resident 8 was cognitively impaired and fully dependent on staff for assistance
getting in and out of the shower and bathing. Review of Resident 8's care plan revealed that the resident
had a problem with mobility and in his ability to perform activities of daily living such as bathing and
required assistance with bathing. Review of facility documentation revealed that on January 8, 2026, at 4:00
p.m., Resident 8 was being assisted with a shower by a nurse aide (NA 1). During the shower, NA 1 left the
shower room with no other staff present. During that time Resident 8 slipped out of the shower chair onto
the floor. In an interview on January 29, 2026, at 1:34 p.m., the Director of Nursing and Administrator
confirmed that a staff member should have been in the shower room throughout Resident 8's shower.28
Pa. Code 211.12(d)(1)(5) Nursing services.
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 4
Event ID:
395509
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
395509
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Dresher Hill Health & Rehabilitation Center
1390 Camp Hill Road
Fort Washington, PA 19034
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 0812
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
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 properly store food and
maintain sanitary conditions in the dietary department and on two of four nursing units. (First floor, Second
floor)Findings include: Observations during the tour of the dietary department on January 27, 2026, at
10:10 a.m., and January 29, 2026, at 9:35 a.m., revealed the following: In the dry storage area, there was a
bottle of Realemon Juice with a best buy date of October 21, 2025. On the lower shelf of the cook's prep
table, a container had lemon extract with a best by date of October 10, 2024, and a box of food dye with an
expiration date of November 3, 2023. The container also had dirty measuring spoons. In the walk-in freezer
there was a box of Harborbanks seafood shrimp that was open with no open date or expiration date and
one box of gluten free breaded mini shrimp bags that was open with no open date or expiration date. The
back splash of the griddle and stove had thick dry discolored splatter. The oven doors and knobs had dry
thick discolored splatter. The shelf over the cooking surface was dusty. The flat griddle, that was confirmed
not used for breakfast, had food debris and crumbs on the griddle and the front scrap disposal area. The
stove top had charred debris crumbs and a white powdery dusty debris. The meat slicer table had crumbs
and was sticky. There was debris and crumbs on the meat slicer. The top of the steamer was dusty. The
steam table and prep table bottom shelf had crumbs, debris and a paper clip. The cook's prep table was
dusty and had a dried slice of bread on the lower shelf. A wall shelf that contained the cooking spices had
thick dust and debris. The lower shelf of the food prep table next to the dish area was dusty with dirt and
debris. Observation of the first floor pantry January 27, 2026, at 1:53 p.m., revealed ice built up in the
refrigerator freezer and the refrigerator floor had dried discolored staining and debris. In the microwave
there was thick food splatter that contained crumbs and debris. During an interview on January 27, 2026, at
1:57 p.m., the Director of Nursing confirmed that the microwave is used to reheat resident food.
Observation of the second floor pantry January 27, 2026, at 12:18 p.m., revealed ice built up in the
refrigerator freezer and the refrigerator floor had dried liquid staining and debris. In the microwave there
was food splatter that contained crumbs and debris. In an interview on January 27, 2026, at 12:23 p.m., a
nurse aide (NA 3) confirmed that the microwave is used to reheat resident food. The ice scoop was
observed on the dusty lower shelf of the rolling table for the ice cooler instead of being placed in the
attached ice scoop pocket. In the cabinet below the sink there was a stained bath blanket. 28 Pa. Code
201.14(a) Responsibility of licensee.
Event ID:
Facility ID:
395509
If continuation sheet
Page 2 of 4
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
395509
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Dresher Hill Health & Rehabilitation Center
1390 Camp Hill Road
Fort Washington, PA 19034
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 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
facility policy review, clinical record review, observation, and staff interview, it was determined that the
facility failed to implement enhanced barrier precautions and the use of personal protective equipment
(PPE) to prevent the spread of infection for two of 22 sampled residents. (Residents 10 and 53)Findings
include: Review of the facility policy entitled, Enhanced Barrier Precautions, last reviewed June 2, 2025,
revealed that enhanced barrier precautions were to be used with any high-risk resident with a wound or
indwelling device during high contact care activities even when exposure to body fluids and blood is not
anticipated, including during wound care, the care of feeding and tracheostomy tubes, providing hygiene,
and changing briefs and linens. Standard precautions such as hand hygiene always apply and precautions
include the use of protective gowns and gloves during high-risk activities. Clinical record review revealed
that Resident 10 had diagnoses that included paraplegia and a pressure ulcer of the lower back region
related to a recurrent abscess (an area under the skin where pus (infected fluid) collects). The Minimum
Data Set (MDS) assessment dated [DATE], revealed that Resident 10 had a chronic left ischial (part of left
hip bone) stage four pressure ulcer and was dependent on toileting and personal hygiene. On January 26,
2026, the wound nurse noted the reopening of the abscess. Observations on January 28, 2026, at 10:10
a.m. revealed a nurse aide (NA 2) entered Resident 10's room without wearing a protective gown prior to
changing the resident's briefs. Clinical record review revealed that Resident 53 had diagnoses that included
traumatic brain injury, quadriplegia, neurogenic bladder, and gastronomy status. Resident 53 required
devices including a suprapubic catheter and an enteral feeding tube according to the MDS assessment
dated [DATE]. Observations on January 28, 2026, at 10:00 a.m. revealed a physical therapist (PT 1)
performed leg stretches on Resident 53 without wearing a protective gown. On January 29, 2026, at 1:00
p.m., the Director of Nursing confirmed that staff did not follow the facility infection control policy. 28 Pa.
Code 211.10(d) Resident care policies. 28 Pa. Code 211.12(d)(1)(5) Nursing services.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395509
If continuation sheet
Page 3 of 4
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
395509
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Dresher Hill Health & Rehabilitation Center
1390 Camp Hill Road
Fort Washington, PA 19034
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 0921
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and
the public.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, it was determined that the facility failed to provide a safe, sanitary, and comfortable
environment on two of four nursing units. (1st floor low side, 2nd floor high side)
Findings include:
Observation throughout the facility January 27 through 29, 2026, from 10:00 a.m. to 2:45 p.m., revealed the
following: A tube feeding pole in room [ROOM NUMBER] had a dried brown substance on it.
There was a displaced floor tile in room [ROOM NUMBER] by bed 1.
A mechanical lift (used to transfer residents from surface to surface) was observed with dirty wheels with
knotted/intertwined thick [NAME] of hair and debris. A sit to stand lift (used to assist a resident to a standing
position) was observed with dirty wheels with knotted/intertwined thick [NAME] of hair and debris and dirt
and debris on the foot boards. The large shower chair back had a built up brown and pink substance on it.
The shower room ceiling exhaust fan had heavy dust on it.
A dried brown substance was observed on a tube feeding pole, bedside table, and privacy curtain in room
[ROOM NUMBER]. Dust, debris, a hair ball and a dried brown substance were observed behind the oxygen
concentrator and fall mat on the left side of the bed.
The privacy curtain in room [ROOM NUMBER] was stained with a dark yellow substance and dust, crumbs
and lint were observed on the left fall mat.
28 Pa. Code 201.14(a) Responsibility of licensee. 28 Pa. Code 201.18(b)(3) Management.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395509
If continuation sheet
Page 4 of 4