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Inspection visit

Inspection

OXFORD REHABILITATION AND HEALTHCARE CENTERCMS #3957101 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and resident interview, it was determined that the facility failed to provide services to enhance each resident's quality of life by offering showers as scheduled to four of nine sampled residents. (Residents 1, 2,3, 7) Findings include: Clinical record review revealed that Resident 1 had diagnoses that included dementia and depression. The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident was oriented and was totally dependent on staff assistance for bathing. According to the unit shower schedule, staff was to offer the resident a shower twice per week on Wednesday and Friday. During an interview on May 18, 2023, at 12:00 p.m., Resident 1 stated that she preferred to take a shower twice a week and was not offered the opportunity to do so. Review of documentation in the clinical record revealed that the resident was not offered a shower three of nine scheduled times in the past 30 days. There was a lack of documentation to support that Resident 1 was consistently provided the opportunity to have a shower as scheduled. Clinical record review revealed that Resident 2 had diagnoses that included osteoarthritis and depression. The MDS assessment dated [DATE], indicated that the resident was oriented and totally dependent on staff for bathing. According to the unit shower schedule, staff was to offer the resident a shower twice per week on Monday and Friday. On May 18, 2023, at 11:30 a.m. Resident 2 was observed in the hallway on the nursing unit yelling that she had not received a shower in 10 days. In an interview Resident 2 stated that that she preferred to take a shower twice a week, was not consistently offered the opportunity to do so, and that she felt unclean. Review of documentation in the clinical record revealed that the resident was not offered a shower three of eight scheduled times in the past 30 days. There was a lack of documentation to support that Resident 2 was consistently provided the opportunity to have a shower as scheduled. Clinical record review revealed that Resident 3 had diagnoses that included lymphedema and chronic obstructive pulmonary disease. The MDS assessment dated [DATE], indicated that the resident was oriented and totally dependent on staff for bathing. According to the unit shower schedule, staff was to offer the resident a shower twice per week on Monday and Thursday. During an interview on May 18, 2023, at 12:10 p.m. Resident 3 stated that that she preferred to take a shower twice a week and was not consistently offered the opportunity to do so. Review of documentation in the clinical record revealed that the resident was not offered a shower four of seven scheduled times in the past 30 days. There was a lack of documentation to support that Resident 3 was consistently provided the opportunity to have a shower as scheduled. (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 2 Event ID: 395710 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/18/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Clinical record review revealed that Resident 7 had diagnoses that included osteoarthritis and depression. The MDS assessment dated [DATE], indicated that the resident was oriented and totally dependent on staff for bathing. According to the unit shower schedule, staff was to offer the resident a shower twice per week on Wednesday and Saturday. During an interview on May 18, 2023, at 12:30 p.m. Resident 7 stated that that she preferred to take a shower twice a week and was not consistently offered the opportunity to do so. Review of documentation in the clinical record revealed that the resident was not offered a shower two of seven scheduled times in the past 30 days. There was a lack of documentation to support that Resident 7 was consistently provided the opportunity to have a shower as scheduled. 28 Pa. Code 201.29(j) Resident rights. 28 Pa. Code 211.12(d)(5) Nursing services. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 2 of 2

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Citations

1 citation 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.

  • 0550GeneralS&S Epotential for harm

    F550 - Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

FAQ · About this visit

Common questions about this visit

What happened during the May 18, 2023 survey of OXFORD REHABILITATION AND HEALTHCARE CENTER?

This was a inspection survey of OXFORD REHABILITATION AND HEALTHCARE CENTER on May 18, 2023. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at OXFORD REHABILITATION AND HEALTHCARE CENTER on May 18, 2023?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her right..."

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.