F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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 and staff interviews, it was determined that the facility failed to provide
services to maintain adequate grooming and hygiene for five of 11 sampled residents who required
assistance with activities of daily living (ADLs). (Residents 1, 4, 5, 6, and 8)
Findings include:
Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses that
included diabetes mellitus with diabetic neuropathy, and acquired absence of the right leg above the knee.
Review of the resident's care plan and clinical record revealed they required assistance with
bathing/showering due to their physical condition and were scheduled for showers on Monday and
Thursday. There was a lack of documentation that a shower was provided on November 4, 11, and 25,
2024. In an interview on December 2, 2024, at 10:30 a.m., Resident 1 stated they had not refused a shower
on those dates.
Clinical record review revealed that Resident 4 was admitted to the facility on [DATE], with diagnoses that
included personal history of ischemic attack, cerebral infarction, adult failure to thrive, and diabetes mellitus.
Review of the resident's care plan and clinical record revealed they required assistance with
bathing/showering due to their physical condition and were scheduled for showers on Tuesday and Friday.
There was a lack of documentation that a shower was provided on November 8 and 26, 2024. In an
interview on December 2, 2024, at 11:00 a.m., Resident 4 stated they had not refused a shower on those
dates.
Clinical record review revealed that Resident 5 was admitted to the facility on [DATE], with diagnoses that
included acute chronic diastolic (congestive) heart failure, difficulty walking, and weakness. Review of the
resident's care plan and clinical record revealed they required assistance with bathing/showering due to
their physical condition and were scheduled for showers on Wednesday and Saturday. There was a lack of
documentation that a shower was provided on November 9, 23, and 27, 2024. In an interview on December
2, 2024, at 1:05 p.m., Resident 5 stated they had not refused a shower on those dates.
Clinical record review revealed that Resident 6 was admitted to the facility on [DATE], with diagnoses that
included hemiplegia and hemiparesis following cerebral infarction, and diabetes mellitus. Review of the
resident's care plan and clinical record revealed they required assistance with bathing/showering due to
their physical condition and were scheduled for showers on Wednesday and Sunday. There was a lack of
documentation that a shower was provided on November 3, 6, 10, 24, and 27, 2024. In an interview on
December 2, 2024, at 11:25 a.m., Resident 6 stated they had not refused a shower
(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:
395831
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
395831
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/02/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Schuylkill Center
1000 Schuylkill Manor Rd
Pottsville, PA 17901
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
on those dates.
Level of Harm - Minimal harm
or potential for actual harm
Clinical record review revealed that Resident 8 was admitted to the facility on [DATE], with diagnoses that
included hypertensive heart disease with heart failure, abnormalities of gait and mobility and weakness.
Review of the resident's care plan and clinical record revealed they required assistance with
bathing/showering due to their physical condition and were scheduled for showers on Tuesday and Friday.
There was a lack of documentation that a shower was provided on November 8, 2024. In an interview on
December 2, 2024 at 2:05 p.m., Resident 8 stated they had not refused a shower on that date.
Residents Affected - Few
In an interview on December 2, 2024, at 2:30 p.m., the Administrator and Director of Nursing stated that the
residents should have been offered showers on the scheduled dates.
CFR 483.10(a) Resident Rights.
Previously cited 8/25/24
28 Pa. Code 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395831
If continuation sheet
Page 2 of 2