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.
Based on clinical record review, observation, and staff and resident interview, it was determined that the
facility failed to provide a reasonable accommodation of needs for one of seven sampled residents.
(Resident 3)Findings include: Clinical record review revealed that Resident 3 had diagnoses that included
hemiparesis and unsteadiness on feet. Review of the care plan revealed that the resident required
assistance from two staff and a mechanical lift for transfers, assistance from two staff for toileting (staff
were to provide assistance with toileting as needed), and that the resident had been educated to call staff
for assistance. On August 5, 2025, at 11:09 a.m., the resident's call bell was observed to be lit outside the
room. At 11:15 a.m., the call bell remained activated. At that time, Resident 3 stated that she rang the call
bell to notify staff that she required assistance to the bathroom; a staff member told her they would return
with another staff member to provide assistance, but no one had returned. The resident's call bell continued
to remain lit at 11:40 a.m., and at that time, Resident 3 stated that no staff member had returned to offer
assistance. Staff did not return to Resident 3's room to provide assistance until 11:48 a.m., 39 minutes after
the resident's call bell was initially observed to have been activated. In an interview on August 5, 2025, at
1:52 p.m., the Director of Nursing confirmed that staff were to provide a timelier response to the call bell. 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 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
08/05/2025
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 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm
or potential for actual harm
Based on clinical record review and staff interview, it was determined that the facility failed to implement
physician's orders for two of seven sampled residents. (Residents 1 and 2) Findings include: Clinical record
review revealed that Resident 1 had diagnoses that included diabetes mellitus. Review of the care plan
revealed that staff were to obtain glucometer (device used to measure blood glucose levels) readings and
report abnormalities as ordered. A physician's order dated July 11, 2025, directed staff to inject insulin
lispro per sliding scale orders and notify the physician for a blood glucose reading of 400 milligrams per
deciliter (mg/dL) or higher. Review of Resident 1's clinical record revealed that on July 11, 2025, staff noted
a blood glucose level of 438 mg/dL at 5:01 p.m. There was no evidence that the resident's physician was
notified of the blood glucose reading that was above 400 mg/dL, per the physician's order. In an interview
on August 5, 2025, at 3:10 p.m., the Director of Nursing (DON) confirmed that there was no evidence that
staff notified the resident's physician of the blood glucose level of 438 mg/dL, per the physician's order.
Clinical record review revealed that Resident 2 had diagnoses that included hypertension (high blood
pressure). Physician's orders dated April 6, 2025, and May 1, 2025, directed staff to check the resident's
blood pressure twice per day and administer clonidine (a medication to treat high blood pressure) as
needed, every eight hours if Resident 2's systolic blood pressure was greater than 160 millimeters of
mercury (mm Hg), or diastolic blood pressure was greater than 100 mm Hg. Review of Resident 2's clinical
record revealed that on July 10, 2025, at 6:14 p.m., staff noted the resident's blood pressure to have been
165/89 mm Hg. On July 26, 2025, at 8:04 a.m., staff noted the resident's blood pressure as 187/107 mm
Hg. There was no evidence that staff administered the clonidine at those times on July 10 and 26, 2025,
when the resident's systolic blood pressure was greater than 160 mm Hg, and diastolic blood pressure was
greater than 100 mm Hg, per the physician's order. In interviews on August 5, 2025, at 3:28 p.m. and 3:38
p.m., the DON confirmed that there was no evidence that staff administered the medication when the
resident's systolic blood pressure was greater than 160 mm Hg and diastolic blood pressure was greater
than 100 mm Hg, per the physician's order.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:
395831
If continuation sheet
Page 2 of 2
