Inspection visit
Health inspection
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 0679
Provide activities to meet all resident's needs.
Level of Harm - Minimal harm
or potential for actual harm
Based on review of facility documents, and resident and staff interviews, it was determined that the facility
failed to provide an ongoing program of activities designed to meet the individual needs and interests for
four of four residents reviewed (Residents 1, 2, 3 and 4).Findings include: In an interview with Resident 3
on February 2, 2026, at 11:05 AM, the resident stated activities are often cancelled because there are only
two activity staff and there are often days with no activities at all. In an interview with Resident 2 on
February 2, 2026, at 11:15 AM, the resident stated the activities used to be better than they are now, and
there are not always activities to attend. Resident 2 also stated there are no alternative activities if they do
not like an activity scheduled, and they are very concerned that the facility is cutting the activities. In an
interview with Resident 1 on February 2, 2026, at 11:25 AM, the resident stated activities have been
cancelled and now there are days without any activities at all, which bothers them. In an interview with
Resident 4 on February 2, 2026, at 2:00 PM, the resident stated they stayed in bed this past weekend
because there were no activities to attend. Resident 4 stated they like having something to do on the
weekends. Review of the facility activity calendars for December 2025, and January 2026, revealed that in
January there were no activities scheduled on the first, third, and fifth Saturday of the month, and the
following Sundays listed only a single church service. Further review of the December 2025, and January
2026, activity calendars revealed a reduction in the number of activities available in January when
compared to December, in addition to the removal of evening activities during the month of January.
Interview with the Nursing Home Administrator on February 2, 2026, at 1:30 PM confirmed that the activity
department had recently undergone staffing reductions, which caused the decrease in available activities.
The above findings were reviewed with the Nursing Home Administrator and the Director of Nursing on
February 2, 2026, at 3:00 PM. 28 Pa. Code 201.29 (a) Resident rights
Residents Affected - Some
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:
395868
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
395868
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/04/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Embassy of Hearthside
450 Waupelani Drive
State College, PA 16801
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 0802
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition
service.
Based on observation, review of facility documents, and resident and staff interview, it was determined that
the facility failed to provide sufficient staff to carry out the functions of food and nutrition services in the
main kitchen for one of four units (University, Residents 1, 2 and 3).Findings include: Interview with
Resident 3 on February 2, 2026, at 11:05 AM, revealed that the resident sometimes receives food served
on Styrofoam for all three meals in a day. The resident stated they did not like Styrofoam because the food
gets cold quickly. Interview with Resident 2 on February 2, 2026, at 11:15 AM, revealed that meals are
served on Styrofoam often and it has happened recently, even in the last week. The resident stated, when it
is a hot meal, it can be less hot, and this continues to happen about once a week. In an interview with
Resident 1 on February 2, 2026, at 11:25 AM, the resident stated eating off Styrofoam makes her feel sick,
and she does not like Styrofoam. Interview with Employee 1, dietary manager, on February 2, 2026, at
10:15 AM revealed that there was a period beginning December 19, 2025, lasting approximately 2 weeks,
where Styrofoam was used at least once a day due to frequent staffing shortages in the department.
Employee 1 stated it happens less frequently now. Review of the food service staff schedule for November
30, 2025, to February 1, 2026, with Employee 1, on February 2, 2026, at 10:30 AM, revealed the following
open positions for food service workers on the schedule required to meet the needs of the department:
Monday, December 1, 2025, one morning shift, one evening shiftTuesday, December 2, 2025, one morning
shift, one evening shiftWednesday, December 3, 2025, one morning shiftThursday, December 4, 2025, one
evening shiftFriday, December 5, 2025, one morning shift, one evening shiftSaturday, December 6, 2025,
one morning shiftWednesday, December 10, 2025, two evening shiftsThursday, December 11, 2025, two
evening shiftsFriday, December 12, 2025, one evening shiftSaturday, December 13, 2025, one morning
shiftSunday, December 14, 2025, one morning shift, one evening shiftMonday, December 15, 2025, one
morning shift, one evening shiftWednesday, December 17, 2025, one evening shiftThursday, December 18,
2025, one evening shiftFriday, December 19, 2025, one morning shift, one evening shiftSaturday,
December 20, 2025, one morning shiftMonday, December 22, 2025, one evening shiftThursday, December
25, 2025, two morning shifts, and one evening shiftSaturday, December 27, 2025, one evening shiftSunday,
December 28, 2025, one morning shift, one evening shiftMonday, December 29, 2025, one evening
shiftWednesday, December 31, 2025, one evening shiftThursday, January 1, 2026, one evening shiftFriday,
January 2, 2026, one evening shiftSaturday, January 3, 2026, one morning shiftSunday, January 4, 2026,
one morning shiftMonday, January 5, 2026, one morning shift, one evening shiftThursday, January 8, 2026,
one evening shiftFriday, January 9, 2026, one evening shiftSaturday, January 10, 2026, one morning shift,
one evening shiftSunday, January 11, 2026, one morning shift, one evening shiftMonday, January 12, 2026,
one evening shiftThursday, January 15, 2026, one morning shift, one evening shiftFriday, January 16, 2026,
one evening shiftSaturday, January 17, 2026, one morning shiftSunday, January 18, 2026, one morning
shiftMonday, January 19, 2026, one morning shift, one evening shiftThursday, January 22, 2026, one
evening shiftFriday, January 23, 2026, one evening shiftSaturday, January 24, 2026, one morning shift, one
evening shiftSunday, January 25, 2026, one morning shift, one evening shiftMonday, January 26, 2026, one
evening shiftThursday, January 29, 2026, one morning shift, one evening shiftFriday, January 30, 2026, one
evening shiftSunday, February 1, 2026, two morning shiftsMonday, February 2, 2026, two morning shifts,
and one evening shift The above concerns regarding the use of Styrofoam, due to insufficient staffing was
reviewed with the Nursing Home Administrator on February 2, 2026, at 1:30 PM. 28 Pa. Code 201.14(a)
Responsibility of licensee28 Pa. Code 201.18(b)(3) Management
Event ID:
Facility ID:
395868
If continuation sheet
Page 2 of 2
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Back to topCitations
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.
F679 - Activities
Provide activities to meet all resident's needs.
F802 - Staffing
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FAQ · About this visit
Common questions about this visit
What happened during the February 4, 2026 survey of EMBASSY OF HEARTHSIDE?
This was a inspection survey of EMBASSY OF HEARTHSIDE on February 4, 2026. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at EMBASSY OF HEARTHSIDE on February 4, 2026?
Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide activities to meet all resident's needs."
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
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.