F 0655
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being
admitted
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
clinical record review, it was determined that the facility failed to develop and/or implement a baseline care
plan that addressed individual resident needs for three of 20 sampled residents. (Residents 10, 13,
19)Findings include:
Clinical record review revealed that Resident 10 was admitted to the facility on [DATE], with diagnoses that
included diabetes, heart failure, and muscle weakness. The baseline care plan dated July 16, 2025, noted
that the resident was incontinent of bowel. There was no evidence that the care plan included interventions
and goals to address Resident 10’s incontinence.
Clinical record review revealed that Resident 13 was admitted to the facility on [DATE], with diagnoses that
included diabetes and dysphagia (difficulty swallowing). There was no documented evidence that the facility
developed a baseline care plan following admission.
Clinical record review revealed that Resident 19 was admitted to the facility on [DATE], with diagnoses that
included depression and diabetes. On July 22, 2025, a nurse noted that the resident had a language barrier
and had difficulty communicating. On July 23, 2025, the social worker documented that the resident's family
was required to translate due to a language barrier. There was no documented evidence that the resident's
language barrier was addressed in the baseline care plan.
In an interview on July 28, 2025, at 4:15 p.m., the Director of Nursing confirmed there was no documented
evidence that the care areas were addressed in the resident's baseline care plan.
28 Pa. Code 211.12(d)(1)(3)(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:
395913
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
395913
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Huntingdon Skilled Nursing and Rehabilitation Cent
3430 Huntingdon Pike
Huntingdon Valley, PA 19006
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 0656
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Develop and implement a complete care plan that meets all the resident's needs, with timetables and
actions that can be measured.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
clinical record review and staff interview, it was determined that the facility failed to develop a
comprehensive care plan that addressed individualv resident needs as identified in the comprehensive
assessment for one of 20 sampled residents. (Resident 18) Findings include: Clinical record review
revealed that Resident 18 was admitted to the facility on [DATE], and had diagnoses that included diabetes,
heart failure, and dementia. The Minimum Data Set assessment and Care Area Assessment summary
dated July 21, 2025, noted that the resident's urinary incontinence, dental care, self-care, mobility, and
pressure ulcer were to be addressed in the care plan. There was no evidence that interventions to address
Resident's 18 urinary incontinence, dental care, self-care, mobility, and pressure ulcer were included in the
care plan. In an interview on July 28, 2025, at 4:00 p.m., the Director of Nursing confirmed there was no
documented evidence that the care areas were addressed in the care plan. 28 Pa. Code 211.12(d)(1)(5)
Nursing services.
Event ID:
Facility ID:
395913
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
395913
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Huntingdon Skilled Nursing and Rehabilitation Cent
3430 Huntingdon Pike
Huntingdon Valley, PA 19006
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
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
facility policy review, clinical record review, and staff interview, it was determined that the facility failed to
ensure physician's orders were implemented for two of 20 sampled residents. (Residents 1, 16)
Residents Affected - Few
Findings include:
Review of the policy entitled, Medication Administration, last reviewed July 25, 2025, revealed staff were to
obtain vital signs as necessary prior to
medication administration and document physician indicated medication administration information.
Clinical record review revealed that Resident 16 had diagnoses that included hypertension (high blood
pressure), heart failure, anemia (blood disorder), and kidney disease. On July 18, 2025, the physician
ordered staff to administer a blood pressure medicine (hydralazine HC1) twice a day and once at bedtime.
Staff was not to administer the medication if the resident's systolic blood pressure (the first measurement of
blood pressure when the heart beats and the pressure is at its highest) was less than 100 millimeters of
mercury (mmHg). Review of Resident 16’s July 2025 Medication Administration Record revealed
that staff administered the medication 28 out of 29 times with no documented evidence that the blood
pressure was assessed prior to medication administration per the physician's order.
Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses that
included hypertension (high blood pressure), atrial fibrillation (irregular heartbeat), and dysphagia (difficulty
swallowing). On July 14, 2025, the physician ordered for staff to obtain the resident's weight daily. There
was no documented evidence that staff obtained Resident 1's weight on July 16, 18, 25, or 26, 2025.
In an interview on July 28, 2025, at 4:15 p.m., the Director of Nursing confirmed there was no documented
evidence Resident 16's blood pressure was taken prior to medication administration, and that Resident's
1's weight was taken daily as per physician's order.
28 Pa. Code 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395913
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
395913
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Huntingdon Skilled Nursing and Rehabilitation Cent
3430 Huntingdon Pike
Huntingdon Valley, PA 19006
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 0814
Dispose of garbage and refuse properly.
Level of Harm - Potential for
minimal harm
Based on observation, it was determined that the facility failed to dispose of trash and refuse properly.
Findings include: Observation of the dumpster area on July 28, 2025, at 10:30 a.m., revealed three full
trash bags outside the dumpster and a used disposable glove on the ground. The top lid of the garbage
dumpster was open and it was full of trash bags. 28 Pa Code 201.18(b)(3) Management.
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395913
If continuation sheet
Page 4 of 4