F 0602
Protect each resident from the wrongful use of the resident's belongings or money.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of facility policy, clinical record review and interview with staff and residents, it was determined that
the facility did not ensure that residents were free from misappropriation of resident property for three of 10
residents reviewed (R1, R2, R3). This deficiency is cited as past non-compliance.Clinical record review
revealed that resident R1 was admitted to the facility on [DATE], with diagnoses including, but not limited to
hemiplegia and hemiparesis (weakness and paralysis affecting one side of the body), and dementia.
Continued review revealed that resident R2 was admitted to the facility on [DATE], with diagnoses including,
but not limited to muscle wasting and systemic lupus erythematosus (a chronic auto immune disorder that
cause widespread organ and tissue, and causes inflammation that can affect multiple body systems).
Continued review revealed that resident R3 was admitted to the facility on [DATE], with diagnoses including,
but not limited to muscle wasting, anemia, and lymphedema (a chronic condition that causes abnormal and
persistent swelling in your body which is usually seen in the arms and legs but can occur elsewhere).
Review of facility documentation revealed the following:On October 20, 2025, the family of resident R1
made the facility aware that the resident's access card, debit card, and credit cards were missing, and that
unauthorized purchases had been made on October 18 and 19, 2025. After a police investigation, the
perpetrator, employee E3, was identified and apprehended on November 24, 2025. The facility terminated
the employee following identification by police. Further review revealed that during the investigation, police
recovered SEPTA fare cards from two additional residents, residents R2 and R3, which had been in
employee E3's possession. Documents stated that affected residents had been unaware that their cards
were missing, and that they suffered no psychological or physical harm from the misappropriation.Review
of records for residents R1, R2, and R3, revealed that all three affected residents no longer resided at the
facility. Interviews conducted by the facility as part of the investigation revealed no further residents
reported missing personal items or finances. All residents interviewed by the facility reported they felt safe.
No further perpetrators or incidents were identified by the facility or by police. On January 1, 2026, the
Nursing Home Administrator, employee E1, presented documentation indicating that the facility had
initiated a plan of correction on November 19, 2025, related to prevention and reporting of misappropriation
of resident property. Review of the facility's Plan of Correction documentation revealed the following: 1.
Interviews were conducted with residents with a BIMS of 12 or higher on the second floor unit for any
concerns with stolen money. All variances were reviewed with Center administration and investigated.2.
Immediate Actions/EducationReported to COSAReported to the policeReported to DOHSocial service and
psyche services offered and continue to support and car[e] plan psychosocial wellbeingTrauma informed
care plan in placeStaff have been educated on abuse, misappropriation of property. Education will be
ongoing and completed prior to the start of shift. Completed 96% by 11-21-25. Staff have been educated in
mandatory reporting of any suspected misappropriation.3. Ongoing compliance
Residents Affected - Few
(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:
395989
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
395989
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/02/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Providence Rehab and Hlthcare Ctratmercyfitzgerald
600 South Wycombe Ave
Yeadon, PA 19050
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 0602
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
will be monitored by:Audit of five random residents for any care/safety concerns daily for seven days three
times a week for two weeks weekly for two weeks biweekly for two weeks then monthly for two
months.Term paperwork completed and sent certified to employee's home on [DATE]Report certification
submitted to licensing board for certified [CNA].4. All ongoing compliance audits will be presented and
reviewed at the QAPI meeting monthly for the next 6 months. An email from employee E2, the Director of
Nursing, confirmed that staff had reached 100 percent education on November 22, 2025. The facility
alleged a date of compliance with this plan of correction of November 25, 2025.Facility education record
and subsequent audits were verified for completion. Staff were interviewed to verify education of facility
policy on prevention and reporting of misappropriation of resident property. Random staff and resident
interviews were conducted to verify compliance with the plan of correction. No continuing concerns were
identified through record review, interview or observation. This deficiency was cited as past
non-compliance. 28 Pa Code 201.18(b)(1) Management 28 Pa Code 201.29(d) Resident rights 28 Pa Code
201.29(j) Resident rights
Event ID:
Facility ID:
395989
If continuation sheet
Page 2 of 2