Federal Nursing-Home Survey Record
WECARE AT SYCAMORE REHABILITATION AND NURSING CENT
Does WECARE AT SYCAMORE REHABILITATION AND NURSING CENT have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WECARE AT SYCAMORE REHABILITATION AND NURSING CENT (CCN 395379), in MONTOURSVILLE, PA, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 30 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2026-03-13. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 1 · CMS state average: 3.0
Deficiency timeline — full federal history
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Ensure medication error rates are not 5 percent or greater.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe and appropriate respiratory care for a resident when needed.
Provide enough food/fluids to maintain a resident's health.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure each resident receives an accurate assessment.
Reasonably accommodate the needs and preferences of each resident.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Keep all essential equipment working safely.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide care or services that was trauma informed and/or culturally competent.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Post nurse staffing information every day.
Dispose of garbage and refuse properly.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
30 citations from earlier inspection cycles — historical, not current (expand)
Keep complete, dated laboratory records in the resident's record.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Provide safe, appropriate pain management for a resident who requires such services.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Observe each nurse aide's job performance and give regular training.
Provide and implement an infection prevention and control program.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide activities to meet all resident's needs.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide safe and appropriate respiratory care for a resident when needed.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure each resident receives an accurate assessment.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Provide or obtain dental services for each resident.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Observe each nurse aide's job performance and give regular training.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Document what happened
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