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DELAWARE VALLEY SKILLED NURSING & REHABILITATION C Inspection Report, Violations & Safety Grade (MATAMORAS, Pennsylvania)

111 RIVERS EDGE DRIVE, MATAMORAS, Pennsylvania 18336

Phone: 5704911010

CMS Overall:3/5

Overview & Bed Count

Certified Beds
70
Avg Residents/Day
61.5
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Pike
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing2/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityPennsylvania AvgDifference
RN Hours per Resident per Day0.690.78-0.09
Total Nurse Hours per Resident per Day3.523.90-0.37
CMS Staffing Rating2/53.1/5-
Nursing Staff Turnover53.6%44.6%-

Health Citation History

22 health citations on record

DateCategoryDescriptionSeverity
2026-03-13Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.E – Moderate Harm Potential
2026-03-13Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-03-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-03-13Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2026-03-13Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-03-13Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2026-03-13Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-03-13Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.D – Moderate Harm Potential
2025-05-01Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-05-01Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-05-01Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-08-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2024-08-08Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.E – Moderate Harm Potential
2024-08-08Nutrition and Dietary DeficienciesEnsure 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.E – Moderate Harm Potential
2024-08-08Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-08-08Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2024-08-08Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2024-08-08Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.D – Moderate Harm Potential
2024-03-27Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-03-27Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-03-27Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2024-03-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential

Fire Safety Citation History

11 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-13Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2026-03-13Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-03-13Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2026-03-13Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2026-03-13Emergency Preparedness DeficienciesProvide primary/alternate means for communication.C – Minimal Harm Potential
2026-03-13Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2025-05-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-08-08Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2024-08-08Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-08-08Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2024-08-08Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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