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SINKING SPRING SKILLED NURSING AND REHABILITATION Inspection Report, Violations & Safety Grade (SINKING SPRING, Pennsylvania)

3000 WINDMILL ROAD, SINKING SPRING, Pennsylvania 19608

Phone: 6106702100

CMS Overall:1/5

Overview & Bed Count

Certified Beds
214
Avg Residents/Day
190.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Berks
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityPennsylvania AvgDifference
RN Hours per Resident per Day0.390.78-0.39
Total Nurse Hours per Resident per Day3.163.90-0.73
CMS Staffing Rating1/53.1/5-
Nursing Staff Turnover52.5%44.6%-

Health Citation History

28 health citations on record

DateCategoryDescriptionSeverity
2026-08-28Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-08-28Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2026-08-28Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-08-28Quality of Life and Care DeficienciesProvide 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.D – Moderate Harm Potential
2026-08-28Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-03-04Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-01-08Freedom 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.J – Immediate Jeopardy
2026-01-08Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G – Actual Harm
2026-01-08Resident 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
2025-09-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-09-26Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-09-26Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2025-07-09Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2025-03-27Freedom 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.G – Actual Harm
2025-03-27Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-10-17Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-08-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-08-27Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2024-08-27Resident 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
2024-08-27Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D – Moderate Harm Potential
2024-08-27Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2024-08-27Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D – Moderate Harm Potential
2024-08-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2024-08-27Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2024-08-27Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.C – Minimal Harm Potential
2024-07-24Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2024-06-06Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-10-28Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential

Fire Safety Citation History

28 fire safety citations on record

DateCategoryDescriptionSeverity
2026-08-28Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2026-08-28Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-08-28Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2026-08-28Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-08-28Construction DeficienciesMeet other general requirements.C – Minimal Harm Potential
2024-08-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-08-27Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-08-27Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2024-08-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-08-27Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-08-27Construction DeficienciesMeet other general requirements.C – Minimal Harm Potential
2024-08-27Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.C – Minimal Harm Potential
2024-08-27Egress DeficienciesHave properly located and lighted "Exit" signs.C – Minimal Harm Potential
2024-08-27Smoke DeficienciesProvide properly protected cooking facilities.C – Minimal Harm Potential
2024-08-27Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.C – Minimal Harm Potential
2024-08-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.C – Minimal Harm Potential
2023-09-29Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.F – Moderate Harm Potential
2023-09-29Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.F – Moderate Harm Potential
2023-09-29Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-09-29Smoke 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
2023-09-29Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2023-09-29Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2023-09-29Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2023-09-29Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2023-09-29Construction DeficienciesMeet other general requirements.C – Minimal Harm Potential
2023-09-29Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.C – Minimal Harm Potential
2023-09-29Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.C – Minimal Harm Potential
2023-09-29Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.C – Minimal Harm Potential

Total Penalties & Fines

$17,342
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-03-27Fine$17,342-

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