Pennsylvania Department of Health
WALNUT CREEK NURSING AND REHAB
Patient Care Inspection Results

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WALNUT CREEK NURSING AND REHAB
Inspection Results For:

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WALNUT CREEK NURSING AND REHAB - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an Abbreviated Complaint Survey completed on February 15, 2026, at Walnut Creek Nursing and Rehab it was determined that there were no federal deficiencies identified under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities as it relates to the Health portion of the survey process; however, the facility was not in compliance with 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.




 Plan of Correction:


35 P. S. § 448.809b LICENSURE Photo Id Reg:State only Deficiency.
Law amended July 11, 2022 Act 79 2022 HB 2604

(1) The photo identification tag shall include a recent
photograph of the employee, the employee's first name, the
employee's title and the name of [the health care facility or
employment agency.] any of the following:
(i) The health care facility.
(ii) The health system.
(iii) The employment agency.
(iv) The fictitious name of an entity under
subparagraph (i), (ii) or (iii) which is registered with
the Department of State under 54 Pa.C.S. Ch. 3 (relating
to fictitious names) or a successor statute.

(2) The title of the employee shall be as large as possible
in block type and shall occupy a one-half inch tall strip as
close as practicable to the bottom edge of the badge.


(3) Titles shall be as follows:
(i) A Medical Doctor shall have the title "Physician."
(ii) A Doctor of Osteopathy shall have the title
"Physician."
(iii) A Registered Nurse shall have the title
"Registered Nurse."
(iv) A Licensed Practical Nurse shall have the title
"Licensed Practical Nurse."
(v) All other titles shall be determined by the
department. Abbreviated titles may be used when the title
indicates licensure or certification by a Commonwealth
agency.

(4)A notation, marker or indicator included on an identification badge that differentiates employees with the same first name is considered acceptable in lieu of displaying an employee's last name.


Observations:


Based on observations and staff interviews, it was determined that the facility failed to make certain that a photo identification badge including the employee's name and the name of the facility were worn for four of six staff members observed (Employees E1, E2, E3, and E4).

Findings include:

Observations on 2/14/26, with the Nursing Home Administrator (NHA), from approximately 11:50 a.m. through 11:58 a.m., revealed Certified Nursing Assistant (CNA) Employees E1, E2, E3 and Licensed Practical Nurse (LPN) E4 were not wearing any identification badges.

The NHA confirmed these observations during this same time.

During interviews from approximately 11:50 a.m. through 11:58 a.m. at the time of the observations, CNA Employees E1, E2, E3 and LPN Employee E4 confirmed that a photo identification was not currently on their uniform.








 Plan of Correction - To be completed: 03/10/2026

Facility administration ensured that staff members E1, E2, E3, and E4 had an identification badge or made temporary identification badges to be visibly worn.
Human Resources director conducted an audit to determine if any staff members needed replacement or temporary identification badges.
Human Resources director conducted all staff in service education on requirement to wear identification badges.
NHA or designee will conduct audits of twenty-five percent of staff scheduled five days a week for four weeks on varying shifts, then weekly for 4 weeks to ensure compliance. The results of these audits will be reviewed by the quality assurance and process improvement committee until substantial compliance is achieved.


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