Pennsylvania Department of Health
 CENTENNIAL HEALTHCARE AND REHABILITATION CENTER
Patient Care Inspection Results

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CENTENNIAL HEALTHCARE AND REHABILITATION CENTER
Inspection Results For:

There are  166 surveys for this facility. Please select a date to view the survey results.

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CENTENNIAL HEALTHCARE AND REHABILITATION CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Based on a Medicare/Medicaid Recertification Survey, Civil Rights Compliance Survey, State Licensure Survey and an Abbreviated Survey in response to a reportable event, completed on July 2, 2026, it was determined that Centennial Healthcare and Rehabilitation Center, was not in compliance with the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations related to the health portion of the survey process.  
 Plan of Correction:


483.45(g)(h)(1)(2) REQUIREMENT Label/Store Drugs and Biologicals:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
§483.45(g) Labeling of Drugs and Biologicals
Drugs and biologicals used in the facility must be labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable.

§483.45(h) Storage of Drugs and Biologicals

§483.45(h)(1) In accordance with State and Federal laws, the facility must store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys.

§483.45(h)(2) The facility must provide separately locked, permanently affixed compartments for storage of controlled drugs listed in Schedule II of the Comprehensive Drug Abuse Prevention and Control Act of 1976 and other drugs subject to abuse, except when the facility uses single unit package drug distribution systems in which the quantity stored is minimal and a missing dose can be readily detected.
Observations:
Based on review of facility documentation, observations, and staff interviews it was determined that the facility failed to ensure safe and secure storage of all medications for three of three nursing units (Second, Third, Fourth Floor).

Findings Include:


Review of facility documentation revealed a June 2026 temperature log for the second-floor nursing unit medication refrigerator. The temperatures of the medication refrigerator were only documented twice. No temperature monitoring was documented for the remaining days of the month.

Observations on June 29, 2026, inside the medication refrigerator on the fourth-floor nursing unit revealed it was operating at an excessively low temperature, with multiple medications observed to be encased in ice. Licensed nurse, Employee E7, confirmed the condition of the medications and removed/discarded affected medications due to potential compromised integrity of the medications. The refrigerator thermometer was observed to be malfunctioning/incorrect, contributing to inaccurate temperature monitoring.

Observations on June 30, 2026, inside the medication refrigerator on the third-floor nursing unit revealed the refrigerator was unplugged and inoperable. Refrigerated medications were subsequently relocated and stored in the resident refrigerator in the room adjacent to medication storage room. The refrigerator to which the medications were relocated, was observed to contain food and beverages being stored for the residents.This refrigerator was not designated exclusively for medication storage and posed a risk for contamination and improper storage conditions.

During an interview on June 30, 2026, Unit Manager, Employee E17, confirmed the refrigerator was inoperable, due to a nonfunctioning electrical outlet and acknowledged that medication should not have been stored in resident refrigerator.

28 Pa. Code 211.12 (d)(5) Nursing services.





 Plan of Correction - To be completed: 08/19/2026

The refrigerator log on the 2nd floor cannot be retroactively documented. The medication refrigerator on the 4th floor nurse station was emptied, affected medications were discarded, the malfunctioning thermometer and refrigerator were repaired or replaced as necessary. The medications were removed from the resident refrigerator on the 3rd floor.
Medication storing refrigerators were audited to ensure they were functioning properly, temperatures were being monitored and medications were stored properly. Any outliers were addressed.
The Nurse Educator or designee will educate Licensed nurses regarding safe storage medications related to equipment and temperature monitoring. Licensed nurses will monitor medication refrigerators for safe temperatures and storage.
The Director of Nursing/ Maintenance Director or designee will conduct random audits of medication storage areas and temperature logs weekly x 4 then monthly X 3 with the findings reported to QAPI.
483.24(a)(2) REQUIREMENT ADL Care Provided for Dependent Residents:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
§483.24(a)(2) A resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene;
Observations: Based on review of clinical records, and staff and resident interviews it was determined that the facility ensure residents received shower as scheduled for one of 31 residents reviewed (Resident R23). Findings include: Review of Resident R23's clinical record revealed that the resident was admitted to the facility on June 17, 2019, and has diagnoses of Conversion Disorder (a condition in which a person experiences real physical symptoms that are not explained by neurological disease or other medical conditions and are not under voluntary control) and obstructive pulmonary disease (a progressive lung disease characterized by persistent airflow limitation). Further review of Resident R23's clinical record revealed the resident has a BIMS (Brief Interview for Mental Status) score of 15, reflecting intact cognition. Review of Resident R23's comprehensive care plan revealed the resident has an ADL (Activities of Daily Living) self-care performance deficit with impaired balance, muscle weakness, and spondylosis (degenerative spinal condition). Per the care plan, Resident R23 requires one staff participation with bathing. The care plan did not include details of a bathing time preference. During an interview with Resident R23 on June 29, 2026 (Monday), at 10:00a.m. the resident reported he/she last received a shower on June 24, 2026 (Wednesday), and his/her scheduled showers are Wednesdays and Saturdays. Resident R23 reported he/she was not provided a shower on Saturday June 27, 2026. Review of Resident R23's bathing record from June 13, 2026, to June 27, 2026, revealed no documented evidence a shower was provided on June 27, 2026, but documented as "not applicable". Interview with Licensed Nurse Employee, E14, on July 1, 2026, at 12:45p.m., Employee E14 did not know what "not applicable" meant and could not verify if Resident R23 did or did not have a shower or was offered a shower on June 27, 2026. Further interview with Licensed nurse, Employee E14, on July 1, 2026, at 2:15p.m., Employee E14 reported that he/she contacted Nurse Aide, Employee E11, [Resident R23's assigned nurse aide from 6/27/26] who stated that Resident R23 was offered a shower on June 27, 2026, but Resident R23 refused to have it done because it was offered after 4:00 p.m. Review of Resident R23's clinical record revealed no documentation of refusal. Interview with Director of Nursing, Employee E2, on July 2, 2026, at 10:30a.m.,reported that Nurse Aide Employee E11 was busy and could not offer Resident R23 a shower by 4p.m. and Resident R23 prefers to have shower by 4p.m. 28 Pa. Code 201.29(j) Residents Rights 28 Pa. Code 211.10(d) Resident care policies 28 Pa. Code 211.12(d)(1) Nursing services 28 Pa. Code 211.12(d)(5) Nursing services
 Plan of Correction - To be completed: 08/19/2026

Resident R23's care plan was updated to reflect the resident's preferred shower time.
An audit of residents' shower completion documentation from the last 7 days was conducted to identify any residents without a documented shower during that period. Any outliers were addressed.
Residents with known shower preferences were reviewed to see if preferences were addressed on the residents plan of care.
The Nurse Educator or designee will educate the Licensed nurses and nursing assistance regarding ADL care related to showering
The Director of Nursing or Designee will audit random residents' ADL bathing documentation weekly x 4 then monthly X 3 with the findings reported to QAPI.


483.80(a)(1)(2)(4)(e)(f) REQUIREMENT Infection Prevention & Control:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
§483.80 Infection Control
The facility must establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.

§483.80(a) Infection prevention and control program.
The facility must establish an infection prevention and control program (IPCP) that must include, at a minimum, the following elements:

§483.80(a)(1) A system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents, staff, volunteers, visitors, and other individuals providing services under a contractual arrangement based upon the facility assessment conducted according to §483.71 and following accepted national standards;

§483.80(a)(2) Written standards, policies, and procedures for the program, which must include, but are not limited to:
(i) A system of surveillance designed to identify possible communicable diseases or
infections before they can spread to other persons in the facility;
(ii) When and to whom possible incidents of communicable disease or infections should be reported;
(iii) Standard and transmission-based precautions to be followed to prevent spread of infections;
(iv)When and how isolation should be used for a resident; including but not limited to:
(A) The type and duration of the isolation, depending upon the infectious agent or organism involved, and
(B) A requirement that the isolation should be the least restrictive possible for the resident under the circumstances.
(v) The circumstances under which the facility must prohibit employees with a communicable disease or infected skin lesions from direct contact with residents or their food, if direct contact will transmit the disease; and
(vi)The hand hygiene procedures to be followed by staff involved in direct resident contact.

§483.80(a)(4) A system for recording incidents identified under the facility's IPCP and the corrective actions taken by the facility.

§483.80(e) Linens.
Personnel must handle, store, process, and transport linens so as to prevent the spread of infection.

§483.80(f) Annual review.
The facility will conduct an annual review of its IPCP and update their program, as necessary.
Observations: Based on review of facility policy and observations it was determined that the facility failed to implement and maintain effective infection control practices related to feeding assistance for two of 31 residents reviewed (Residents R20 and R165). Findings Include: Review of the facility policy titled, "Assistance with Meals" last revised December 2025 states, "Policy Statement- Residents shall receive assistance with meals in a manner that meets the individual needs of each resident." Review of the facility policy titled, "Handwashing/Hand Hygiene Policy" last updated September 2024 states, "Policy Statement- This facility considers hand hygiene the primary means to prevent the spread of healthcare-associated infections." Further review of the facility policy states, "Indications for Hand Hygiene: 1. Hand hygiene is indicated:after touching a resident e. after touching the resident's environment". Review of Resident R165's nutrition assessment dated March 16, 2026, states, "Interventions: 1:1 feed". Review of Resident R20's physician orders revealed an order, "Provide 1:1 feeds" initiated on April 15, 2026. Observation was made of the dining room on the third floor on June 29, 2026. During observation a nurse aide Employee, E15, was seen at 12:33 p.m. assisting both Resident R20 and Resident R165 with feeding. Nurse aide, Employee E15, would feed one resident with their fork and then feed the second resident with their fork without completing hand hygiene in between. 28 Pa Code 201.14 (a) Responsibility of licensee. 28 Pa Code 211.12 (d)(5) Nursing services.
 Plan of Correction - To be completed: 08/19/2026

Employee E15 received education regarding infection control related to feeding assistance.
Resident receiving feeding assistance have the potential to be affected
The Nurse Educator or designee will educate Nursing assistants and licensed nurses regarding infection control related to feeding assistance hand hygiene.
The Director of Nursing or designee will complete random infection control audits related to feeding assistance hand hygiene weekly x 4 then monthly X 3 with the findings reported to QAPI.
483.70(m)(1)(2)(i)(ii)(3)-(5) REQUIREMENT Entering into Binding Arbitration Agreements:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
§483.70(m) Binding Arbitration Agreements
If a facility chooses to ask a resident or his or her representative to enter into an agreement for binding arbitration, the facility must comply with all of the requirements in this section.

§483.70(m)(1) The facility must not require any resident or his or her representative to sign an agreement for binding arbitration as a condition of admission to, or as a requirement to continue to receive care at, the facility and must explicitly inform the resident or his or her representative of his or her right not to sign the agreement as a condition of admission to, or as a requirement to continue to receive care at, the facility.

§483.70(m)(2) The facility must ensure that:
(i) The agreement is explained to the resident and his or her representative in a form and manner that he or she understands, including in a language the resident and his or her representative understands;
(ii) The resident or his or her representative acknowledges that he or she understands the agreement;

§483.70(m)(3) The agreement must explicitly grant the resident or his or her representative the right to rescind the agreement within 30 calendar days of signing it.

§483.70(m)(4) The agreement must explicitly state that neither the resident nor his or her representative is required to sign an agreement for binding arbitration as a condition of admission to, or as a requirement to continue to receive care at, the facility.

§483.70(m)(5) The agreement may not contain any language that prohibits or discourages the resident or anyone else from communicating with federal, state, or local officials, including but not limited to, federal and state surveyors, other federal or state health department employees, and representative of the Office of the State Long-Term Care Ombudsman, in accordance with §483.10(k).
Observations: Based on clinical record reviews and interviews with staff, it was determined that the facility failed to ensure that arbitration agreements granted residents the right to rescind the agreements within 30 calendar days of signing it, for three of three residents reviewed (Residents R33, R68 and R187). Findings include: A Binding Arbitration Agreement is a legal process where parties in a dispute agree to have a neutral third party decide their case instead of a judge or jury. The arbitrators decision is final, and the parties usually cannot appeal it. Review of the Arbitration Agreement for Resident R33, revealed, "This Agreement may be cancelled by written notice sent by certified mail to the Facility's Administrator within thirty (30) calendar days of the Resident's date of admission. If alleged acts underlying the dispute occur before the cancellation date, this Agreement shall be binding with respect to those alleged acts." The Agreement was signed by Resident R33 on June 10, 2026. Review of the Arbitration Agreement for Resident R68, revealed, "This Agreement may be cancelled by written notice sent by certified mail to the Facility's Administrator within thirty (30) calendar days of the Resident's date of admission. If alleged acts underlying the dispute occur before the cancellation date, this Agreement shall be binding with respect to those alleged acts." The Agreement was signed by Resident R68 on June 11, 2026. Review of the Arbitration Agreement for Resident R187, revealed, "This Agreement may be cancelled by written notice sent by certified mail to the Facility's Administrator within thirty (30) calendar days of the Resident's date of admission. If alleged acts underlying the dispute occur before the cancellation date, this Agreement shall be binding with respect to those alleged acts." The Agreement was signed by Resident R187 on June 25, 2026. Interview on June 30, 2025, at 2:15 p.m. the above was reviewed with the Nursing Home Administrator, that the facility's Arbitration Agreements did not meet the regulatory requirement of allowing residents to rescind the agreement within 30 days of signing the agreement. The Nursing Home Administrator confirmed that the Arbitration Agreements provided to residents stated that they had 30 days from their date of admission, not 30 days from them signing the agreement. 28 Pa Code 201.14(a) Responsibility of licensee
 Plan of Correction - To be completed: 08/19/2026

Residents of R33, R68, and R187 arbitration agreements were revised.
Residents signing an arbitration agreement have the potential to be affected.
The Administrator or designee will educate the Admissions Department regarding requirements for arbitration agreements related to resident right to rescind
The Administrator or Designee will randomly audit new Arbitration agreements packets weekly x4 then monthly X3 with the findings reported to QAPI.
483.25(i) REQUIREMENT Respiratory/Tracheostomy Care and Suctioning:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
§ 483.25(i) Respiratory care, including tracheostomy care and tracheal suctioning.
The facility must ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences, and 483.65 of this subpart.
Observations: Based on review of facility policy, review of clinical records, observations, and staff interviews, it was determined that the facility failed to provide necessary respiratory care and services for one of 31 residents reviewed (Residents R35). Findings Include: Review of the facility policy titled, "Oxygen Therapy Policy" dated January 2026 states, "Policy Statement- This policy is to instruct on how to treat hypoxemia, decrease work of breathing and decrease myocardial work in patients requiring supplemental oxygen therapy due to respiratory or cardiac insufficiency." Further review of the facility policy states, "Procedure 1. Follow Standard Precautions 2. Verify the physician's order (should include liter flow, type of oxygen delivery device)." Further review of the policy states, "Oxygen Equipment Maintenance- Oxygen equipment will be maintained in a clean, safe, and functional condition according to facility policy and the manufacturer's guidelines." A tour of the third-floor nursing unit on June 29, 2026, at 11:10 a.m. revealed Resident R35's oxygen machine was observed to be visibly soiled with speckles of gray substance on the back of the filter and on the machine. Review of Resident R35's clinical record revealed no physician order for oxygen. Follow-up observations on June 30, 2026, at 10:00 a.m. revealed housekeeping aide, Employee E16, was in the room cleaning off the oxygen machine. Housekeeping Aide, Employee E16, confirmed Resident R35's oxygen machine was dirty and therefore staff was cleaning it. When asked how often they are cleaned Housekeeping Aide, Employee E16, was unsure. Interview on June 30, 2026, at 1:42 p.m. Maintenance Director, Employee E10, provided the surveyor with monthly "Concentrator Checklists" last completed on June 4, 2026. Maintenance Director, Employee E10, stated that the filter's and machines are cleaned once a month and in between nursing is supposed to notify maintenance/housekeeping if they need additional cleaning. Review of Resident R35's care plan revealed no care plan in place for maintenance of the oxygen machine. Interview held with licensed nurse, Employee E14, on July 1, 2026, at 11:00 a.m. confirmed Resident R35 did not have a physician order for oxygen prior to June 30, 2026. 28 Pa Code 211.12(d)(1) Nursing services. 28 Pa Code 211.12(d)(5) Nursing services.
 Plan of Correction - To be completed: 08/19/2026

Resident R35's Oxygen machine was properly cleaned. Resident R35 orders were updated.
An audit of residents on oxygen therapy was conducted to ensure all physician orders were properly followed in relation to oxygen delivery. Oxygen concentrators were reviewed to ensure they were clean; any outliers were addressed.
HK/ Maintenance will check Oxygen equipment bi/monthly for compliance. Licensed Nurses will monitor residents receiving Oxygen for orders and those with orders are receiving O2 have an order. The Nurse Educator or designee will educate Licensed nurses, maintenance, and housekeeping regarding respiratory care related oxygen equipment maintenance/ cleanliness and Oxygen orders.
The Director of Nursing/ Housekeeping Director or designee will randomly audit oxygen-dependent residents for orders and cleanliness weekly x 4 then monthly X 3 with the findings reported to QAPI.
483.25(d)(1)(2) REQUIREMENT Free of Accident Hazards/Supervision/Devices:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
§483.25(d) Accidents.
The facility must ensure that -
§483.25(d)(1) The resident environment remains as free of accident hazards as is possible; and

§483.25(d)(2)Each resident receives adequate supervision and assistance devices to prevent accidents.
Observations: Based on review of facility policy, observations, and interviews with staff, it was determined that the facility failed to maintain an environment free of accidents and hazards related to medications for two of three nursing units observed (Second floor and Third floor). Findings include: Review of facility policy titled, "Administering Medications" revised June 2025 states, "Medications are administered in a safe and timely manner, and as prescribed. Medications, both prescription and non-prescription, shall be administered under the orders of the attending physician, or the physician's designee." Continued review of policy stated, "...8. The individual administering the medication will follow the 5 rights of medication administration and checking the label to verify the right resident, right medication, right dosage, right time and right method (route) of administration before giving the medication". Further review of the facility policy "Administering Medications" stated, "...15. For residents not in their rooms or otherwise unavailable to receive medication on the medication pass, the Medication Administration Record may be "flagged." After completing the medication pass, the nurse will return to the missed resident to administer the medication." During a tour of the second-floor nursing unit on June 29, 2026, at 10:20 a.m. a plastic medication cup was noted on Resident R52's bedside table containing several pills. The nurse for the hall was located and asked about the medications left at bedside. Interview on June 29, 2026, at approximately 10:20 a.m. Licensed Nurse, Employee E3 stated he/she was unsure about medications being left on Resident R52's bedside table. Licensed nurse, Employee E3, and Unit Manager, Employee E4, confirmed observations of medications left on Resident R52's bedside table. Further interview on June 29, 2026, at approximately 10:20 a.m. Licensed Nurse, Employee E3, denied leaving medications at bedside and stated Resident R52 came to the doorway where morning medications were administered. Interview on June 29, 2026, at 10:30 a.m. with Unit Manager, Employee E4, confirmed at 10:30 a.m. that medications were left on Resident R52's bedside table. Unit Manager, Employee E4, counted ten pills in the plastic cup. Unit Manager, Employee E4, confirmed that medications should never be left bedside for residents. During the tour of the third floor on June 30, 2026, at 11:24 a.m., observation of a small round white pill was found in the doorway of Resident R118's room. Licensed Nurse, Employee E7, was located at the nurse station and confirmed the finding of a loose pill on the floor. 28 Pa. Code 201.18 (b)(3) Management. 28 Pa. Code 211.12 (d)(5) Nursing services.
 Plan of Correction - To be completed: 08/19/2026

The medications identified during the survey were immediately removed and properly disposed of. Employee E3 was educated that medications may not be left unattended at the bedside unless specifically ordered.
Resident rooms were audited to ensure no other medications were located in the resident room(s).
The Nurse Educator or designee will educate Licensed on maintaining an environment free of accidents related to medication administration
The Director of Nursing or designee will conduct random audits of resident care areas ensuring they are free of accidents and hazards related to medications weekly x4 then monthly X3 with the findings reported to QAPI.
483.25 REQUIREMENT Quality of Care:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
§ 483.25 Quality of care
Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices.
Observations: Based on review of facility policy, clinical record review, observation, and interviews with staff and residents, it was determined that the facility failed to provide resident care and treatment in accordance with standards of professional practice and physician orders for two of 31 residents reviewed (Resident R182 and R176). Findings Include: Review of the facility policy, "Charting and Documentation Change," revised July 2021, indicated that treatments and services performed must be documented in the resident's medical record. Record review revealed Resident R176 was admitted to the facility on August 9, 2020, with diagnoses including flaccid hemiplegia affecting the right dominant side (paralysis of the right side of the body), muscle weakness, and sepsis (a serious infection affecting the whole body). Review of Resident R176's physician orders revealed an order dated March 3, 2026, to apply TED (compression stockings) to the right lower extremity during the day for edema (characterized by swelling in the extremities) and remove them at bedtime. Review of Resident R176's June 2026 Medication Administration Record (MAR) indicated the treatment had been documented as completed on June 30, 2026. Subsequent observation on June 30, 2026, revealed Resident R176 was not wearing the physician-ordered TED/compression stocking on the right lower extremity. Interview on June 30, 2026, with Unit Manager, Employee E14, confirmed Resident R176 TED/compression stocking was not in place. During interview, Unit Manager E14 confirmed the treatment had been signed as completed on the MAR by the 11:00 p.m. to 7:00 a.m. nurse; however, Resident R176's TED/compression stocking was not in place on June 30, 2026, as documented. Review of facility policy titled, "Residents Change in Condition Policy", updated July 2022, revealed that "The Nurse Supervisor/Charge Nurse will notify the resident's Attending or on-call provider when there has been...a significant change in vital signs from the resident's baseline with clinical symptoms". Review of the American Heart Association document "Blood Pressure Categories", dated September 2025, revealed that a systolic blood pressure greater than 180 is considered severe hypertension and requires medical attention. Review of clinical records revealed that resident R182 was admitted to the facility on May 28, 2020, with diagnoses including, but not limited to, chronic kidney disease (progressive condition where the kidneys gradually lose function over time), hypertension (high blood pressure), type 2 diabetes (characterized by insulin resistance and high blood sugar levels), and heart failure (the heart is not pumping as well as it should). Further review of Resident R18's records revealed that on April 30, 2026, at 9:24 a.m., a blood pressure reading of 198/89 was recorded in the resident's record. Progress notes, assessments, and other clinical records were reviewed, and no record could be found to indicate that the elevated blood pressure was communicated to the physician. During an interview with employees E1, the Nursing Home Administrator, and E2, the Director of Nursing, on July 2, 2026, at 11:03 a.m., employee E2 stated that a blood pressure reading "over 150 is an issue" and a "clinical symptom", and that the physician should have been notified. 28 Pa. Code 201.14 (a) Responsibility of licensee. 28 Pa. Code 211.12 (d)(5) Nursing services.
 Plan of Correction - To be completed: 08/19/2026

Resident R176's Treatment Record dated June 30, 2026 cannot be adjusted. Resident R182 is discharged from the facility.
Residents with orders for compression stockings were reviewed to ensure physician orders were followed. Any outliers were addressed.
An audit of residents' blood pressures over the last 7 days was reviewed. If an elevation was identified, the physician was notified.
The Nurse Educator or designee will educate Licensed regarding resident care and treatment related to applying Ted Stockings and identifying change of conditions related to Blood Pressures
The Director of Nursing or Designee will audit treatment documentation and physician notification documentation related to Ted application and Blood Pressures weekly x4 then monthly X3 with the findings reported to QAPI.
483.20(g)(h)(i)(j) REQUIREMENT Accuracy of Assessments:Least serious deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency has the potential for causing no more than a minor negative impact on the resident.
§483.20(g) Accuracy of Assessments.
The assessment must accurately reflect the resident's status.

§483.20(h) Coordination. A registered nurse must conduct or coordinate each assessment with the appropriate participation of health professionals.

§483.20(i) Certification.
§483.20(i)(1) A registered nurse must sign and certify that the assessment is completed.
§483.20(i)(2) Each individual who completes a portion of the assessment must sign and certify the accuracy of that portion of the assessment.

§483.20(j) Penalty for Falsification.
§483.20(j)(1) Under Medicare and Medicaid, an individual who willfully and knowingly-
(i) Certifies a material and false statement in a resident assessment is subject to a civil money penalty of not more than $1,000 for each assessment; or
(ii) Causes another individual to certify a material and false statement in a resident assessment is subject to a civil money penalty or not more than $5,000 for each assessment.
§483.20(j)(2) Clinical disagreement does not constitute a material and false statement.
Observations: Based on clinical record review and interviews with staff, it was determined that the facility failed to accurately complete an MDS assessment for one of three discharged records reviewed (Resident R183). Findings include: Review of Resident R183's Discharge MDS (Minimum Data Set a mandatory periodic resident assessment tool) dated April 15, 2026, revealed that the resident was discharged on April 15, 2026, to a nursing home. Review of Resident R183's clinical record revealed a nursing progress note, dated April 15, 2026, at 12:13 p.m. that the resident was discharged to a local hospital for respiratory distress. Interview on July 2, 2026, at 11:23 a.m. Employee E12, Assessment Coordinator, confirmed that R183's MDS assessment was coded inaccurately. 28 Pa Code 211.5(f)(xi) Medical records
 Plan of Correction - To be completed: 08/19/2026

I hereby acknowledge the CMS 2567-A, issued to CENTENNIAL HEALTHCARE AND REHABILITATION CENTER for the survey ending 07/02/2026, AND attest that all deficiencies listed on the form will be corrected in a timely manner.

The provider submits the following plan of correction in good faith and to comply with Federal regulation. This plan is not admission of wrong doing nor does it reflect agreement with the facts and conclusion stated in the statement deficiencies

The discharge of MDS for Resident R183 was modified to accurately reflect the resident's discharge disposition.
An audit was conducted of all Residents who were discharged in the last 30 days to identify any coding errors related to discharge disposition. Any outliers were addressed.
The Nurse Educator or designee will educate the MDS Coordinator on MDS coding accuracy related to discharge assessments.
The Director of Nursing or Designee will audit discharge MDS assessments weekly x 4 then monthly X 3 with the findings reported to QAPI.

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