Pennsylvania Department of Health
ARMSTRONG REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

ARMSTRONG REHABILITATION AND NURSING CENTER
Inspection Results For:

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ARMSTRONG REHABILITATION AND NURSING CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on an Abbreviated Survey in response to two complaints, and an incident completed on August 5, 2026, it was determined that Armstrong Rehabilitation and Nursing Centerwas not in compliance with the following 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.

Plan of Correction:

483.90(g)(1)(2) REQUIREMENT Resident Call System:

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.

§483.90(g) Resident Call System
The facility must be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from-

§483.90(g)(1) Each resident's bedside; and
§483.90(g)(2) Toilet and bathing facilities.

Observations:

Based on a review of facility policy, resident representative concern, observations, and staff interviews, it was determined that the facility failed to maintain an effective call system for one of four Nursing Units (Three A).

Findings include:

Review of the facility policy "Call Lights: Accessibility and Timely Response" last reviewed 2/9/26, indicated that the purpose of the policy is to assure the facility is adequately equipped with a call light at each residents' bedside, toilet, and bathing facility to allow residents to call for assistance. Call lights will directly relay to a staff member or centralized location to ensure appropriate response. Staff will report problems with a call light or the call system immediately to the supervisor and/or maintenance director and will provide immediate or alternative solutions until the problem can be remedied.

Review of a resident representative concern dated 7/23/26, indicated that "The call bell system on the 3rd floor also doesn't work".

During an interview on 8/5/26, at 9:33 a.m. Maintenance Employee E1 confirmed that the A side of the Third floor has call bell system that lights up, but that the Master Console device at the Nurses' Station doesn't "ding". Staff can see the lights light up, but there is no activation of noise to alert them that a light is on. Maintenance Employee E1 stated that they would have to send the console out to another company to be repaired.

During an observation on 8/5/26, at 12:09 p.m. State Agency activated the call bell in room 307 (Nursing Unit Three A). The indicator light above the room lit up, as well as the indicator light on the Master Console at the Nurses' Station, however no alarm or noise was activated.

During an interview on 8/5/26, at 12:09 p.m. Nurse Aide Employee E2 confirmed the above findings, and stated that some of the lights don't even light up at all, and that the system has been broken on this unit since approximately February of 2026.

During an interview on 8/5/26, at 12:54 p.m. Registered Nurse Employee E3 confirmed that the call system on Three A has been broken "For a while" and that some residents who have call lights that do not light up at all were given counter bells "Like at a deli".

During an interview on 8/5/26, at 1:58 p.m. the Nursing Home Administrator confirmed that the facility failed to maintain an effective call system for one of four Nursing Units (Three A).

28 Pa Code 201.14 (a) Responsibility of licensee.
28 Pa Code 201.18 (b)(1) Management.

Plan of Correction - To be completed: 08/31/2026

1. The facility cannot retroactively fix the situation. Residents had no ill effects from the call system on the third floor not audibly alarming at the nurses station.

2. A new call bell system for the unit on the third floor was purchased and anticipated to arrive early in the week of 8/24/2026 and will be installed by date certain.

3. The Maintenance department was educated by the Administrator on keeping call bell related equipment in proper working order.

4. Audits will be completed by the Maintenance Director or Designee weekly x4 by walking rounds, to ensure the call bell system is working on all units. Audits will be conducted by the Director of Nursing or Designee of 10 call bells weekly x 4 weeks and monthly x1 to ensure that the system is functioning; allowing bells to be answered in a timely fashion.

5. Results will be reviewed through the QA/QI process.

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