Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Marywood Heights during CMS and state inspections, most recent first.
A facility failed to provide adequate supervision and safety measures for two residents, resulting in multiple falls and a serious burn. One resident, with hemiplegia and cognitive impairment, suffered a burn from hot soup due to lack of supervision during meals. Another resident, identified as a high fall risk, experienced repeated falls due to insufficient safety interventions and supervision. Interviews with the NHA and DON confirmed the facility's failure to implement necessary individualized measures.
A facility failed to ensure that an attending physician acted on a pharmacist's recommendations regarding a resident's drug regimen. The resident, diagnosed with multiple mental health disorders, was prescribed three anxiety medications. The pharmacist recommended a Gradual Dose Reduction (GDR) for Ativan and an evaluation of the medications to avoid duplication. However, there was no documentation of the physician's response to these recommendations, confirmed by the DON.
The facility failed to maintain accurate clinical records for three residents, including missing documentation of emergency room evaluations, tuberculosis screenings, and psychology appointments. This lack of documentation was confirmed by the facility's staff.
A facility failed to accurately document a resident's fall history in the MDS assessment. The resident, admitted with conditions including hemiplegia and anxiety, was at high risk for falls and had fallen prior to admission. However, the MDS assessment incorrectly indicated no falls in the month before admission.
A resident was admitted with several psychiatric disorders, and a diagnosis of bipolar disorder was added to their medical records without documented clinical findings to support it. Despite a physician's note suggesting bipolar depression and a change in medication, the comprehensive care plan was not updated to reflect a confirmed diagnosis. A later psychiatry consult diagnosed the resident with generalized anxiety disorder, and the DON confirmed the lack of documentation for bipolar disorder, indicating a deficiency in maintaining accurate medical records.
The facility failed to follow physician orders for two residents, resulting in deficiencies. One resident did not receive the prescribed bowel protocol despite not having a bowel movement for six days, with no evidence of medication administration or physician notification. Another resident was observed not wearing prescribed DARCO shoes, confirmed by staff and the resident, indicating non-compliance with the physician's order.
A facility failed to prevent urinary tract infections in a resident with an indwelling catheter. The resident's catheter was not changed as ordered, and there was no verification of irrigation specifics, leading to potential inaccuracies in urinary output documentation. Additionally, unsanitary storage of catheter supplies was observed, and duplicate orders resulted in improper documentation of catheter changes. The DON confirmed the facility's failure to provide appropriate care.
A resident with major depressive disorder exhibited consistent behavioral symptoms, but the facility failed to provide necessary psychiatric follow-ups. A scheduled appointment was canceled due to transportation issues and was not rescheduled, with no evidence of timely follow-up services. The NHA could not provide evidence of the resident receiving recommended psychological services.
A resident was administered Keflex for a possible UTI without clinical justification. Despite no signs or symptoms of a UTI and lack of diagnostic confirmation, the antibiotic was given from June 26 to July 5. The Infection Preventionist confirmed the administration was unjustified.
A facility failed to ensure a resident was free from unnecessary psychoactive drugs by not documenting a prescriber clinical rationale for Xanax use. A pharmacist's request for a gradual dose reduction was not addressed due to a miscommunication, and no evidence of a dose reduction attempt was found. This deficiency was confirmed by the NHA and DON.
Expired medications were found in a medication cart, with two multidose insulin vials labeled with an expiration date that had passed. An LPN confirmed the expired medications during an inspection, and the DON acknowledged that these should have been removed and discarded.
A facility failed to offer routine annual dental services to a Medicaid resident. The resident's care plan noted a decline of dental visits, but there was no documentation proving the resident was offered and declined services in the past year. The DON confirmed the oversight.
A facility failed to maintain infection control practices on a resident care unit. A resident with a urinary tract infection and an indwelling catheter had orders for daily irrigation. However, an undated syringe and an unlabeled bottle of sterile water were found in the resident's bathroom. Staff confirmed the items should have been labeled and dated, indicating a lapse in infection control.
Inadequate Supervision Leads to Falls and Burn Injuries
Penalty
Summary
The facility failed to provide necessary supervision and implement effective individualized safety measures for two residents, leading to multiple falls and a serious burn. Resident 27, who was admitted with hemiplegia and hemiparesis, was severely cognitively impaired and required supervision during meals. Despite having a physician order for a Kennedy cup and other assistive devices, the resident accidentally spilled hot soup on himself, resulting in a burn. The incident occurred when staff placed the soup within reach and turned away to get an ice cube, failing to supervise the resident adequately. Resident 13, admitted with a history of hemiplegia, bipolar disorder, and anxiety, was identified as a high fall risk. Despite receiving transfer paperwork from a prior facility outlining necessary safety interventions, the facility did not timely implement these measures. The resident experienced multiple falls, some resulting in injuries, due to inadequate supervision and failure to maintain functioning alarms. The facility's inaction in addressing the resident's high fall risk and implementing sufficient safety measures led to repeated falls. Interviews with the Nursing Home Administrator (NHA) and Director of Nursing (DON) confirmed the facility's inability to demonstrate the implementation of necessary individualized fall prevention measures and sufficient staff supervision. The lack of adequate supervision and failure to adhere to safety protocols for both residents resulted in preventable injuries, highlighting deficiencies in the facility's care practices.
Failure to Act on Pharmacist's Drug Regimen Recommendations
Penalty
Summary
The facility failed to ensure that the attending physician acted upon the pharmacist's reports of irregularities in the drug regimen of a resident. The resident, who was admitted with diagnoses including major depressive disorder, anxiety disorder, obsessive-compulsive disorder, and dementia, was prescribed Ativan for anxiety. The consultant pharmacist recommended a Gradual Dose Reduction (GDR) of Ativan, as per CMS guidelines, unless clinically contraindicated. The pharmacist noted that if the drug therapy was to continue, the physician must document why the risk of adverse consequences from a GDR would exceed the benefits. However, there was no written documentation of the attending physician's response to this recommendation. Further reviews revealed that the resident was prescribed three medications for anxiety: Remeron, Ativan, and Buspar. The pharmacist recommended evaluating whether any of these medications could be reduced or discontinued to avoid duplication of effect. Despite a second request from the pharmacist, the facility failed to provide documentation of the attending physician's response or acknowledgment of these recommendations. An interview with the Director of Nursing confirmed the lack of documented evidence that the attending physician acted upon the pharmacy recommendations.
Deficiencies in Clinical Record Maintenance
Penalty
Summary
The facility failed to maintain accurate and complete clinical records for three residents, as required by professional standards. Resident 13, who was admitted with conditions including hemiplegia and anxiety, was sent to the emergency room for dizziness and nausea after a fall. Upon return, there was no documented evidence of the emergency room evaluation or the treatment for a possible urinary tract infection, despite verbal instructions from the hospital to administer medication. Resident 37, diagnosed with Alzheimer's disease and hypertension, lacked documentation of tuberculosis screening in their clinical record, which is required by facility policy. Although the Infection Preventionist confirmed that screenings were conducted, they were not included in the resident's clinical record. This oversight was acknowledged by the Director of Nursing and the Nursing Home Administrator. Resident 60, with diagnoses including polyneuropathies and anxiety, had no documented evidence of attending a scheduled psychology appointment or a subsequent telehealth visit. The resident expressed frustration over the lack of support for the telehealth visit, which required family intervention to provide necessary equipment. The Director of Nursing confirmed the absence of documentation for these appointments and their outcomes.
Inaccurate MDS Assessment of Fall History
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) Assessments accurately reflected the status of a resident. Specifically, the MDS assessment for a resident admitted with diagnoses including hemiplegia, hemiparesis, bipolar disorder, and anxiety did not accurately document the resident's fall history. The resident was identified as being at high risk for falls and had experienced a fall on May 24, 2024, prior to admission. However, the Admission MDS assessment incorrectly indicated that the resident had not fallen in the month prior to admission, as evidenced by the coded answer of 0 in Section J - Health Conditions, question J1700 Fall History on Admission/Entry or Reentry.
Failure to Document Bipolar Disorder Diagnosis
Penalty
Summary
The facility failed to provide care and services according to accepted standards of clinical practice by not properly identifying and documenting a resident's diagnosis of bipolar disorder. The resident, who was admitted with major depressive disorder, anxiety disorder, and obsessive-compulsive disorder, had a diagnosis of bipolar disorder added to their medical records on April 4, 2023. However, there was no documented evidence in the clinical record to support this diagnosis with clinical findings from the time of admission through the survey ending on July 25, 2024. A physician's progress note from April 30, 2023, indicated an impression of bipolar depression and a change in medication, but the comprehensive plan of care was not updated to reflect a confirmed diagnosis of bipolar disorder. Additionally, a psychiatry consult in October 2023 diagnosed the resident with generalized anxiety disorder, further complicating the clinical picture. The Director of Nursing confirmed the lack of documented evidence for a bipolar disorder diagnosis, highlighting a deficiency in maintaining accurate medical records according to professional standards.
Failure to Follow Physician Orders for Bowel Protocol and Therapeutic Shoes
Penalty
Summary
The facility failed to adhere to physician orders for two residents, leading to deficiencies in care. For one resident, the facility did not follow a prescribed bowel protocol despite the resident not having a bowel movement for six consecutive days. The clinical records showed no evidence that the necessary medications were administered, nor was there documentation of physician notification regarding the resident's condition. This oversight was confirmed during an interview with the Director of Nursing, who could not provide evidence that the bowel protocol was followed or that the physician was informed in a timely manner. In another case, the facility did not comply with a physician's order for the application of DARCO shoes for a resident. Observations over several days revealed that the resident was not wearing the prescribed shoes, instead opting for socks and sandals. Interviews with the resident and a licensed practical nurse confirmed the non-compliance with the physician's order. The Nursing Home Administrator and Director of Nursing acknowledged that the staff had not followed the order for the application of the DARCO shoes, as required.
Failure to Prevent Urinary Tract Infections in Resident with Indwelling Catheter
Penalty
Summary
The facility failed to provide necessary care to prevent urinary tract infections for a resident with an indwelling urinary catheter. The resident, who was admitted with diagnoses including urinary retention and acute cystitis, had physician orders to change the catheter monthly and as needed for specific issues. However, the Treatment Administration Record for April 2024 did not show evidence of the catheter being changed as ordered. Additionally, orders from a urology appointment in May 2024 included daily irrigation of the catheter to prevent sediment buildup, but there was no evidence that the nursing staff verified the specifics of the irrigation process, such as the solution or amount to be used. This lack of verification potentially led to inaccurate documentation of the resident's urinary output. Further issues were noted in July 2024, when the resident pulled out the catheter, and a new one was inserted, but the change was not documented in the Treatment Administration Record. The catheter was documented as changed on two consecutive days later in July due to duplicate orders. Observations also revealed unsanitary storage of catheter irrigation supplies in the resident's bathroom. The Director of Nursing confirmed the facility's failure to provide appropriate care and services for the resident with recurring urinary tract infections.
Failure to Provide Behavioral Health Services
Penalty
Summary
The facility failed to consistently provide necessary behavioral health services to meet the needs of a resident diagnosed with major depressive disorder. The resident, admitted with a history of depression, exhibited consistent behavioral symptoms of yelling out repeatedly, which were not easily redirectable. Despite having a care plan that included psychiatric follow-ups, the resident's scheduled appointment with a psychiatrist was canceled due to the facility's inability to provide transportation. This appointment was not rescheduled by the time of the survey, and there was no documented evidence of timely follow-up psychiatric services being provided. During an interview, the Nursing Home Administrator was unable to provide evidence that the resident received the recommended psychological or psychiatric services.
Unnecessary Antibiotic Administration
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary antibiotic drugs. Resident 13, who was admitted with diagnoses including hemiplegia, hemiparesis, bipolar disorder, and anxiety, was sent to the emergency room after a fall. Upon returning to the facility, the resident was prescribed Keflex for a possible urinary tract infection (UTI) without any acute injuries or confirmed diagnosis. The antibiotic therapy was initiated despite the absence of urinalysis results or signs and symptoms of a UTI. The facility continued administering the antibiotic from June 26, 2024, through July 5, 2024, without clinical justification, as confirmed by the Infection Preventionist. The hospital did not perform a culture and sensitivity test, and the urinalysis results did not support the diagnosis of a UTI. The nursing documentation during this period did not indicate any symptoms of a UTI, highlighting the unnecessary administration of the antibiotic.
Failure to Document Clinical Rationale for Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that a resident was free from unnecessary psychoactive drugs by not having a documented prescriber clinical rationale for the use of a psychotropic medication. Resident 45, who was admitted with a diagnosis of dementia, had a physician order for Xanax to manage anxiety. A pharmacist consult requested a gradual dose reduction (GDR) for the Xanax, but there was no physician response to this request. The consult was mistakenly sent to the wrong physician and had not been reviewed by the correct physician by the time of the survey. The facility could not provide evidence of a GDR attempt or justification for the continued use of the current Xanax dose over the past year. This deficiency was confirmed during an interview with the Nursing Home Administrator and Director of Nursing.
Expired Medications Found in Medication Cart
Penalty
Summary
The facility failed to adhere to medication and pharmaceutical expiration dates, as observed in one of the four medication carts. During an inspection of the second-floor Cart A medication cart, two multidose insulin vials were found to be expired. Specifically, a vial of Lantus 100 units/mL and a vial of Admelog 100 units/mL were labeled with an expiration date of July 17, 2024, yet were still present in the cart on July 25, 2024. This observation was confirmed by a licensed practical nurse at the time of the inspection. An interview with the Director of Nursing further confirmed that these expired medications should have been removed and discarded from the medication cart. The failure to do so was a violation of the facility's obligation to ensure that all drugs and biologicals are stored and managed according to professional standards, as outlined in the relevant Pennsylvania Code sections.
Failure to Offer Routine Dental Services
Penalty
Summary
The facility failed to offer routine annual dental services to a resident whose payor source was Medicaid. The clinical record of the resident, who was admitted to the facility, showed no documented evidence that dental services had been offered in the past year. Although the resident's care plan indicated that they declined dental visits, the facility could not provide documentation proving that the resident was offered and declined dental services during the past year. An interview with the Director of Nursing confirmed that the facility had not offered the resident routine dental services in the past year.
Infection Control Lapse in Resident Care Unit
Penalty
Summary
The facility failed to maintain proper infection control practices on one of its resident care units. A clinical record review revealed that a resident was admitted with several diagnoses, including urinary retention, acute cystitis, and a urinary tract infection, necessitating the use of an indwelling catheter. Orders from a urology appointment required daily irrigation of the Foley catheter to prevent sediment buildup and changes every four weeks. However, during an observation, an undated bulb piston syringe and an unlabeled, opened bottle of sterile water were found in the resident's bathroom, indicating a lapse in infection control practices. Interviews with a licensed practical nurse and the Director of Nursing, in the presence of the Nursing Home Administrator, confirmed the observations. The staff acknowledged that the items should have been labeled and dated to prevent potential infection spread. The facility's failure to maintain resident care equipment properly was confirmed, highlighting a deficiency in infection prevention and control measures.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Scranton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Green Ridge Care Center | 0.5 mi | — | 3 | 0 |
| Embassy Of Scranton | 1.7 mi | — | 6 | 1 |
| Dunmore Health Care Center | 1.8 mi | — | 6 | 0 |
| Allied Services Transitional Rehab Unit | 2.1 mi | — | 3 | 0 |
| Elan Skilled Nursing And Rehab, A Jewish Senior Li | 2.1 mi | — | 14 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.