Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 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 Tunkhannock Rehabilitation & Health Care Center during CMS and state inspections, most recent first.
A resident with cerebral infarction, frequent falls, and behavioral disturbances, who required a wheelchair for mobility, experienced multiple falls, including two closely spaced falls during one night shift. After the second witnessed fall, the supervising RN and an LPN did not promptly assist the resident from the floor, with staff reports indicating the resident was left crawling and told he could get up on his own, and that no incident report or witness statements were needed. The DON and administrator confirmed that these nurses failed to follow the facility’s abuse/neglect and reporting policies and did not provide timely assistance and assessment after the fall, resulting in a finding of neglect.
A nurse aide failed to follow a care plan requiring two-person assistance for a resident with severe cognitive impairment and multiple medical conditions. The aide transferred the resident alone, left the resident unattended while silencing a bed alarm, and the resident fell from the wheelchair, sustaining multiple subdural hematomas and a scalp laceration that required hospitalization.
Failure to Provide Timely Assistance and Reporting After Witnessed Resident Fall
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from neglect by not providing immediate assistance and assessment after a witnessed fall. The facility’s abuse, neglect, and exploitation policy defined neglect as the failure to provide goods and services necessary to avoid physical harm, pain, or mental anguish, including withholding or inadequately providing care or services necessary to maintain resident safety and well-being. Despite this policy, staff did not follow required procedures when a resident with a history of frequent falls and behavioral issues experienced a second fall and remained on the floor without prompt assistance. The resident, identified as having cerebral infarction, a history of frequent falls, and requiring a wheelchair for mobility, had multiple documented behavioral symptoms including confusion, hallucinations, verbal outbursts, and aggression toward staff. Clinical records and progress notes showed that the resident frequently attempted to ambulate without assistance, tried to exit through doors, and had prior falls, including one on March 13, 2026, and another on March 16, 2026, where the resident was assisted back to the wheelchair with no injury observed. On March 17, 2026, at approximately 2:50 AM, the resident attempted to stand from the wheelchair, which rolled backward, causing a fall to the right side. The supervising RN documented assisting the resident back to the wheelchair and assessing for injuries after this first fall. According to the facility’s investigative documentation and staff witness statements, a second fall occurred 10 to 15 minutes later when the resident again rose from the wheelchair, lost balance, and fell. The RN Supervisor reported that the resident was then observed crawling on the floor and stated that, due to the resident’s history of combative behavior, she did not assist him to a standing position until he verbalized readiness to return to the wheelchair. A nurse aide reported being told by the RN Supervisor that the resident could get up on his own and observed the resident crawling on the floor. Another LPN stated that when informed the resident was on the floor again and asked if staff should assist, the RN Supervisor responded that he would just throw himself on the ground again, and no incident report or witness statements were requested. The DON and Nursing Home Administrator later confirmed that the RN Supervisor and LPN did not follow the facility’s abuse and neglect policy related to resident protection and reporting requirements and failed to provide timely assistance after a witnessed fall, constituting neglect.
Failure to Follow Two-Person Transfer Protocol Resulting in Resident Injury
Penalty
Summary
A deficiency occurred when a nurse aide failed to follow the care plan for a resident with severe cognitive impairment and multiple medical conditions, including atrial fibrillation, a history of stroke, and hypertension. The resident required two-person assistance for transfers due to confusion, musculoskeletal impairment, and a history of falls. Despite this, the nurse aide transferred the resident alone from bed to wheelchair, which was not in accordance with the resident's care plan interventions. During the transfer, the bed alarm was triggered, and the nurse aide turned her back to silence it, leaving the resident unattended. As a result, the resident fell forward out of the wheelchair and sustained a large hematoma and a bleeding forehead laceration. The resident was found barefoot, without appropriate footwear or non-skid socks, and was lying face down on the floor. Emergency services were contacted, and the resident was transported to the hospital for evaluation and treatment. Hospital records confirmed that the resident suffered multiple subdural hematomas, a subarachnoid hemorrhage, and a significant forehead laceration, requiring admission to the Progressive Care Unit for several days. Facility documentation and staff interviews substantiated that the nurse aide did not follow the required two-person transfer protocol, directly resulting in the resident's injuries and hospitalization.
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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 Tunkhannock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Embassy Of Tunkhannock | 0.2 mi | — | 20 | 1 |
| Kadima Rehabilitation & Nursing At Lakeside | 13.7 mi | — | 7 | 0 |
| Abington Manor | 14.6 mi | — | 20 | 0 |
| Meadows Nursing And Rehabilitation Center | 15.1 mi | — | 1 | 0 |
| Highland Manor Rehabilitation And Nursing Center | 15.6 mi | — | 1 | 0 |
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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.