Inspection·February 6, 2026

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure physician's orders were implemented for one of 36 sampled residents. (Resident 129)Findings include:Review of the policy entitled, Administration of Medication, last reviewed January 8, 2026, revealed staff were to obtain vital signs if necessary, and document physician indicated medication administration information on the Medication Administration Record (MAR). Clinical record review revealed that Resident 129 had diagnoses that included hypertension (high blood pressure). On October 25, 2024, the physician ordered staff to administer a blood pressure medicine (amlodipine besylate) one time a day. Staff were not to administer the medication if the resident's pulse (the number of times a heart beats in one minute) was less than 60 beats per minute. Resident 129's MAR for December 2025, and January and February 2026, revealed that staff administered the medication 31 times in December, 24 times in January, and two times in February with no documented evidence that the heart rate was assessed prior to medication administration per physician's order. In an interview on February 6, 2026, at 9:35 a.m., Assistant Director of Nursing 1 confirmed there was no documented evidence that Resident 129's pulse was taken prior to medication administration per physician's order as identified. 28 Pa. Code 211.10(d) Resident care policies.28 Pa. Code 211.12(d)(1)(5) Nursing services. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395010 If continuation sheet Page 2 of 3 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395010 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/06/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Neshaminy Manor Home 1660 Easton Road Warrington, PA 18976 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0699 Provide care or services that was trauma informed and/or culturally competent. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to assess residents with a diagnosis of post-traumatic stress disorder (PTSD) and develop and implement an individualized person-centered care plan to render trauma informed care for two of 36 sampled residents. (Residents 16 and 44) Residents Affected - Few Findings include: Review of the facility policy entitled, Trauma Informed Care, last reviewed July 10, 2025, revealed that the social worker was to ask the resident or resident's responsible party (RP), at the time of admission, if there was any history of a traumatic experience and, if so, the social worker was to ask the resident or resident's RP if they would like to participate in a trauma related assessment to determine the level of trauma caused to ensure the care staff provided involved understanding, recognizing and responding to the effects of all types of trauma, and recognize the widespread impact and signs and symptoms of trauma in the resident and avoid re-traumatization. Clinical record review revealed that Resident 16 was admitted to the facility on [DATE], with diagnoses that included PTSD, anxiety, and depression. The Minimum Data Set (MDS) assessment dated [DATE], revealed that the resident was cognitively intact and had a diagnosis of PTSD. There was no documentation to support that the resident was asked if he wanted to participate in a trauma-related assessment to assess for symptoms or triggers related to the diagnosis of PTSD. There was no documentation to support that symptoms or triggers were assessed related to the diagnosis of PTSD. There were no specific interventions to meet the resident's needs for minimizing triggers and/or re-traumatization. Clinical record review revealed that Resident 44 was admitted to the facility on [DATE], with diagnoses that included chronic PTSD, depression, and insomnia. Review of the MDS assessment dated [DATE], revealed that the resident was cognitively intact and had a diagnosis of PTSD. Review of facility documentation revealed that on March 30, 2020, a Psychiatry Nurse Practitioner's note indicated the resident was lonely and depressed, had been struggling with vivid nightmares that were scary, and had become tearful. On December 14, 2021, a physician noted the resident had PTSD. On April 19, 2023, a Psychiatry Nurse Practitioner's note indicated the resident was a veteran with a history of PTSD. Resident 44's care plan did not include any measure to address the resident's history of trauma or identify triggers. There was no documentation to support that symptoms or triggers were assessed related to the diagnosis of PTSD. There were no specific interventions to meet the resident's needs for minimizing triggers and/or re-traumatization on the care plan. In an interview on February 5, 2026, at 2:00 p.m., the Director of Social Work confirmed that Resident 16 and Resident 44 were not asked if they wanted to participate in a trauma related assessment. 28 Pa. Code 211.12(d)(3)(5) Nursing services. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395010 If continuation sheet Page 3 of 3