Health inspection·October 13, 2023

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, it was determined that the facility failed to provide a comfortable, homelike environment for residents, staff and public on two of three nursing units. ([NAME] 3 and [NAME] 4) Findings include: Observation on October 11, 2023, at 10:22 a.m., revealed that the walls throughout the [NAME] 3 nursing unit were marred and scratched above and below the handrails, and the panels on the doors to resident rooms were also marred and scratched. The door jams to the main resident areas were marred and slightly damaged. Observations on October 11 and 12, 2023, at various times throughout the day, revealed that the lower half of the walls throughout the [NAME] 4 nursing unit were marred and scratched. The panels on the doors to resident rooms were marred, and the door jams to the main resident areas and the elevator doors had chipped paint and were slightly damaged. In room [ROOM NUMBER], the walls were marred and scratched. In room [ROOM NUMBER], there was exposed drywall with large areas of chipped paint near the bathroom. In room [ROOM NUMBER], the walls were marred with chipped paint and there was crumbled drywall in the corner near the bathroom. In room [ROOM NUMBER], there was crumbled drywall at the base of the wall. In room [ROOM NUMBER], the walls were marred with chipped paint, the sink countertop was chipped in several spots and the rubber baseboard molding around the room had multiple holes. In room [ROOM NUMBER], the base of the wall had crumbled drywall. 28 Pa. Code 201.18(b)(3)(e)(2.1) Management. Page 1 of 4 395018 395018 10/13/2023 Good Shepherd Home Raker Center 601 St John Street Allentown, PA 18103

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation and staff interview, it was determined that the facility failed to provide services and treatment to prevent further limitations in range of motion for one of six sampled residents with limitations in range of motion. (Resident 72) Findings include: Clinical record review revealed that Resident 72 had diagnoses of hemiplegia, (paraplegia), of the left non-dominant side after a stroke, and dementia. The Minimum Data Set assessment dated [DATE], indicated that the resident had memory impairment, was totally dependent on staff for dressing, and had impairment in range of motion on both sides of her upper and lower extremities. Review of an occupational therapy screen dated July 17, 2023, revealed that the resident was to wear a left upper extremity comfy orthosis, (hand splint), when she was out of bed. A current physician order wad for the resident to wear a left upper extremity hand splint when she was out of bed. Observation on October 11, 2023, at 11:00 a.m., 1:07 p.m., and 1:22 p.m., revealed that the resident was out of bed, dressed and seated in her wheelchair. She did not have the left upper extremity hand splint in place as recommended by occupational therapy and as ordered by the physician. In an interview on October 13, 2023, at 9:14 a.m., the Administrator confirmed that the splint was to be in place as ordered by the physician. 28 Pa. Code 211.12(d)(1)(5) Nursing services. 395018 Page 2 of 4 395018 10/13/2023 Good Shepherd Home Raker Center 601 St John Street Allentown, PA 18103

F 0812 Level of Harm - Minimal harm or potential for actual harm Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation and interview, it was determined that the facility failed to store food under sanitary conditions in the kitchen. Residents Affected - Many Findings include: Observation of the kitchen on October 11, 2023, at 9:05 a.m. revealed two bottles of thickened water with a use by date of August 2, 2023, and September 2, 2023. There were four bottles of thickened prune juice with use by dates of October 8, 2023, and two bottles of thickened prune juice with use by dates of September 25, 2023. There was an accumulation of a brown substance on the handle of the meat slicer. In the walk-in refrigerator, there were eight half gallons of milk with use by dates of October 6, 2023. In the second walk-in refrigerator, there was a container of pickles dated October 2, 2023, and a container of olives dated October 1, 2023. There was a tray of two boxes of raw bacon stored over ready to eat hard boiled eggs. In the reach-in refrigerator, there were three wrapped blocks of sliced cheese that were not in the original packaging and not labeled or dated. There was an unidentified food substance that was not in the original packaging that was not labeled or dated. In an interview at the time of the kitcehn tour the Director of Dining Services confirmed that the items should have been labeled and dated. 28 Pa. Code 201.18(b)(3)(e)(2.1) Management. 395018 Page 3 of 4 395018 10/13/2023 Good Shepherd Home Raker Center 601 St John Street Allentown, PA 18103

F 0814 Dispose of garbage and refuse properly. Level of Harm - Potential for minimal harm Based on observation, it was determined that the facility failed to dispose of trash and refuse properly. Findings include: Residents Affected - Many Observation of the trash compactor area on October 11, 2023, at 9:40 a.m., revealed an accumulation of debris that included gloves, cups, a plastic lid, paper items, a beverage carton, and a plastic syringe. FR 483.60(i) Food Safety Requirements Previously cited 11/10/22 28 Pa. Code 201.18(b)(3) Management. 395018 Page 4 of 4