Inspection·July 11, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation, resident interview, and staff interview, it was determined that the facility failed to provide services to maintain adequate grooming and hygiene for two of eight sampled residents who required assistance with activities of daily living (ADLs). (Resident 2, 6)Findings include: Clinical record review revealed that Resident 2 had diagnoses that included aphasia, hypertension, and had severe physical limitations. The Minimum Data Set (MDS) assessment dated [DATE], revealed that Resident 2 was dependent on staff for personal hygiene, grooming, and bathing. Review of the care plan revealed that the resident required assistance from staff for activities of daily living (ADLs). On July 11, 2025, at 10:40 a.m., the resident was observed in bed. Her fingernails were long and dirty. There was no documented evidence that staff assisted Resident 2 with trimming and cleaning her nails. Clinical record review revealed that Resident 6 had diagnoses that included a tracheostomy, heart failure, and weakness to an upper extremity. The MDS assessment dated [DATE], revealed that Resident 6 was alert and oriented required assistance from staff for personal hygiene, grooming, and bathing. Review of the care plan revealed that the resident required assistance from staff for ADLs. On July 11, 2025, at 11:10 a.m., the resident was observed in bed. His fingernails were long and dirty. In an interview at that time the resident stated he wanted his nail trimmed but needed help from staff. There was no documented evidence that staff assisted Resident 6 with trimming and cleaning his nails. In an interview on July 11, 2025, at 3:49 p.m., the Director of Nursing confirmed that nail care was to be done when nursing staff provided routine care and as needed.28 Pa. Code 211.12(d)(1)(5) Nursing services Residents Affected - Few Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 5 Event ID: 395077 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 395077 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Garden Spring Rehab and Care Center 1113 North Easton Road Willow Grove, PA 19090 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)