Health inspection·January 11, 2024

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 clinical record review and staff interview, it was determined that the facility failed to ensure physicians' orders were implemented for two of 22 sampled residents. (Residents 26 and 83) Residents Affected - Few Findings include: Clinical record review revealed that Resident 26 had diagnoses that included hypertension (high blood pressure). On June 19, 2023, the physician ordered that staff administer a medication (metoprolol tartrate) two times a day for hypertension. Staff was not to administer the medication if the resident's systolic blood pressure (SBP, the first measurement of blood pressure when the heart beats and the pressure is at its highest) was less than 100 millimeters of mercury (mm/Hg). Review of Resident 26's medication administration record (MAR) revealed that staff administered the medication nine times in December 2023, when the resident's SBP was less than 100 mm/Hg. Clinical record review revealed that Resident 83 had diagnoses that included hypertension. On November 14, 2023, the physician ordered that staff administer a medication (amlodipine besylate) one time a day for hypertension. Staff was not to administer the medication if the resident's SBP was less than 110 mm/Hg. Review of Resident 83's MAR revealed that staff administered the medication two times in December 2023, and four times in January 2024, when the resident's SBP was less than 110 mm/Hg. In an interview on January 11, 2024, at 9:50 a.m., the Director of Nursing confirmed that the medications were administered outside established blood pressure parameters for Residents 26 and 83. 28 Pa. Code 211.12(d)(1)(5) Nursing services. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395171 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 395171 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/11/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverton Rehabilitation and Healthcare Center 803 North Wahneta St Allentown, PA 18103 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on facility policy review, observation, and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department and in one of three country kitchens. (Second floor) Findings include: Review of the facility's policy entitled, Food Receiving and Storage, last reviewed March 9, 2023, revealed all foods stored in the refrigerator and freezer were to be labeled and dated and items were to be discarded after the use-by date. Observations during the kitchen tour on January 9, 2024, at 8:45 a.m., revealed the following: In the protein cooler, there was a package of opened lunch meat that was not dated. In the freezer, there was an opened box of muffins that was not dated. In the produce cooler, there was a package of opened whipped topping that was not dated. There were four large bins of cut melons, three had a use-by date of January 4, 2024, and one had a use-by date of January 5, 2024. In the dry storage room, the top of the portable air conditioning unit had a layer of white food debris. In the meat cooler in second floor country kitchen, there were four containers soup that were not labeled or dated. There was a packet of sour cream with a use-by date of December 5, 2022. In an interview on January 9, 2024, at 9:45 a.m., the FSD confirmed that items should have been labeled and dated, and the expired items removed. 28 Pa. Code 201.14(a) Responsibility of licensee. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395171 If continuation sheet Page 3 of 3