Health inspection·January 11, 2024

F 0565 Honor the resident's right to organize and participate in resident/family groups in the facility. Level of Harm - Potential for minimal harm Based on a review of facility food committee meeting minutes and resident interview, it was determined that the facility failed to address grievances voiced by the resident group. (Residents 4, 31, 46, 57, and 63) Residents Affected - Many Findings include: In a group interview conducted on January 10, 2023, at 10:37 a.m., Residents 4, 31, 46, 57, and 63 stated that the food was often served cold. Review of food committee meeting minutes dated November 8 and 28, 2023, and December 28, 2023, revealed that multiple residents reported that the food was often served cold. There was a lack of evidence that the facility had addressed the residents' ongoing concerns of cold food. 28 Pa. Code 201.14(a) Responsibility of licensee. Page 1 of 3 395171 395171 01/11/2024 Riverton Rehabilitation and Healthcare Center 803 North Wahneta St Allentown, PA 18103

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. 395171 Page 2 of 3 395171 01/11/2024 Riverton Rehabilitation and Healthcare Center 803 North Wahneta St Allentown, PA 18103

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. 395171 Page 3 of 3