Health inspection·November 28, 2023

F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policies, clinical record review and interviews with residents and staff, it was determined that the facility failed to provide written notice, including reason for transfer before a resident's room was change for two of four residents reviewed (Residents R1 and R2). Findings Include: A review of facility policy titled, Room Change/Roommate Assignment revised May 2017, indicated that prior to changing a room or roommate assignment all parties involved in the change/assignment, residents and their representatives will be given a notice in advance of such change. Advance notice of room change will include why the change is being made. Review of Resident R1's Quarterly Minimum Data Set (MDS - federally mandated assessment of a resident's abilities and care needs) dated November 4, 2023, revealed Resident R1 was admitted to the facility on [DATE]. Continued review of Resident's MDS revealed a BIMS (Brief Interview for Mental Status) score of 14, indicating that the resident was cognitively intact. Interview with Resident R1 on November 28, 2023, at 1:49 p.m. revealed that Resident R1 had a room change initiated by the facility, they change your room without any notice, and I think it's rude! Resident R1 stated, They told me to get my stuff together and moved me; I don't like it! Review of Resident R1's clinical records revealed that a room change was initiated for Resident R1 on November 10, 2023 for medical management. Further review failed to reveal documented evidence of a written notice provided to the resident, including reason for transfer before Resident R1's room was changed. Review of Resident R2's Quarterly MDS dated [DATE], revealed Resident R2 was admitted to the facility on [DATE], and had a BIMS score of six, indicating cognitive impairment. Review of Resident R2's clinical records revealed that a room change was initiated on October 24, 2023, for the reason of Medical Management and safety. Further review failed to reveal documented evidence of a written notice was provided to the resident's responsible party, including reason for transfer before Resident R2's room was changed. Interview with the facility Administrator and Director of Nursing conducted on November 28, 2023, at 2:00 p.m. confirmed that although a verbal notification of room change was given (according to the room change assessment), the facility failed to provide a written notice, including reason for Page 1 of 2 395193 395193 11/28/2023 Rosemont Center 35 Rosemont Avenue Rosemont, PA 19010

F 0559 transfer to Resident R1 and Resident R2's representative. Level of Harm - Minimal harm or potential for actual harm 28 Pa. Code 201.14(a) Responsibility of licensee 29 Pa. Code 201.29(d) Resident rights Residents Affected - Few 29 Pa. Code 201.29(j) Resident rights 395193 Page 2 of 2