Health inspection·July 31, 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 review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to provide Activity of Daily Living (ADL) assistance for three of five residents (Residents R1, R2, and R3).Findings include: Based on review of facility policy Activities of Daily Living (ADLs), Supporting dated 2/20/25, indicated residents will be provided with care, treatment, and services as appropriate to maintain or improve their ability to carry out activities of daily living. Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS - a periodic assessment of care needs) dated 5/19/25, indicted diagnoses of Cerebral Palsy (group of disorders that affect a person's ability to move and maintain balance and posture), anxiety, and depression. Section GG - Functional Abilities, Question GG0130E indicated the resident was coded 4 supervision or touching assistance for shower/bathe self: the ability to bathe self, including washing, rinsing, and drying (excludes washing of back and hair). Review of Resident R1's Kardex (a snapshot of resident care needs) indicated Resident R1 is scheduled for a bath/shower every Wednesday and Saturday evening shift with limited assistance of one. Review of Resident R1's July 2025 shower documentation indicated no shower or bath was provided on: 7/2/25, 7/5/25, 7/9/25, 7/16/25, 7/19/25, 7/23/25, 7/26/25, and 7/30/25. Review of a Nursing Progress Note dated 7/2/25, at 9:58 p.m. stated, Resident refused her shower then at 9:30 wanted it, we told her they didn't have time. Review of the clinical record indicated Resident R2 was admitted to the facility on [DATE]. Review of Resident R2's MDS dated [DATE], indicated diagnoses of high blood pressure, dementia (a group of symptoms that affects memory, thinking and interferes with daily life), and hemiplegia (paralysis on one side of the body). Section GG - Functional Abilities, Question GG0130E indicated the resident was coded 1 dependent for shower/bathe self: the ability to bathe self, including washing, rinsing, and drying (excludes washing of back and hair). Review of Resident R2's Kardex indicated Resident R2 is scheduled for a bath/shower every Wednesday and Saturday evening shift with extensive assistance of one. Review of Resident R2's July 2025 shower documentation indicated no shower or bath was provided on: 7/2/25, 7/9/25, 7/19/25, 7/23/25, 7/26/25, and 7/30/25. Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE]. Review of Resident R3's MDS dated [DATE], indicated diagnoses of high blood pressure, hemiplegia, and muscle weakness. Section GG - Functional Abilities, Question GG0130E indicated the resident was coded 4 supervision or touching assistance for shower/bathe self: the ability to bathe self, including washing, rinsing, and drying (excludes washing of back and hair). Review of Resident R3's Kardex indicated Resident R3 is scheduled for a bath/shower every Wednesday and Saturday evening with limited assistance of one. Review of Resident R3's July 2025 shower documentation indicated no shower or bath was provided on: 7/5/25, 7/9/25, 7/16/25, 7/19/25, Residents Affected - Some Page 1 of 2 395208 395208 07/31/2025 Hillcrest Rehabilitation & Healthcare Center 100 Little Drive Lower Burrell, PA 15068

F 0677 Level of Harm - Minimal harm or potential for actual harm 7/23/25, 7/26/25, and 7/30/25. During an interview on 7/31/25, at 11:53 a.m. the Director of Nursing was unable to locate additional documentation to indicate Residents R1, R2, and R3 were offered and/or refused baths/showers on the dates listed above and that the facility failed to provide activities of daily living assistance for Residents R1, R2, and R3. 28 Pa. Code: 211.10(d) Resident care policies.28 Pa. Code: 211.12(c)(d)(1)(3)(5) Nursing services. Residents Affected - Some 395208 Page 2 of 2