Health inspection·February 25, 2026

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of clinical records and healthcare insurance documents and staff interviews, it was determined that the facility failed to ensure that the resident's appointed representative was notified of a healthcare insurance coverage change for one of three residents reviewed (Resident 1).Findings: Review of Resident 1's diagnosis list includes: Alzheimer's disease (an irreversible, progressive degenerative disease of the brain, resulting in loss of reality contact and functioning ability), and Dementia (A term used to describe a group of symptoms affecting memory, thinking, and social abilities severely enough to interfere with daily life. Review of Resident 1's Profile Page, revealed that the resident's son [name of the son] was their financial and healthcare POA (A Power of Attorney is a legal document granting an agent authority to act on a principal's behalf regarding financial or medical matters). Review of Resident 1's POA documents signed on March 29. In 2022, confirmed that the residents' son [name] was their financial and care POA. Review of Resident 1's health insurance document, dated October 2025, revealed that the resident's insurance company sent the facility a notification indicating that the resident's current insurance plan is no longer offered. Interview with the Business Manager, Employee E3, was conducted on February 25, 2026, at 11:00 a.m. Employee E3 confirmed that the facility enrolled Resident 1 to new health insurance after a notification from the original insurance indicating that the plan the resident was enrolled in was no longer offered. Employee E3 was not certain of the date the change was made but the new insurance coverage for Resident 1 started on January 26, 2026. Employee E3 further reported that the residents' son, the POA, was notified by the insurance company of the change and questioned the facility why they were not notified. Employee E3 reported that the change was made to ensure that the residents will have coverage (insurance) but did not realize the mistake of not informing the POA first until after the residents' POA called their attention. The POA re-enrolled the residents back to their original insurance with a different plan. An interview with the Nursing Home Administrator on February 25, 2026, at 1:00 p.m., confirmed that the facility enrolled Resident 1 on a different health insurance plan without notifying their POA. The facility failed to ensure residents' appointed representatives were notified of insurance coverage changes. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(b)(1)(3)(e)(1) Management 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 2 Event ID: 395224 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 395224 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/25/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hamilton Arms Center 336 South West End Avenue Lancaster, PA 17603 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)