Inspection·August 31, 2023

F 0699 Provide care or services that was trauma informed and/or culturally competent. 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 assess, develop, and implement an individualized person-centered plan to render trauma informed care to a resident with a diagnosis of post-traumatic stress disorder (PTSD) for two of 27 sampled residents. (Residents 99, 109) Residents Affected - Few Findings include: Clinical record review revealed that Resident 99 had diagnoses that included post-traumatic stress disorder (PTSD), anxiety, major depressive disorder, and schizoaffective disorder. There was no assessment or care plan in Resident 99's clinical record that identified the PTSD diagnosis, symptoms and/or triggers related to this diagnosis or resident specific interventions to meet the resident's needs for minimizing triggers and/or re-traumatization. Clinical record review revealed that Resident 109 had diagnoses that included PTSD, anxiety, depression, and schizoaffective disorder. There was no assessment or care plan in Resident 109's clinical record that identified the PTSD diagnosis, symptoms and/or triggers related to this diagnosis or resident specific interventions to meet the resident's needs for minimizing triggers and/or re-traumatization. In an interview on August 31, 2023, at 11:20 a.m., the Social Services Director confirmed that there was no assessment completed or care plan developed to address Resident 99's or 109's PTSD diagnosis, symptoms, or triggers. 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services. 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: 395264 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 395264 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/31/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jewel Healthcare and Rehabilitation Center 535 North 17th Street Allentown, PA 18104 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)