Health 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. Page 1 of 2 395264 395264 08/31/2023 Jewel Healthcare and Rehabilitation Center 535 North 17th Street Allentown, PA 18104

F 0806 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Based on review of weekly menus, clinical record review, observation, and interview, it was determined that the facility failed to accommodate each resident's food preferences for one of 27 sampled residents. (Residents 18) Findings include: Review of the breakfast menu for Tuesday, August 29, 2023, revealed that scrambled eggs, biscuit, banana, orange juice and cream of wheat were offered for breakfast. Clinical record review revealed that Resident 18 had a diagnosis of depression. Review of the Minimum Data Set (MDS) assessment, dated May 27, 2023, revealed the resident had moderate cognitive impairment and was able to clearly communicate. The care plan stated the resident had a risk for nutrition problems and staff was to honor the resident's food preferences. On August 29, 2023, at 9:33 a.m., the resident was heard yelling, This breakfast is horrible. The resident was observed eating scrambled eggs and a biscuit. Review of the resident's meal ticket that was on the breakfast tray revealed the resident disliked eggs and there were special instructions for no eggs at breakfast. 28 Pa. Code 201.14(a) Responsibility of licensee. 28 Pa. Code 201.29(a) Resident rights. 395264 Page 2 of 2