Health inspection·April 1, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Based on observation and staff interview, it was determined the facility failed to maintain a safe, clean, and homelike environment in two areas of the facility (the kitchen entrance door and the laundry room entrance door), affecting the safety and security of the environment for both staff and residents. Findings include: On April 1, 2025, at 10:00 A.M. in the presence of the of the Dietary Manager, an observation of the kitchen's dishwasher entrance revealed the double entrance doors were broken. The doors could not be properly closed or locked. When attempting to open the doors, they swung off the hinges, making it difficult to completely open them for tray carts to pass through. This entryway was used for transporting both clean and soiled food carts. The door locks were inoperable, and instead, two sliding locks located at the top inside of the doors were used at night to secure the area. Staff would exit the kitchen through alternate doors. During an interview at the time of the observation, the Dietary Manager stated she was hired in December 2024 and that the doors were already broken at that time. She was unable to confirm how long the doors had been in disrepair. On April 1, 2025, at 1:00 P.M., an observation revealed that the laundry room entrance door was also broken. The door would not fully close and could not be secured with a lock. A document review of a repair quote dated August 21, 2024, showed the facility had received pricing for replacement and installation of both the kitchen and laundry room doors. However, there was no evidence presented during the survey that the facility had acted on the quote or made repairs to either door. An interview April 1, 2025, at 2 P.M., the Nursing Home Administrator confirmed that both the kitchen and laundry room doors were broken. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(b)(1)(e)(2) Management Page 1 of 3 395273 395273 04/01/2025 Embassy of Scranton 824 Adams Avenue Scranton, PA 18510

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Minimal harm or potential for actual harm Based on observation, review of facility policy, test tray results, and interviews with staff and residents, the facility failed to serve meals that were palatable and maintained at a safe and appetizing temperature for 6 of 10 residents sampled (Residents 2, 3, 5, 6, 7, and 8). Residents Affected - Some Findings include: According to the federal regulatory guidance at 483.60(i)-(2) Food safety requirements - the definition of Danger Zone, found under the Definitions section, is food temperatures above 41 degrees Fahrenheit and below 135 degrees Fahrenheit that allow rapid growth of pathogenic microorganisms that can cause foodborne illness. On April 1, 2025, at 8:20 a.m., an observation was made of a breakfast cart on the second floor, positioned directly across from the elevator with no staff present to distribute trays. Upon re-observation at 8:45 a.m., the cart remained in the same location, and staff were just beginning to pass trays at that time. A test tray evaluation was conducted on the last tray from the same cart at 8:48 a.m. The regular diet meal included waffles, ham, hot cereal, and coffee. Food temperatures were as follows: Waffles: 100.3°F Ham: 89.2°F Hot cereal: 115.3°F Coffee: 156°F The waffles were soggy and mushy, the ham was cold, and the cereal was not palatable, all due to being served below the required 135°F minimum. These temperatures fall within the Danger Zone, defined as above 41°F and below 135°F, which allows the rapid growth of harmful bacteria. An interview with Resident 2, a cognitively intact resident, on April 1, 2025, at 9:30 a.m., revealed the facility's food was served cold most times and that the food was not palatable. An interview with Resident 3, a cognitively intact resident, on April 1, 2025, at 9:40 a.m., revealed the facility's food was often served cold and the food was not palatable. An interview with Resident 5, a cognitively intact resident, on April 1, 2025, at 9:50 a.m., revealed the facility's food was often served cold. An interview with Resident 6, a cognitively intact resident, on April 1, 2025, at 10:00 a.m., revealed the facility's food was often served cold and not palatable. An interview with Resident 7, a cognitively intact resident, on April 1, 2025, at 10:40 a.m., reported food was cold due to delays in tray passing, as carts often remained in hallways. An interview with Resident 8, a cognitively intact resident, on April 1, 2025, at 10:45 a.m., 395273 Page 2 of 3 395273 04/01/2025 Embassy of Scranton 824 Adams Avenue Scranton, PA 18510

F 0804 revealed the facility's food was often served cold and she stated, it has been getting worse lately. Level of Harm - Minimal harm or potential for actual harm An interview with the Nursing Home Administrator on April 1, 2025, at approximately 12:20 p.m. confirmed that food must be palatable and served at safe and appetizing temperatures. The dietary manager acknowledged the test tray results did not meet regulatory or facility standards. Residents Affected - Some The facility failed to maintain appropriate food temperatures which resulted in meals that were not safe, appetizing, or palatable, affecting resident satisfaction and increasing the risk of foodborne illness. 28 Pa. Code 201.18 (e)(3) Management 395273 Page 3 of 3