Health inspection·June 28, 2024

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on staff interview, observation, and facility policy review, it was determined that the facility failed to store food in a sanitary manner in the dietary department and on three of three nursing units. (Second, Third, and Fourth floors) Findings include: In an interview on June 28, 2024, at 10:20 a.m., Dietary Employee 1 (DE 1) stated all foods were to be labelled with a date that the item was opened and processed meats were to be discarded seven days after the date opened. Observations during the kitchen tour on June 28, 2024, at 10:25 a.m., revealed the following: In dry storage, there was an opened plastic container of dry cereal that was not dated. In the reach-in dairy cooler, there was a container of strawberries that was not dated. In the reach-in juice cooler, there were two pans of sliced lemons that were not dated. In the cooks' cooler, there were two opened bags of diced ham and turkey lunch meat that were not dated. There was a pan of pancakes, individually wrapped in plastic and removed from the original packing that were not dated. There was a bag of opened hot dogs dated June 17, 2024. In an interview on June 28, 2024, at 11:10 a.m., DE 1 confirmed that the previously mentioned items should have been dated and the expired item removed. Review of the facility policy entitled, Food Brought in for Residents, dated June 1, 2024, revealed that foods that require refrigeration were to be labelled with the resident's name and the date. Observation on the Second Floor resident pantry on June 28, 2024, at 11:34 a.m., revealed that there were three opened ice cream containers and one ice cream sandwich in the freezer that did not have a resident name or date on them. In the refrigerator, there were four packaged meals, two opened bottles of mayonnaise and mustard, an open jar of cheese sauce, and an opened gallon jug of tea that were not labelled or dated. Observation on the Third Floor resident pantry on June 28, 2024, at 11:19 a.m., revealed that there were four opened containers of sherbet that were not dated or labelled in the freezer In the refrigerator, there were two containers of food, an opened bottle of soda, a container of yogurt, and a bottle of coconut water that were not labelled or dated. Observation on the Fourth Floor resident pantry on June 28, 2024, at 10:50 a.m., revealed a snack (continued on next page) 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: 395351 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 395351 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/28/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE West Reading Skilled Nursing and Rehabilitation Ce 425 Buttonwood Street West Reading, PA 19611 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)