Health inspection·September 5, 2024

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. 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 provide bathing assistance for a dependent resident for one of six residents reviewed (Resident 1). Residents Affected - Few Findings include: Clinical record review for Resident 1 revealed a plan of care developed by the facility to address her deficits to perform activities of daily living (bathing, dressing, toileting, etc.) related to her diagnoses of dementia (disease that affects memory, thinking and interferes with daily life) and Parkinson's disease (a degenerative brain condition that affects muscle control and movement). The plan of care indicated that Resident 1 preferred a shower and that she required extensive assistance by staff for bathing or showering. Review of Resident 1's Task List (electronic documentation completed by nurse aide staff to record care for a resident's activities of daily living) documentation dated July, August, and September 2024, revealed that Resident 1 was to receive a shower weekly. The nurse aide staff documented the following: July 1, 2024, bed bath July 8, 2024, shower July 15, 2024, shower July 22, 2024, not applicable July 29, 2024, no documentation of care August 12, 2024, shower August 19, 2024, shower August 26, 2024, no documentation of care September 2, 2024, bed bath The facility failed to provide evidence of bathing assistance, in accordance with Resident 1's preferences, on July 1, 22, and 29, 2024; August 26, 2024; and September 2, 2024. Page 1 of 2 395373 395373 09/05/2024 Greenwood Center for Rehabilitation and Nursing 276 Green Ave Extended Lewistown, PA 17044

F 0677 The surveyor reviewed the above findings during an interview with the Nursing Home Administrator and the Director of Nursing on September 5, 2024, at 2:00 PM. Level of Harm - Minimal harm or potential for actual harm 483.24(a)(2) ADL Care Provided for Dependent Residents Residents Affected - Few Previously cited deficiency 3/29/24 28 Pa. Code 211.12(d)(1)(5) Nursing services 395373 Page 2 of 2