Health inspection·February 5, 2026

F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Based on a review of facility policy, review of facility and clinical records, and staff interviews, it was determined that the facility failed to provide a weekly bath/shower for four of six residents reviewed (Residents R1, R2, R3, and R4). Findings include: Review of a facility policy entitled, Resident Self determination and Participation, dated 10/30/25, revealed Each resident is allowed to choose activities, and schedule health care and healthcare providers, that are consistent with his or his interests, values, assessments and plans of care, including: a daily routine, such as sleeping and waking, eating, exercise and bathing schedules. Resident Council minutes dated 12/16/25, revealed new business resident concerns as Showers are not being offered as scheduled. Resident's R1's clinical record revealed an admission date of 4/06/24, with diagnoses that included lumbar spina bifida without hydrocephalus (a condition that occurs when the spine and spinal cord don't form properly during early fetal development), diarrhea, diabetes mellitus (a chronic condition where blood sugar levels are too high), and respiratory failure (a condition when the respiratory system cannot provide enough oxygen or take out carbon dioxide from the blood). Review of Resident R1's bath/shower documentation for 1/06/26, through 2/02/26, revealed no bath/shower was provided except on 1/11/26, 1/18/26, and 2/1/26, resulting in evidence of only three showers/baths provided during 28 day time-period. Resident's R2's clinical record revealed an admission date of 2/21/22, with diagnoses that included respiratory failure with hypoxia (.low oxygen in the blood), epilepsy (a brain disorder that causes seizure), hyponatremia (low sodium levels in the blood), and hypokalemia (low potassium levels in the blood). Review of Resident R2's bath/shower documentation for 1/06/26, through 2/02/26, revealed 1/10/26, Response not required. 1/16/26, as Bed bath.1/20/26, Response not required. 1/23/26, as Bed bath.1/24/26, as Shower.1/27/26, progress note stating shower provided.2/01/26, Response not required. 2/02/26, Response not required This resulted in evidence of only two showers/baths provided during 28 day time-period for Resident R2. Resident's R3's clinical record revealed an admission date of 5/01/24, with diagnoses that included spastic quadriplegic cerebral palsy (a severe form of cerebral palsy [a group of neurological disorders affecting movement and muscle tone caused by abnormal brain development during fetal development or damage during or after birth] that affects the body's extremities and body), chronic respiratory failure, vitamin deficiency, and epilepsy. Review of Resident R3's bath/shower documentation for 1/06/26, through 2/02/26, revealed 1/07/26, as Bed bath.1/14/26, as Bed bath. 1/17/26, as Bed bath.1/21/26, as Bed bath.1/28/26, as Bed bath, This resulted in evidence of no showers/baths provided during 28 day time-period for Resident R3. Resident's R4's clinical record revealed an admission date of 8/30/24, with diagnoses that included cerebral palsy, chronic respiratory failure with hypoxia, asthma (a respiratory disease that causes the airways to narrow and swell resulting in shortness of breath or other respiratory symptoms), and myopathy (a disease of the skeletal muscles). Resident R4's bath/shower documentation for 1/07/26, through 2/02/26, revealed bed baths were provided, however no evidence that Page 1 of 2 395404 395404 02/05/2026 Lecom at Presque Isle, Inc 4114 Schaper Avenue Erie, PA 16508

F 0561 Level of Harm - Minimal harm or potential for actual harm he/she received a bath/shower during 28 day time-period. During an interview on 2/05/26, at 11:54 a.m. the Nursing Home Administrator confirmed that the facility did not provide baths/showers according to residents' preference for the period of 1/06/26, through 2/02/26, for the above identified residents. 28 Pa. Code 211.10 (d) Resident care policies28 Pa. Code 211.12 (d)(1)(3)(5) Nursing services Residents Affected - Some 395404 Page 2 of 2