Inspection·February 14, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on clinical record review and observation, it was determined that the facility failed to ensure that a call bell was accessible for two of 27 sampled residents. (Residents 7, 92) Residents Affected - Few Findings include: Clinical record review revealed that Resident 7 had diagnoses that included dysarthria (neurological speech disorder), hemiplegia and hemiparesis (paralysis), and anxiety. Review of the Minimum Data Set (MDS) assessment, dated December 1, 2024, revealed Resident 7 was dependent on staff for Activities of Daily Living (ADL's), including toileting, dressing, and personal hygiene. Review of the care plan revealed that Resident 7 was at risk for falls with an intervention for staff to check that the call bell was in reach before leaving the room. On February 11, 2025, at 11:31 a.m., Resident 7 was observed in bed with the call bell tied to the light string of the adjacent bed, out of reach. Resident 7 was observed again at 1:00 p.m., in bed eating lunch, and again at 2:15 p.m., in bed with the call bell tied to the light string, out of reach. On February 12, 2025, at 8:20 a.m., 10:52 a.m., and 12:38 p.m., and on February 13, 2025, at 9:28 a.m., and 11:46 a.m., Resident 7 was observed in bed with the call bell still tied to the light string, out of reach. Clinical record review revealed that Resident 92 had diagnoses that included anxiety, bradycardia (slow heart rate), and fibromyalgia. Review of the MDS assessment, dated November 4, 2024, revealed Resident 92 required partial to moderate assistance from staff for ADL's, including dressing and personal hygiene. Review of the care plan revealed that Resident 92 was at risk for falls with an intervention for staff to be sure the call light was within reach and to encourage the resident to use it for assistance. On February 11, 2025, at 11:30 a.m., Resident 92 was observed in the bed with the call bell draped over a box on the wall behind the bed, out of reach. Resident 92 was observed again at 1:00 p.m., in bed eating lunch, and again at 2:15 p.m., in bed with the call bell draped over a box on the wall behind the bed, out of reach. On February 12, 2025, at 8:11 a.m., 10:52 a.m., and 12:38 p.m., and on February 13, 2025, at 9:28 a.m., and 11:46 a.m., Resident 92 was observed in bed with the call bell draped over a box on the wall behind the bed, out of reach. 28 Pa. Code 211.12(d)(1)(5) Nursing services. 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 3 Event ID: 395416 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 395416 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/14/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rosewood Rehabilitation and Nursing Center 401 University Drive Schuylkill Haven, PA 17972 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)