Inspection·February 28, 2024

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Based on a review of grievances lodged with the facility and select facility policy and resident and staff interviews it was determined that the facility failed to demonstrate timely and adequate efforts to resolve resident grievances for two residents out of 16 sampled. (Resident 2 and 11) Findings include: A review of facility policy entitled Resident and Family Grievances revealed the staff member receiving the grievance will record the nature and specifics of the grievance on the designated grievance form or assist the resident or family member to complete the form. The staff will forward the grievance form to the grievance official as soon as practicable. The grievance official takes steps to resolve the grievance and record information about the grievance and those actions on the grievance form. In accordance with the residents right to retain a written decision regarding his or her grievance, the grievance official will issue a written decision of the grievance to the resident or representative at the conclusion of the investigation. The written decision will include at a minimum, the date the grievance was received, the steps taken to investigate the grievance, a summary of pertinent findings or conclusions regarding the resident's concerns, a statement to whether the grievance was confirmed or not confirmed, any corrective action taken by the facility as a result of the grievance, and the date the written decision was issued. A review of a grievance lodged by Resident 2 dated January 28, 2024, which was requested for review during the recent survey at the facility, completed on February 6, 2024, but not provided at the time of request, revealed that the resident expressed a concern with staff not answering call bells in a timely manner and that the nurse aides sit in a back room on their phones. The grievance indicated that the resident felt that the facility should restrict phone usage to break times so residents are taken care of. According to the grievance form, the facility noted that the resident's complaint was resolved on February 1, 2024. However, there was no documented evidence that the resident had been informed of the outcome of the grievance. The resident did not sign off that he received the facility's response or was aware of the actions taken by the facility to resolve his grievance. There was no documented evidence that the facility educated staff on use of their personal cell phones while on duty. An interview with Resident 2 on February 28, 2024, at 10:15 AM revealed that the resident stated that his concerns were not yet resolved. The resident stated the wait times for staff to respond to call bells and provide requested care, remains a problem. The resident stated that it still takes up to 45 minutes for staff to respond to his call bell and meet his needs for assistance. The resident confirmed that the facility did not provide him written details of the outcome of his grievance and (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 10 Event ID: 395421 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 395421 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/28/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Glen Brook Rehabilitation and Healthcare Center 801 East 16th Street Berwick, PA 18603 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)