Health inspection·September 7, 2023

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Based on observation, facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure residents received appropriate treatment and services to prevent urinary tract infections and to promote dignity related to use of a foley catheter (small, flexible tube that can be inserted through the urethra and into the bladder, allowing urine to drain) for one of one residents reviewed for catheter use (Resident 6). Findings Include: Review of facility policy, titled Foley Catheter Care effective March 1996, revealed, The collection bag should be placed below the resident, but not touching the floor, to allow for proper gravity drainage and prevent backflow of urine up the tubing and into the collection bag. Collection bag covers, also called dignity bags, are available and will be used to promote care for the resident to maintain or enhance their dignity and respect and to prevent the collection bag from dragging on the ground. Review of Resident 6's clinical record revealed diagnoses that included Alzheimer's disease (gradually progressive brain disorder that causes problems with memory, thinking, and behavior) and retention of urine. Observation on September 6, 2023, at 1:18 PM, revealed Resident 6 laying in bed with their foley catheter collection bag hanging on the side of the bed; the edge of the bag was touching the floor. Additionally, it was observed that the collection bag and the urine inside was visible from the hallway. During the observation, a visitor was present in the hallway. A later observation on that date, at 1:39 PM, revealed that the collection bag had been emptied, but was still touching the floor, and was still exposed and visible from the hallway. During an interview with Employee 2 (Nurse Aide) on September 6, 2023, at 1:43 PM, she revealed that Resident 6 used to have a dignity cover for their collection bag, but she was not sure where it went. During an interview with the Director of Nursing on September 7, 2023, at 11:08 AM, she revealed that Resident 6's catheter collection bag was replaced with one that had a built-in dignity cover. 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: 395445 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 395445 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/07/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Messiah Lifeways at Messiah Village 100 Mount Allen Drive Mechanicsburg, PA 17055 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)