Inspection·May 5, 2023

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on review of grievances lodged with the facility and resident and staff interviews, it was determined that the facility failed to provide care in an environment, which promotes each resident's quality of life, by failing to respond timely to residents' request for assistance as reported by nine residents out of nine interviewed (Residents 39, 240, 290, 291, 45, 90, 84, 14, and 76). Findings include: Review of a Resident Concern Form dated April 18, 2023, revealed that a grievance was filed on behalf of the residents attending Resident Council. The grievance indicated that residents complained that facility staff does not respond timely to their requests for assistance via the nurse call bell system and do not meet their needs in a timely manner. During interview with Resident 291 on May 2, 2023 at 12:30 PM, the resident expressed concerns that staff do not respond to call bells timely. The resident explained that waits for staff to respond to call bells are long, frequently more than 30 minutes. The resident further stated that the staff may respond to the call bell, but then state they say they'll be back in a minute and don't come back, to provide the needed care or service. During interview with Resident 39 on May 3, 2023, at 9:30 AM, the resident stated that staff takes a long time to respond to call bells, a very long time. The resident also stated that sometimes I cant even find it (call bell)-they put in up there (pointing to headboard). During interview with Resident 290 on May 3, 2023, at 10:20 AM, the resident stated that sometimes it takes forty-five minutes to an hour to get help from staff and that staff has informed her that she can't use the call bell unless it's an emergency. During interview with Resident 240 on May 3, 2023, at 10:33 AM, revealed that the call bell response times were long, at times, and the resident has waited 30-minutes or more before staff would respond. The resident reported that she was prescribed a water pill for her swelling and as a result needs to urinate more frequently. The resident explained that she needs staff assistance with toileting needs and when her husband visits she asks him to go out into the hallway or to the nurse's station to look for staff to take her to the bathroom. During a Resident Council meeting conducted with five cognitively intact residents on May 3, 2023, at 10:45 AM, all five residents in attendance voiced complaints with untimely staff response to their requests for assistance via the nursing call bell system to meet their needs and provide care in a timely manner. (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 3 Event ID: 395462 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 395462 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brookmont Healthcare and Rehabilitation Center 510 Brookmont Drive Effort, PA 18330 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)