Inspection·November 8, 2023

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observations and resident and staff interviews it was determined that the facility failed to accommodate residents' need for ready access to the call bell system to request staff assistance for one resident (Resident B1) and timely accommodation of the residents' needs for assistance in accordance with the residents' needs out of seven sampled. (B1 and B2). Residents Affected - Few Findings include: Observation on November 8, 2023, at 10:00 a.m. revealed that Resident B1, a cognitively intact resident, was seated in her wheelchair at the end of her bed, next to the closet. The resident's call bell was clipped behind her bed and was not within reach of the resident. The resident was dressed in a hospital gown and had no socks on her feet. There was an overbed table in front of her. Her bare feet were observed resting on the metal bar at the bottom of the overbed table. During an interview at the time of the observation, Resident B1 stated that her nurse aide had cleaned her, dressed her and placed her out of bed into her wheelchair. The resident stated that her socks were on her bed when the nurse aide got her up, but not there now. She also stated that her slippers were thrown under bed. She stated that she would prefer to have her socks and slippers on at this time. Resident B1 also stated that she is often seated at the end of her bed with her call bell out of reach. She stated that she has to rely on her roommate to use the call bell to call staff if she needs assistance. Resident B1 stated that when she is in bed and has access to the call bell, the wait time for call bell response is from 30 minutes to an hour, especially on the night shift. An interview at the same time with Resident B2, Resident B1's roommate, revealed that Resident B2 stated that staff's response to residents' call bell are often greater than 30 minutes. She stated that she recently had to wait 1 hour for staff assistance. During an interview November 8, 2023 at 10:30 A.M. Resident B3 stated that she often waits 30 minutes for staff to respond to her call bell and provided needed assistance. Interview with the Director of Nursing on November 8, 2023, at approximately 2:00 PM confirmed that residents' call bells should be within reach of the resident and that the observed call bell placement was not within the residents' reach failing to accommodate the resident's need to summon staff assistance when required. The DON also confirmed the facility's expectation that residents should be dressed properly and call bells should be answered promptly by staff. 28 Pa. Code 211.12 (d)(5) Nursing services (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 5 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 11/08/2023 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)