Health inspection·September 12, 2024

F 0585 Level of Harm - Potential for minimal harm Residents Affected - Many 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, resident and staff interviews, and observations, it was determined that the facility failed to post the required grievance information, provide residents access to grievance forms, and failed to post the required information of the Grievance Official for three of three areas identified ([NAME] Wing, First floor, Second floor). Findings include: Review of facility policy, titled Resident and Family Grievances, last reviewed January 2024, revealed, .Notices of resident's rights regarding grievances will be posted in prominent locations throughout the facility (i.e. Resident Handbook, Main Lobby, and throughout the Units) and Information on how to file a grievance or complaint will be available to the resident Information may include, but is not limited to: The contact information of the grievance official with whom a grievance can be filed, including his or her name, business address (mailing and email) and business phone number . Further review of facility policy, titled Resident and Family Grievances, failed to include the contact information of the grievance official with whom a grievance can be filed, that is, his or her name, business address (mailing and email), and business phone number. During an interview with Resident 1 on September 10, 2024, at 10:21 AM, revealed the Resident normally attends the monthly Resident Council meetings. Resident 1 further revealed the Resident does not know how to file a grievance or where the grievance forms or information are located. During an interview with Resident 2 on September 11, 2024, at 9:37 AM, revealed the Resident normally attends the monthly Resident Council meetings. Resident 2 further revealed the Resident does not know how to file a grievance or where the grievance forms or information are located. During an interview with Resident 35 on September 11, 2024, at 9:28 AM, revealed the Resident normally attends the monthly Resident Council meetings. Resident 35 further revealed the Resident does not know how to file a grievance or where the grievance forms or information are located. Observations of all resident areas on September 9, 10, 11, and 12, 2024, revealed the facility failed to post written information on the grievance policy, and failed to post information that identified the facility's Grievance Official, the Grievance Official's business mailing and email address, and phone number. Review of the facility's grievance log on September 11, 2024, for the past six months, revealed (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 6 Event ID: 395475 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 395475 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Homeland Center 1901 North Fifth Street Harrisburg, PA 17102 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)