Inspection·February 4, 2026

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based on facility policy review, clinical record review, review of facility investigation documentation, and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure each resident the right to be free from physical abuse for one of three residents reviewed (Resident 1).Findings Include:Review of facility policy, titled Resident Abuse, Neglect, and Exploitation, with a revised date of July 2023, revealed It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. Physical abuse includes, but is not limited to hitting, slapping, punching, biting, and kicking.Review of Resident 1's clinical record revealed diagnoses that included intracranial injury (Traumatic Brain Injury [TBI] -an injury to the brain caused by an external force) and Parkinson's Disease (a progressive, neurodegenerative disorder of the central nervous system that primarily affects movement due to the death of brain cells that produce dopamine). Review of Resident 1's clinical record revealed a progress note dated January 28, 2026, at 10:47 PM, stating that a nurse aide (NA) reported that during PM care, Resident 1 became combative and the NA that was assisting with care (Employee 1) was hit in the face by Resident 1. The note further states that Employee 2 (NA) witnessed Employee 1 hit Resident 1 in the face after Resident 1 hit Employee 1. Employee 2 immediately reported what she witnessed to the nursing supervisor. Resident 1 was immediately assessed and redness was noted to the right cheek, with no bruising or skin tears noted. Resident 1 denied pain and had no change from baseline mental status. Vital signs were stable and notifications were made to the NHA (Nursing Home Administrator), DON (Director of Nursing), Compliance Officer (Employee 3), and the physician. Review of the DON witness statement revealed that on January 28, 2026, at approximately 7:30 PM, she received a phone call from the nursing supervisor who reported to her that Employee 1 hit Resident 1. The DON spoke to the reporting NA, Employee 2, who stated that Employee 1 smacked Resident 1 in the face hard. Employee 2 told the DON that Employee 1 was assisting Employee 2 with Resident 1's care. Employee 2 had a wet washcloth in her hand and Resident 1 pulled it from her hand and it hit Employee 1 in the face, and Employee 1 smacked Resident 1 in the face after she got hit. The DON's statement further stated that during the interview process with Employee 1, when asked if Employee 1 slapped Resident 1 she said yes, but it was a reaction. Review of Employee 3's witness statement dated January 28, 2026, revealed she received a call from the nursing supervisor about an allegation of physical abuse. The nursing supervisor was instructed to remove the alleged perpetrator, Employee 1, from the unit and to place the alleged perpetrator and the witness, Employee 2, in separate rooms. Employee 3 arrived at the facility at approximately 7:45 PM to conduct an immediate investigation. Employee 3 stated she asked Employee 1 if she knew why she was removed from the nursing unit. Employee 1 stated she did not and Employee 3 informed her it was due to an allegation that she slapped Resident 1. Employee 1 said Yes, I (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 2 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 02/04/2026 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)