Health inspection·December 7, 2023

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to ensure that residents were assisted with bathing in accordance with individual preferences for two of six sampled residents. (Resident 1, 2) Findings include: Clinical record review revealed that Resident 1 had diagnoses that included a fractured rib, heart disease, dementia and anxiety. The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident had minimal memory impairment and required assistance from staff with showering. A review of the care plan revealed that the resident had a deficit in Activities of Daily Living (ADL's) due to physicial limitations. There was an intervention for staff to assist him with showering and bathing as needed. Review of the nurse aide documentation for the last 30 days revealed that Resident 1 was scheduled to receive assistance with a shower/bathing on Mondays and Thursdays on the evening shift. There was no documented evidence that the resident had been offered assistance and had received a shower as preferred on Monday November 13, 20, 27 and December 4, 2023. In addition, there was no documented evidence that the resident had been offered assistance and had received a shower as preferred on Thursday November 16 and 23, 2023. Clinical record review revealed that Resident 2 had diagnoses that included a stroke, paralysis of the left side, and above the knee amputation. The MDS assessment dated [DATE], indicated that the resident had no memory impairment and required assistance from staff with showering. A review of the care plan revealed that the resident had an ADL care deficit due to physical limitations. There was an intervention for staff to assist him with transfers and to assist with daily hygiene and grooming as needed. Review of the nurse aide documentation for the last 30 days revealed that Resident 2 was scheduled to receive assistance with a shower/bathing on Mondays and Thursdays on the day shift. There was no documented evidence that the resident was offered assistance and had received a shower as preferred on November 6, 20 and 27, 2023. In addition, there was no documented evidence that the resident had been offered assistance and had received a shower as preferred on Thursday November 2, 2023. . In an interview on December 7, 2023, at 12:33 p.m, the Director of Nursing confirmed that there was no documented evidence that Resident 1 and 2 had been offered assistance with a shower or bed bath on the scheduled days. (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: 395477 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 395477 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/07/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Laureldale Skilled Nursing and Rehabilitation Cent 2125 Elizabeth Avenue Laureldale, PA 19605 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)