Health inspection·July 18, 2025

F 0584 28 Pa. Code 201.14(a) Responsibility of licensee. Level of Harm - Minimal harm or potential for actual harm 28 Pa. Code 201.18(b)(1) Management. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395477 If continuation sheet Page 2 of 4 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 07/18/2025 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)

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on observation, clinical record review, and staff and resident interviews, it was determined that the facility failed to provide services to maintain adequate grooming and hygiene for four of 33 sampled residents. (Residents 14, 15, 55, and 62)Findings include: Clinical record review revealed that Resident 14 had diagnoses that included: paraplegia and congestive heart failure. Review of the care plan dated May 30, 2025, revealed that the resident required assistance with activities of daily living (ADLs) including grooming and bathing. On July 15, 2025, at 9:09 a.m., the resident was observed in bed. His fingernails were long and dirty. He was unshaven. The resident stated that his fingernails needed to be cut, and he would like a shave. On July 16, 2025, at 11:23 a.m., and on July 17, 2025, at 10:47 a.m. the resident was observed in bed. His fingernails remained long and dirty. He was unshaven.Clinical record review revealed that Resident 15 had diagnoses that included: dementia and polyneuropathy (nerve damage resulting in numbness in his extremities). Review of the care plan dated June 6, 2025, revealed that the resident required assistance with ADLs including grooming and bathing. On July 15, 2025, at 10:53 a.m., the resident was observed in bed. His fingernails were long and dirty. The resident was non-verbal but nodded when asked if his fingernails needed to be trimmed. On July 17, 2025, at 11:39 a.m. the resident was observed in bed. His fingernails remained long and dirty.Clinical record review revealed that Resident 55 had diagnoses that included: dementia, muscle wasting and atrophy, and heart failure. Review of the care plan dated May 23, 2025, revealed that the resident required assistance with ADLs including grooming and bathing. On July 15, 2025, at 11:43 a.m., the resident was observed in his wheelchair, visiting another resident. His fingernails were long and dirty. The resident stated that his fingernails needed to be trimmed, and he needed assistance. On July 17, 2025, at 1:43 p.m. the resident was observed in his wheelchair in his room. His fingernails remained long and dirty.Clinical record review revealed that Resident 62 had diagnoses that included: diabetes with neuropathy (nerve damage resulting in numbness), hemiplegia and hemiparesis (paralysis and weakness) due to a stroke. Review of the care plan dated June 30, 2025, revealed that the resident required assistance with ADLs including grooming and bathing. On July 15, 2025, at 10:55 a.m., the resident was observed in his room. His fingernails were long and dirty. The resident nodded when asked if his fingernails needed to be trimmed. On July 17, 2025, at 11:41 a.m. the resident was observed in his room. His fingernails remained long and dirty.In an interview on July 18, 2025, at 9:00 a.m., the Administrator confirmed that the residents' fingernails should have been trimmed, and shaving offered when residents are bathed and as needed. 28 Pa. Code 211.12(d)(1)(5) Nursing services. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395477 If continuation sheet Page 3 of 4 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 07/18/2025 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)

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on clinical record review and staff interview, it was determined that the facility failed to implement physicians' orders for two of 33 sampled residents. (Residents 47 and 103)Findings include: Clinical record review revealed that Resident 47 had diagnoses that included Alzheimer's disease and hypertension (high blood pressure). A physician's order dated July 20, 2024, directed staff to administer a medication (Bisoprolol Fumarate) three times a day for hypotension. The medication was to be held if the resident's systolic blood pressure (SBP) was lower than 90 millimeters of mercury (mm/Hg) or if the resident's heart rate was less than 60 beats per minute. Review of Resident 47's medication administration records (MARs) revealed that staff administered the medication three times in April 2025, twice in May 2025, four times in June 2025, and three times in July 2025 when the resident's heart rate was less than 60 beats per minute.Clinical record review revealed that Resident 103 had diagnoses that included epilepsy, dementia, and hypertension (high blood pressure). A physician's order dated April 9, 2025, directed staff to administer a medication (Hydralazine) every 8 hours as needed if the resident's systolic blood pressure (SBP) was greater than 140 millimeters of mercury (mm/Hg). Review of Resident 103's medication administration records (MARs) revealed that staff failed to administer the medication as ordered three times in April 2025, three times in May 2025, and once in June 2025, when the resident's SBP was greater than 140.In an interview on July 18, 2025, at 9:00 a.m., the Administrator confirmed that medication for Resident 47 was administered outside of the established parameters and Resident 103's medication was not given per the physician's order.28 Pa. Code 211.12(d)(1)(5) Nursing services. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395477 If continuation sheet Page 4 of 4