Health inspection·November 15, 2024

F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm Based on a review of facility policies, facility documentation, review of clinical records and interviews with residents and staff, it was determined that the facility failed to conduct a thorough investigation related to potential resident abuse and/or neglect related to an injury during resident care for one of eight residents reviewed. (resident R 121) Residents Affected - Few Findings include: Review of facility policy titled Reporting and Investigating Resident Accident/ Incident Policy and Procedure reviewed November 2018 revealed that all occurrences which are not consistent with the routine operation of the facility and care of residents that have or may cause physical injury or harm will be reported, reviewed, and investigated. All accidents/ incidents must be reported the supervisor must immediately examine the resident, the appropriate accident incident and investigation report must be completed, the resident's representative and attending physician will be notified, all accidents slash incidents will have an investigation conducted by the supervisor, upon completion of the investigation report it must be determined if there is reasonable cause to believe that abuse has occurred. Reasonable cause is defined as meeting that upon review of the circumstances, there is sufficient evidence for a prudent person to believe that physical abuse, mistreatment, or neglect has occurred. If there is reasonable cause, a resident abuse report must be completed. The unit manager must review the report for completeness and assure all notifications have been made, the complete report will be reviewed and discussed by the interdisciplinary team, a completed report includes revision of the resident's care plans to confirm interventions implemented as a result of the incident and for prevention of further incidents. Review of facility policy titled Abuse of Residents revised October 27, 2022, revealed It is a policy of the facility that acts of physical verbal psychological and financial abuse directed against residents are absolutely prohibited. Resident has the right to be free from verbal sexual physical and mental abuse, corporal punishment, involuntary seclusion, mistreatment, neglect, exploitation, and misappropriation of property. Residents shall not be subjected to abuse by anyone included but not limited to staff other residents' consultants, volunteers, staff from other agencies, family members or legal guardians, friends or other individuals. Further review of this policy revealed the definition of neglect is defined as the failure of the facility its employees or service providers to provide goods and services to a resident that are necessary to avoid harm pain mental anguish or emotional distress. Neglect occurs when the facility is aware of or should have been aware of goods or services that a resident requires but the facility fails to provide them to the resident, that has resulted in or may result in physical harm, ping, mental anguish, or emotional distress. Neglect includes cases where the facilities indifference or disregard for resident care comfort or safety resulted in or could have resulted in physical harm pain, (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: 395479 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 395479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/15/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Gwynedd Healthcare and Rehabilitation Center 773 Sumneytown Pike Lansdale, PA 19446 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)