Inspection·January 13, 2026

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. Based on clinical record review and observation, it was determined that the facility failed to provide assistance with dining in a manner that promoted and maintained dignity for two residents in one of two dining rooms. (Residents 77, 106)Findings include: Clinical record review revealed that Resident 77 had diagnoses that included Parkinson's disease, dementia, and dysphagia (difficulty swallowing). Review of the Minimum Data Set (MDS) assessment, dated January 4, 2026, revealed that the resident had cognitive impairment and required assistance from staff with eating. Review of Resident 77's care plan revealed that the resident was at increased nutrition and hydration risk with an intervention for staff to encourage oral intake and assist with dining. On January 12, 2026, 12:05 p.m. through 12:18 p.m., Nurse Aide (NA) 2 was observed standing to assist Resident 77 to eat lunch, while the resident was seated in the wheelchair. Clinical record review revealed that Resident 106 had diagnoses that included benign neoplasm of the brain, cortical blindness (partial or total loss of vision due to damage to the brain's occipital cortex), and encephalopathy (diffuse disease of the brain that alters brain function or structure). Review of the MDS assessment, dated January 8, 2026, revealed that the resident had mild cognitive impairment and required assistance from staff with eating. Review of Resident 106's care plan revealed that the resident was at increased nutrition and hydration risk and had a self-care deficit with interventions for staff to encourage intake and assist with meals for safety. On January 12, 2026, 12:05 p.m. through 12:18 p.m., Resident 106 was observed in the dining room and eating independently. Fries and pulled pork had fallen onto his legs and the floor. NA 2 was standing while assisting Resident 77, who was seated next to Resident 106. Staff did not provide assistance to Resident 106 with intake and prevent him from dropping food onto himself and the floor while trying to eat. CFR 483.10(a)(1) Resident RightsPreviously Cited 02/27/2025 28 Pa. Code 211.12(d)(1)(5) Nursing services. 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 5 Event ID: 395494 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 395494 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/13/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Slate Belt Health & Rehabilitation Center 701 Slate Belt Blvd, Rd 3 Bangor, PA 18013 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)