Health inspection·February 23, 2024

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 three residents in two of four dining rooms. (Residents 9, 91, 205) Findings include: Clinical record review revealed that Resident 9 had diagnoses that included Alzheimer's dementia, unspecified protein-calorie malnutrition, and gastro-esophageal reflux disease without esophagitis. Review of the Minimum Data Set (MDS) assessment, dated November 28, 2023, revealed that the resident had cognitive impairment. Review of Resident 9's care plan revealed the resident was to be seated upright in a chair with the assistance of one staff member while eating. On February 21, 2024, from 8:32 a.m. until 8:54 a.m., Nurse Aide (NA) 1 was observed standing while assisting Resident 9 with breakfast. Clinical record review revealed that Resident 91 had diagnoses that included diabetes mellitius. Review of the MDS assessment, dated February 20, 2024, revealed that the resident had cognitive impairment and needed staff assistance with eating. Review of Resident 91's care plan revealed that staff was to assist him with self-feeding and provide verbal cueing with meals. On February 21, 2024, from 8:30 a.m. through 8:45 a.m., NA 2 was observed standing while assisting Resident 91 with breakfast. Clinical record review revealed that Resident 205 had diagnoses that included heart failure and chronic kidney disease. Review of the MDS assessment, dated November 28, 2023, revealed that the resident had cognitive impairment and needed staff assistance with eating. Review of the Therapy Staff Education form revealed that staff was to assist Resident 205 with meals. On February 21, 2024, from 8:30 a.m. through 8:45 p.m. and from 11:45 a.m. through 12:00 p.m., NA 3 was observed standing while assisting Resident 205 with breakfast and lunch. 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 3 Event ID: 395499 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 395499 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/23/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Tremont Health & Rehabilitation Center 44 Donaldson Road Tremont, PA 17981 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)