Health inspection·May 3, 2023

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Based on clinical record review, it was determined that the facility failed to ensure that the resident's responsible party and physician were notified about changes in the medical condition of one of three residents sampled. (Resident 1) Findings include: Clinical record review revealed that Resident 1 had diagnoses that included asthma, urinary tract infection and dementia. On April 14, 2023, a physician directed staff to obtain a urine specimen to rule out the presence of a urinary tract infection. The facility failed to obtain the specimen. The responsible party and physician were unaware that the specimen was not obtained. A note by a nurse on April 23, 2023, at 8:00 a.m., revealed that the resident had shortness of breath, restlessness and a low oxygen saturation level. Oxygen was provided as well as a breathing treatment. At 3:00 p. m., the resident was restless, made attempts to get out of her chair without assistance and had an audible wheeze. There was no documentation that the responsible party and physician were made aware of the changes in condition. 28 Pa. Code 211.12 (d)(1)(5 Nursing services. Page 1 of 2 395540 395540 05/03/2023 Easton Skilled Nursing and Rehabilitation Center 2600 Northampton Street Easton, PA 18045

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, it was determined that the facility failed to ensure that physician's orders were implemented for one of three sampled residents. (Resident 1) Residents Affected - Few Findings include: Clinical record review revealed that Resident 1 had diagnoses that included dementia, anxiety and urinary tract infection. On April 14, 2023, a physician directed staff to obtain a urine specimen to rule out the presence of an infection. Docmentation in the clinical record revealed that the urine specimen was not obtained as ordered by the physician. 28 Pa. Code 211.12 (d)(1)5) Nursing services. 395540 Page 2 of 2