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. 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 2 Event ID: 395540 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 395540 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/03/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Easton Skilled Nursing and Rehabilitation Center 2600 Northampton Street Easton, PA 18045 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)