F 0679
Provide activities to meet all resident's needs.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
clinical record review, observation, review of facility activities schedules, resident interview, and staff
interview, it was determined that the facility failed to provide an activities program that met the needs and
interest of residents for one of 35 sampled residents. (Resident 18)
Residents Affected - Few
Findings include:
Clinical record review revealed that Resident 18 had diagnoses that included Parkinson's disease and
depression. Review of the Minimum Data Set assessment dated [DATE], revealed that the resident did not
have cognitive impairment and required assistance from staff for activities of daily living. Review of the care
plan revealed that the resident preferred Bingo as an activity of interest. Staff were to offer activities
consistent with the resident's known interest and assist with transport to and from activities of choice.
Review of a recreation assessment dated [DATE], revealed that the resident participated in group
engagement and occasionally participated in group activities. During an interview on November 5, 2024, at
10:59 a.m., Resident 18 stated that she preferred to attend bingo, but staff do not offer or provide
assistance with transport to the activity. Review of the facility's activity schedule for November 2024,
revealed that a group bingo activity was scheduled for November 6, 2024, at 2:00 p.m. Observation on
November 6, 2024, at 1:57 p.m., revealed that residents were engaged in the bingo activity. At 2:04 p.m.,
Resident 18 was observed in her room; she stated that staff did not offer for her to attend or to assist with
transport to the bingo activity. At 2:35 p.m., the resident was again observed in her room while the bingo
game was ongoing. There was no evidence that staff had offered the resident to attend the bingo activity or
that the resident refused.
In an interview on November 7, 2024, at 1:25 p.m., the Activities Director confirmed that staff should offer
residents to attend activities of interest and there was no evidence that staff offered the resident to attend
bingo on November 6, 2024.
28 Pa. Code 201.18(b)(3) Management.
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:
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
11/07/2024
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)
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 and staff interview, it was determined that the facility failed to ensure
physician's orders were implemented for one of 35 sampled residents. (Resident 13)
Residents Affected - Few
Findings include:
Clinical record review revealed that Resident 13 had diagnoses that included chronic respiratory failure and
quadriplegic cerebral palsy. A physician's order dated September 25, 2024, directed staff to apply Prevalon
boots (devices used to properly position the heels to reduce pressure) at all times except during care.
Review of the comprehensive care plan revealed that the resident was at risk for skin breakdown. Multiple
observations on November 5 and 6, 2024, between 9:00 a.m. and 1:00 p.m., revealed Resident 13 in bed
and the Prevalon boots were not applied.
In an interview on November 7, 2024, at 9:48 a.m., the Administrator confirmed that staff did not apply the
Prevalon boots as ordered by the physician.
CFR 483.25 Quality of Care
Previously Cited 11/20/23 and 9/28/24
28 Pa. Code 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395540
If continuation sheet
Page 2 of 3
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
11/07/2024
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)
F 0688
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM
and/or mobility, unless a decline is for a medical reason.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
clinical record review, observation, and staff interview, it was determined that the facility failed to implement
interventions to prevent further decline and/or improve range of motion for two of nine sampled residents
with limited range of motion. (Residents 59, 63)
Findings include:
Clinical record review revealed that Resident 59 had diagnoses that included senile degeneration of the
brain and protein-calorie malnutrition. The Minimum Data Set (MDS) assessment dated [DATE], indicated
that the resident was cognitively impaired and required extensive assistance from staff for personal hygiene
and dressing. Review of the care plan revealed that the resident was at risk for self-care deficit related to
physical limitations. There was an intervention dated May 10, 2024, for staff to apply bilateral palm guards
(orthotic devices) during morning care and removed at night. Observation on November 5, 2024, revealed
the resident was in bed at 10:22 a.m., 12:15 p.m., and 1:55 p.m., without the bilateral palm guards in place.
On November 6, 2024, the resident was in bed at 9:03 a.m., 10:50 a.m., and 12:24 p.m., without the
bilateral palm guards in place.
Clinical record review revealed that Resident 63 had diagnoses that included Parkinson's disease and
dementia. The MDS assessment dated [DATE], indicated that the resident was cognitivily impaired and had
limitations in range of motion on both sides of her upper and lower extremities. Review of the care plan
revealed that the resident was at risk for a loss of range of motion. There was an intervention dated August
9, 2024, for staff to apply a left palm guard during morning care and remove at night. Review of an
occupational therapy Discharge summary dated [DATE], revealed that there was a recommendation for
staff to apply a left palm guard with morning care and remove at night. Observation on November 5, 2024,
revealed that the resident was in her wheelchair at 11:15 a.m., 11:45 a.m., and 1:00 p.m., without the left
palm guard in place.
In an interview on November 7, 2024, at 9:06 a.m., the Director of Nursing confirmed that staff was to apply
bilateral palm guards in accordance with the resident's care plan.
28 Pa. Code 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395540
If continuation sheet
Page 3 of 3