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Inspection visit

Health inspection

Easton Skilled Nursing and Rehabilitation CenterCMS #3955403 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

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

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Citations

3 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0679GeneralS&S Dpotential for harm

    F679 - Activities

    Provide activities to meet all resident's needs.

  • 0684GeneralS&S Dpotential for harm

    F684 - Quality of care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0688GeneralS&S Dpotential for harm

    F688 - Mobility

    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.

FAQ · About this visit

Common questions about this visit

What happened during the November 7, 2024 survey of Easton Skilled Nursing and Rehabilitation Center?

This was a inspection survey of Easton Skilled Nursing and Rehabilitation Center on November 7, 2024. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Easton Skilled Nursing and Rehabilitation Center on November 7, 2024?

Yes, 3 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide activities to meet all resident's needs."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.