Health inspection·September 26, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. 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 and resident interview, it was determined that the facility failed to provide services to maintain adequate grooming and hygiene for three of 37 sampled residents. (Residents 9, 10, 11)Findings include: Clinical record review revealed that Resident 9 had diagnoses that included cerebral palsy and a seizure disorder. A quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed that Resident 9 required maximum assistance with hygiene and self care and had no cognitive impairment. Review of the care plan dated July 22, 2025, revealed that staff were to assist the resident with hygiene and self care, including nail care on bath day and as necessary. On September 23, 2025, at 2:58 p.m., the resident was observed in his room. His nails were long and dirty. He stated that he preferred short nails and that staff had not offered to provide nail care recently. On September 25, 2025, at 10:49 a.m., the resident was observed in bed. His nails remained long. He stated that staff had not offered to provide nail care during his last shower and he would like his nails cut. Clinical record review revealed that Resident 10 had diagnoses that included congestive heart failure and kidney failure. An admission MDS assessment dated [DATE], revealed that Resident 10 required moderate assistance with hygiene and self care and had no cognitive impairment. Review of the care plan dated July 9, 2025, revealed that staff were to assist with the resident's hygiene and self care, including nail care on bath day and as necessary. On September 23, 2025, at 2:11 p.m., the resident was observed in bed in his room. His nails were long and dirty. The resident stated that staff were to cut his nails during his showers but had not offered to provide nail care recently. On September 25, 2025, at 10:50 a.m., the resident was observed in bed. His nails remained long. He stated that staff had not offered to provide nail care during his last shower and he would like his nails cut. Clinical record review revealed that Resident 11 had diagnoses that included Parkinson's disease, congestive heart failure and kidney failure. An admission MDS assessment dated [DATE], revealed that Resident 11 was dependent on staff for assistance with hygiene and self care and had minor cognitive impairment. Review of the care plan dated August 11, 2025, revealed that staff were to assist with the resident's hygiene and self care, including nail care on bath day and as necessary. On September 23, 2025, at 2:02 p.m., the resident was observed in bed in his room. His nails were long and he stated that he preferred short nails. He stated that staff were to cut his nails during his showers but had not offered to provide nail care recently. On September 25, 2025, at 10:47 a.m., the resident was observed in bed. His nails remained long. He stated that staff had not offered to provide nail care and he would like his nails cut. 28 Pa. Code 211.12(d)(1)(5) Nursing services. Residents Affected - Few Page 1 of 3 395541 395541 09/26/2025 Sinking Spring Skilled Nursing and Rehabilitation 3000 Windmill Road Sinking Spring, PA 19608

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, it was determined that the facility failed to maintain sanitary conditions in the kitchen.Findings include:Observation during the environmental tour on September 23, 2025, at 10:10 a.m. revealed a black substance on ceiling tiles in the kitchen around the exhaust vents. Several ceiling tiles were missing, and a central air vent was dripping water onto the floor.CFR 483.60(i) Food Safety RequirementPreviously cited 8/27/2428 Pa. Code 201.14(a) Responsibility of licensee.28 Pa. Code 201.18(e)(2.1) Management. 395541 Page 2 of 3 395541 09/26/2025 Sinking Spring Skilled Nursing and Rehabilitation 3000 Windmill Road Sinking Spring, PA 19608

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation it was determined that the facility failed to provide a safe, sanitary, and comfortable environment for residents and staff on one of four toured nursing units. (Station 2) Findings include:Observations on September 23, 2025, from 9:45 a.m. through 1:00 p.m. and on September 24, 2025, from 9:00 a.m. through 1:00 p.m. revealed the following:Peeling wallpaper was observed on all four walls in the Chapel.The wall to the left of the door was damaged in room [ROOM NUMBER].The wall behind the bathroom sink and toilet, and linoleum below the sink were damaged in room [ROOM NUMBER].In an interview on September 25, 2025, at 1:11 p.m., the Administrator confirmed that the environmental problems should have been addressed.28 Pa. Code 201.14(a) Responsibility of licensee.28 Pa. Code 201.18 (b) (1) Management. 395541 Page 3 of 3