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 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: 395541 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 395541 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Sinking Spring Skilled Nursing and Rehabilitation 3000 Windmill Road Sinking Spring, PA 19608 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)