Inspection·March 28, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to accommodate resident needs regarding the accessibility of a call bell for three of six residents reviewed (Resident 1, 2, and 3). Residents Affected - Few Findings include Clinical record review for Resident 1 revealed a diagnosis list that included the following: dementia (general term to describe a group of symptoms related to loss of memory, judgment, language, complex motor skills, and other intellectual function, caused by the permanent damage or death of the brain's nerve cells), difficulty in walking, generalized muscle weakness, unsteadiness on feet, need for assistance for personal care, muscle wasting and atrophy (decrease in size or wasting away), abnormal posture, and a cataract (a cloudy area in the lens of the eye that may impact vision). Review of the current care plan for Resident 1 revealed an activities of daily living (ADL) self-care performance deficit related to decreased physical ability, generalized weakness, blindness, and unsteadiness on feet. An intervention included, Encourage the resident to use bell to call for assistance. Further review of Resident 1's care plan revealed the resident has a potential for falls due to impaired vision, blindness, unsteadiness on feet with generalized weakness, and medication history. An intervention included to, Be sure the resident's call light is within reach and encourage the resident to use it for assistance as needed. Observation on the [NAME] Nursing Unit on March 28, 2025, at 11:24 AM revealed a resident could be heard yelling loudly from one of the resident rooms. The resident was heard repeatedly yelling for a urine collection device and was also heard yelling, Or you're gonna have a mess again. The resident could be heard yelling by the surveyor from two rooms away and around a corner. Further observation revealed the resident yelling was Resident 1 who was in his room on March 28, 2025, at 11:29 AM. The resident was sitting in a wheelchair near the foot of the bed and facing the unmade bed. There was a bedside table between the resident and the bed, and the resident was eating a snack at the bedside table. The resident's roommate was also present. Observation revealed the resident's call bell was at the head of the bed, which was at least six feet from the resident. Upon the surveyor entering the room and attempting to question Resident 1, an unidentified staff member arrived and assisted the resident. Further observation of Resident 1 on March 28, 2025, at 12:41 PM revealed the resident was sitting (continued on next page) 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: 395570 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 395570 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/28/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Milton Rehabilitation and Nursing Center 743 Mahoning Street Milton, PA 17847 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)