Health inspection·June 7, 2024

F 0565 Honor the resident's right to organize and participate in resident/family groups in the facility. Level of Harm - Minimal harm or potential for actual harm Based on review of resident group interview, Ombudsman interview, and observations it was determined that the facility failed to provide a private space for the resident group for ten of ten residents (GR100, GR101, GR102, GR103, GR104, GR105, GR106, GR107, GR108, and GR109). Residents Affected - Some Findings include: During a group interview on 6/5/24, at 1:30 p.m. a Resident Group meeting was conducted in the facility dining room. Signage was posted by the facility on the doors of both sides of the dining room, indicating that a private resident group was being conducted, and not to enter. During the group interview, facility staff entered the group 13 times, to utilize the dining room to proceed from one side of the building to the other. When a facility staff member who entered the dining room was asked by the surveyor if signage was posted asking for staff not to enter the room, she confirmed that it was. When asked why she entered, she stated, To go to the front office. After this interruption, the surveyor facilitating the group interview exited the room, informed the Nursing Home Administrator (NHA) of the continued interruptions, and requested that the group was provided privacy. While continuing to conduct the group interview, a staff member was observed through the window of the dining room door, standing directly on the other side, which allowed her to hear the group discussion. The resident group interview was again paused to allow the surveyor to instruct the staff member that she cannot listen to the group meeting. The staff member confirmed that she was posted there to not allow any further entrance of staff to the meeting. The surveyor then had to request that she step further back, and gestured to an area approximately 10-15 feet from the door, and indicated that she can still prevent interruptions from there, without having to be within inches of the door. When the group was asked if the interruptions usually occurred during their Resident Council groups, Group Resident GR108 responded, Welcome to our world. During an interview with the Ombudsman on 6/6/24, at 12:05 p.m., she confirmed that she has been present in previous resident groups that have been interrupted and further confirmed that the trainings she holds for resident peers had also been interrupted. During an interview on 6/7/24, at approximately 1:00 p.m. the Nursing Home Administrator confirmed that the facility layout has a connecting hallway, and staff do not need to utilize the dining room (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 5 Event ID: 395585 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 395585 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/07/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Transitions Healthcare North Huntingdon 8850 Barnes Lake Road North Huntingdon, PA 15642 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)