Health inspection·June 5, 2025

F 0641 Ensure each resident receives an accurate assessment. 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 that the Minimum Data Set (MDS) assessments were completed to accurately reflect the resident's current status for one of 13 sampled residents. (Resident 2) Residents Affected - Few Findings include: Clinical record review revealed that Resident 2 had diagnoses that included diabetes mellitus, muscle weakness, need for assistance with personal care, and major depressive disorder. A physician's orders dated April 21, 2024, July 22, 2024, and March 28, 2025, directed staff to apply and monitor an electronic monitoring device to the resident's arm. Review of the MDS assessments dated July 13, 2024, October 13, 2024, and January 13, 2025, section P indicated the resident did not use the electronic monitoring device. The MDS inaccurately reflected the use of an electronic monitoring device. In an interview on June 5, 2025, at 10:12 a.m., the Director of Nursing confirmed that Resident 2's MDS assessments were inaccurate and did not reflect the resident's current status. Page 1 of 2 395591 395591 06/05/2025 Luther Crest Nursing Facility 800 Hausman Road Allentown, PA 18104

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 implement physicians' orders for two of 13 sampled residents. (Resident 29, 36) Residents Affected - Few Findings include: Clinical record review revealed that Resident 29 had diagnoses that included congestive heart failure, coronary artery disease, and hypertension. A physician's order dated May 23, 2025, directed staff to weigh the resident daily. A review of the Medication Administration Record (MAR) for May and June 2025, and Treatment Administration Record (TAR) for May and June 2025, revealed that there was no evidence that staff weighed Resident 29 as ordered on May 25 and 26, 2025, and June 1 and 2, 2025. Clinical record review revealed that Resident 36 had diagnoses that included dementia, protein-calorie malnutrition, and chronic kidney disease. A physician's order dated April 29, 2025, directed staff to weigh the resident weekly. A review of the MAR and TAR for May 2025, revealed that there was no evidence that staff weighed Resident 36 as ordered between May 2 and May 27, 2025. In an interview on June 5, 2025, at 9:49 a.m. and 1:03 p.m., the Director of Nursing confirmed that there was no documented evidence that staff attempted to weigh the residents as ordered. 28 Pa. Code 211.12(d)(1)(5) Nursing services. 395591 Page 2 of 2