Inspection·February 11, 2026

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 1 left the unit around 11:30 AM or noon on January 29, 2026, but the exact time is unknown. She revealed his appointment was at 1:00 PM, and he returned to the facility at 4:34 PM, according to the note. She further revealed his appointment was not on his calendar in the health record as it should have been, and there should have been a note detailing what time he left the facility, written by the unit manager or designee. Interview with the Nursing Home Administrator (NHA) on February 11, 2026, at 1:43 PM, confirmed that Resident 1 did not have an escort the day of his appointment, but it was the facility's understanding that his wife was going to meet him there. He revealed he received an email from an employee for the outside agency surrounding the incident and reiterating the contract between the two entities, stating the facility is to send an escort unless a family member is meeting them at their appointment. He confirmed his appointment should have been on his calendar, and facility staff should have documented when he left for his appointment. Email correspondence between the NHA and Employee 4 (Outpatient Center Case Manager) on January 30, 2026, at 2:21 PM, read, in part, We received a call from [Resident 1's] spouse, who was very upset about an incident that occurred yesterday regarding transport to [the outpatient center]. Both the spouse and [our] staff reported that [he] was sent for an appointment without staff accompanying him from Claremont. The [resident] was located and safely transported to the correct area; however, the CT scan could not be completed per the case manager. If you have time, I would appreciate a quick call on Monday to ensure Claremont is aware of the policy: [Residents] being transported by [our] transportation must have someone accompany them from the [nursing home] facility unless it has otherwise been arranged that a family member will accompany the [patient] upon arrival at the [outpatient center]. Additionally, the spouse expressed concern that the [patient] was sent via transport wearing only a thin jacket when the temperature was 10 degrees outside. I would like an opportunity to discuss this incident and make sure we are all on the same page moving forward.During a phone interview with Employee 5 (Outpatient Center Employee) on February 11, 2026, at 3:05 PM, she revealed the outpatient center's transportation driver picked Resident 1 up from the nursing facility and dropped him off at the entrance to the outpatient center. She stated there are volunteers or employees of the center right inside the entrance that greet the patients as they walk in. She stated Resident 1 approached them and told them his name and they brought him to his appointment. Once there, he was registered for his scan. As he walked back with an employee for his scan, he started to become agitated and asked where his wife was. The outpatient center staff then called his wife who told them she was not at the appointment and that someone from the facility should have joined him. The Resident displayed confusion and started to become belligerent and refused the scan, and the outpatient center staff called their transportation to pick him up and return him to the center.Review of Resident1's clinical record revealed he frequently refuses care, tests, laboratory work, and medications due to agitation. Further into the phone interview with Employee 5 on February 11, 2026, at 3:12 PM, she stated she got a call shortly after the incident from Employee 2 stating Resident 1's wife called and said he was unattended at his appointment and he thought the outpatient agency was responsible to arrange an escort for transport. She explained that per the agreement, it is the responsibility of the nursing center to arrange an escort or a family member to meet a patient for their appointment. Employee 4 later called back to the facility to speak to Employee 3 about the event and make her aware of the concern that he was not dressed properly. Interview with the NHA on February 11, 2026, at 3:39 PM, revealed he would expect residents with cognitive impairment to be accompanied by a staff escort or a family member for outside appointments. He further revealed his expectation that staff document when residents leave and return from their appointments, the appointments to be noted on their calendars in their health records, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395660 If continuation sheet Page 2 of 3 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 395660 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Claremont Nursing & Rehabilitation Center 1000 Claremont Road Carlisle, PA 17013 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)

F 0684 and for residents to be dressed appropriately for outside appointments. 28 Pa. Code 201.18(b)(1) Management28 Pa. Code 211.12 (d)(1)(5) Nursing services Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395660 If continuation sheet Page 3 of 3