Health inspection·January 31, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Based on observations and staff interviews, it was determined that the facility failed to maintain a clean, homelike environment in the second floor ice room and in resident rooms for one of eight residents reviewed (Resident 1). Findings include: Observations in the second floor ice room on January 29, 2025, at 9:09 a.m. revealed that there was an ice machine sitting on a wooden type bench/platform. The platform was greenish/blue in color with a moderate amount of chipped paint. The front and top of the platform was noted to have a blackish-brown, removable substance on it that measured approximately 10.0 x 15.0 inches. Interview with the Maintenance Director on January 29, 2025, at 12:17 p.m. confirmed that in the past the ice machine leaked and dripped water onto the top of the platform, which over time resulted in the blackish, removable substance. Observations in Residents 1's room on January 29, 2025, at 9:13 a.m. revealed that there were four holes in the dry wall to the left of the resident's television measuring approximately 5.0 x 4.0 inches each. Interview with Resident 1 at that time, confirmed that she did not like the holes in her wall and that the facility was aware that the dry wall needed to be repaired and painted. Interview with the Maintenance Director on January 29, 2025, at 1:10 p.m. confirmed that Resident 1's dry wall was not homelike and needed repaired. Interview with the Nursing Home Administrator on January 29, 2025, at 4:10 p.m. confirmed that Resident 1's dry wall needed repaired and that the removable, black substance underneath the second floor ice machine should not be there. 28 Pa. Code 201.29(j) Resident Rights. 28 Pa. Code 207.2(a) Administrator's Responsibility. Page 1 of 2 395661 395661 01/31/2025 Casselman Healthcare and Rehabilitation Center 201 Hospital Drive Meyersdale, PA 15552

F 0908 Keep all essential equipment working safely. Level of Harm - Minimal harm or potential for actual harm Based on observations, staff interviews, and manufacturer's instructions, it was determined that the facility failed to ensure that battery packs were replaced in mechanical lifts. Residents Affected - Few Findings include: Manufacturer's directions for the ArjoHuntleigh Lifter Battery Pack SPL3021, dated August 9, 2016, used for the facility mechanical lifts (equipment used to safely and easily move residents) revealed that the battery life is variable (2-5 years) and depends on proper charging practices. Batteries were to be recharged on a regular basis (at least monthly), they were not to reach a low charge state, and the battery packs were to be removed from the lift when not used for a long period of time. Interviews with Nurse Aide 1 and Nurse Aide 2 on January 29, 2025, at 10:10 a.m. indicated that even when the mechanical lift batteries are fully charged, they are losing their charge very quickly, which makes it difficult and frustrating to provide timely and safe care to the residents. Observations of the five battery chargers in the second floor dining and linen rooms on January 29, 2025, at 12:30 p.m. revealed dates that had been written on the back of them with black marker. One was marked new 4/24/18; one was unreadable; one was marked new 5/11/21; one was marked new 10/15/16 and OK 4/6/18; and one had no date on it. Observations of the batteries that were on the second floor mechanical lifts revealed that one was marked new 6/13/17 OK 4/6/18; one was marked new 4/24/18; and the last one was dated 5/21/21. Observations of the three battery chargers in the third floor linen room on January 29, 2025, at 12:50 revealed dates on the back of them. One was marked OK 4/6/18; one was marked new 4/24/18; and one was marked new 11/2/16. Observations of the batteries that were on the third floor mechanical lifts indicated that one lift battery was marked 12/15 and OK 4/6/18; and one was marked new 6/13/17 and OK 4/6/18. Interview with the Maintenance Director on January 29, 2025, at 1:31 p.m. indicated that to the best of his knowledge, the date on the back of the battery was when the battery was new or when it was checked, depending on the date and wording on the back of the battery. He also revealed that staff have made him and the administration aware of their concern that the batteries are getting old, not holding a charge, and need to be replaced. It was his understanding that the facility determined there were enough back up batteries for the staff to complete their work. The Maintenance Director confirmed that nine of the batteries were over seven years old and two were over three years old. He further confirmed that the manufacturer's instructions indicated that the battery life ranges from two to five years, and that per that information, nine of the batteries should be replaced. Interview with the Nursing Home Administrator on January 29, 2025, at 4:15 p.m. indicated that the facility is an older building and that they have been working on updating and improving the facility as much as feasible, which can include new batteries as the facility is able. 28 Pa. Code 207.2(a) Administrator's Responsibility. 395661 Page 2 of 2