Inspection·December 18, 2024

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview and review of facility documentation, it was determined that the facility failed to enusure that comfortable air temperature levels for residents on 2 of 2 nursing units (Cherry and Magnolia units). Findings include: Review of information submitted to the State Survey Agency on November 20, 2024 at 3:00 p.m. indicated that the facility was currently experiencing an issue with their Heating, Ventilation, and Air conditioning system (HVAC) that operates the rooms on the Cherry and Magnolia nursing units. The information submitted by the facility to the State Survey Agency indicated that the facility increased the heat in the hallways to supplement the temperatures in the rooms, and that the heating system for resident hallways and dining rooms were not affected. Continued review of the information submitted by the facility to the State Survey Agency indicated that the facility was monitoring temperatures in the resident rooms, and that the facility would be taking temperatures until the heating is restored. Information submitted to the State Survey Agency on December 10, 2024 reported concerns about the period of time in which the facility's heating system was inoperable, and the temperatures in the building during that time. During an interview with the Nursing Home Administrator (NHA) on December 18, 2024 at 12:00 p.m. the NHA confirmed that the concern regarding the heating system started on November 19, 2024 some time in the late afternoon. The NHA reported that she saw the thermostat in her office flashing on the above referenced date, so she went over to the Cherry and Magnolia, nursing units to check on the thermostats in resident rooms and noticed that those thermostats were flashing as well. The NHA reported that she went to those particular units because the individual heating units in each of the resident rooms on those units share the same heating system as her (NHA) office. The NHA reported that approximately 21 residents resided both unit (e.g. approximately 10 residents on 1 unit and approximately 11 residents on another unit). The NHA reported that she contacted the Director of Plant Services (Employee E3) who came over to the facility to try to figure out if the problem with the thermostats/heating system was something that his department could fix. The NHA reported that Employee E3 contacted the facilities outside contractor on November 20, 2024 and that the contractor came over to the facility on November 20, 2024 to try to repair the heating system. Continued interview with the NHA revealed that the outside contractor needed to order parts to repair the system and that the contractor notified the facility of it when he left on November 20, 2024. The NHA reported that the heating units for residents came on November 21, 2024 sometime in the morning, and that the facility purchased heating units from 2 home improvement stores, in addition to obtaining 4 heating units from (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 2 Event ID: 395665 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 395665 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Willowbrooke Ctskdcarectr Atnormandy Farms Estates 8000 Twin Silo Drive Blue Bell, PA 19422 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)