Inspection·April 17, 2025

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of clinical records, and family member and staff interviews, it was determined that the facility failed to provide confidentiality of residents' personal health information during medication administration for two of three residents reviewed. (Residents R2 and R3). Residents Affected - Few Findings include: Review of facility policy on Confidentiality of information and personal privacy with most recent revision date of October 2017, revealed that under section Policy Statement; our facility will protect and safeguard resident confidentiality and personal privacy. Under section Policy interpretation and implementation #1, the facility will safeguard the personal privacy and confidentiality of all residents and medical records. #4. Access to resident's personal and medical records will be limited to authorized staff and business associates. Interview with complainant revealed that when her husband Resident R1 was discharged home, medical records belonging to 2 other residents were included in her husband's discharge papers. Further complainant revealed that the medical records belonged to Residents R2 and R3. Review of documents provided by complainant via text message during a telephone interview with complainant conducted on April 17, 2025, at 9:02 AM, revealed two documents belonging to 2 residents (Residents R2 and R3). Review of Resident R1's clinical record revealed that Resident R1 was admitted to the facility on [DATE] and discharged to home on March 28, 2025. Review of Resident R2's document revealed a heading admission Record further, the document contained Resident R2's full name admission date, address, telephone number, sex, date of birth , citizenship, nae of contact persons with their contact information and Resident R2's medical diagnoses. Review of Resident R3's document revealed a heading admission Record further, the document contained Resident R3's full name admission date, address, telephone number, sex, date of birth , citizenship, nae of contact persons with their contact information and Resident R2's medical diagnoses. Review of Resident R2's clinical record revealed that Resident R2 was admitted to the facility on [DATE], with diagnoses of but not limited to Non-traumatic Intracerebral Hemorrhage, Essential Hypertension. (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: 395690 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 395690 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Springfield Rehabilitation and Healthcare Center 463 West Sproul Road Springfield, PA 19064 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)