Inspection·December 12, 2023

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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, it was determined that the facility failed to ensure that a safe, clean, and comfortable environment was maintained on two of three nursing units. (2nd floor, 3rd floor) Findings include: Observation of the 2nd floor nursing unit on December 10, 2023, from 11:10 a.m. through 12:00 p.m., revealed garbage bags on the floor in the 223-231 hallway, a hole in the hallway wall covered with tape between rooms [ROOM NUMBERS], and the hallway light over room [ROOM NUMBER] was flickering. The privacy curtain in room [ROOM NUMBER]B was ripped. In room [ROOM NUMBER], the wall was marred and scratched in the bathroom and behind the B bed. room [ROOM NUMBER]A was missing a closet door and the wall was marred and scratched behind the bed. room [ROOM NUMBER] was missing a bottom dresser drawer. The wall behind the bed in room [ROOM NUMBER]A was marred and scratched. The shower room across from room [ROOM NUMBER] had cracked tiles and dirty grout lines. The vital sign machine on the unit had a dried substance splattered on the thermometer and legs. Observations on the 3rd floor nursing unit on December 10, 2023, from 12:06 p.m. through 1:13 p.m., revealed tiles missing in front of the bed by the window in room [ROOM NUMBER]. In room [ROOM NUMBER], the wall was marred and scratched by the door and behind bed B. 28 Pa. Code 201.18(e)(2.1) Management. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 2 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the Resident Assessment Instrument (RAI) User's Manual, clinical record review, and staff interview, it was determined that the facility failed to complete Minimum Data Set (MDS) assessments in a timely manner for five of 39 sampled residents. (Residents 2, 10, 149, 266, 267) Residents Affected - Few Findings include: Review of the Long-Term Care Facility RAI (federally mandated assessment tool), dated October 2019, User's Manual which provided instructions and guidelines for completing required MDS assessments, revealed that significant change in status assessments, quarterly assessments, and admission assessments were to be completed no later than 14 days after the Assessment Reference Date (ARD) which refers to the last day of the assessment observation period. Clinical record review revealed on December 12, 2023, revealed that Resident 2 had a Quarterly MDS assessment dated [DATE], that was still in progress and had not yet been completed as per the time requirements. Clinical record review revealed on December 12, 2023, revealed that Resident 10 had a Quarterly MDS assessment dated [DATE], that was still in progress and had not yet been completed as per the time requirements. Clinical record review revealed that Resident 149 had a death in the facility on November 9, 2023. A Death in Facility MDS assessment was noted as still in progress on December 12, 2023, and had not yet been completed as per the time requirements. Clinical record review revealed on December 12, 2023, revealed that Resident 266 had an admission MDS assessment dated [DATE], that was still in progress and had not yet been completed as per the time requirements. Clinical record review revealed on December 12, 2023, revealed Resident 267 had an admission MDS assessment dated [DATE], that was still in progress and had not yet been completed as per the time requirements. In an interview on December 12, 2023, at 10:05 a.m., the Director of Nursing confirmed that the MDS assessments had not been completed within the required time frame. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 3 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation, and resident interview, it was determined that the facility failed to provide services to maintain adequate grooming and personal hygiene for two of six sampled residents who needed assistance with activities of daily living. (Residents 98, 159) Residents Affected - Few Findings include: Clinical record review revealed that Resident 98 had diagnoses that included depression, history of a stroke, and right sided dominant upper and lower extremity weakness. The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident was cognitively impaired and was dependent on two staff members for personal hygiene and needed extensive assistance with dressing. The care plan identified that Resident 98 had difficulty caring for himself and interventions included that staff assist with activities of daily living. Observation on December 10, 2023, at 11:15 a.m., and 2:37 p.m., revealed that Resident 98 was unshaven with a beard, his hair appeared unwashed and greasy, his fingernails on both hands were long with dirt underneath, and there were crumbs on his light blue shirt. On December 11, 2023, at 10:27 a.m., Resident 98 was observed unshaven, with long dirty nails, wearing the same light blue shirt as the day before. In an interview on December 10, 2023, at 2:37 p.m., Resident 98 stated that his nails were longer than he would like, that they needed to be trimmed, and that he preferred to be shaven and to have clean hair. Clinical record review revealed that Resident 159 had diagnoses that included a history of left femur fracture, a thoracic spine vertebrae compression fracture, and presence of artificial left hip joint. The MDS assessment dated [DATE], indicated that the resident was cognitively impaired and required extensive staff assistance for activities of daily living. The care plan identified that Resident 159 had difficulty caring for himself due to activity intolerance, cognitive impairment, and interventions included that staff assist with activities of daily living. Observations on December 10, 2023, at 10:44 a.m., December 11, 2023, at 9:30 a.m. and 11:02 a.m., and December 12, 2023, at 11:05 a.m., revealed that Resident 159's fingernails on both hands were long, jagged, and had dirt underneath. In an interview on December 22, 2030, at 9:30 a.m., Resident 159 stated that his nails were long and that he preferred them to be short. 28 Pa. Code 211.12(d)(1)(5) Nursing services. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 4 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to ensure that staff implemented physician's orders for one of 39 sampled residents. (Resident 266) In addition, the facility failed to ensure that a recommendation from a psychiatric consult was implemented in a timely manner for one of four sampled residents who had a diagnosis of depression. (Resident 130) Residents Affected - Few Findings include: Clinical record review revealed that Resident 266 had diagnoses that included peripheral vascular disease (slow and progressive circulation disorder) and heart failure. On November 9, 2023, a physician's order directed staff to administer a medication (midodrine hydrochloride) three times a day to treat the resident's hypotension (low blood pressure). Staff was not to give the medication if the resident had a systolic blood pressure (the first measurement of blood pressure when the heart beats, and the pressure is at its highest) of 120 millimeters of mercury (mm/Hg) or more. A review of the November and December 2023, Medication Administration Records, revealed that staff administered the medication when the resident's systolic blood pressure was over the established parameter three times in November, and once in December. During an interview on December 12, 2023, at 10:20 a.m., the Director of Nursing confirmed that the documentation indicated that Resident 266 received the midodrine hydrochloride when her systolic blood pressure was above 120 mm/Hg. Clinical record review revealed that Resident 130 had diagnoses that included stroke with hemiplegia, adjustment disorder with mixed anxiety and depressed mood, dementia, insomnia and blindness. Review of the Minimum Data Set assessment dated [DATE], indicated that the resident had some memory impairment. In addition, the assessment indicated that she exhibited mood indicators for several days of feeling down and having little interest or pleasure in doing things. A review of the care plan revealed that she was taking anti-depressants related to an adjustment disorder with anxiety and depressed mood. On May 8, 2023, a physician ordered for staff to administer an anti-depressant medication (Trazadone) 25 milligrams at night. Review of a psychiatric evaluation on November 16. 2023, revealed that the resident had expressed that she was feeling a bit more depressed since the last assessment. She also expressed that she had trouble sleeping, specifically she had trouble with falling asleep. At that time, the psychiatrist recommended to increase the anti-depressant medication (Trazadone) to 50 milligrams at night. Review of the current physician orders and the Medication Administration Record for November and December 2023, revealed that the resident was still receiving the same dose of the Trazadone since May 2023. There was no documented evidence that the recommendation to increase the anti-depressant (Trazadone) was implemented until December 11, 2023. In an interview on December 12, 2023, at 10:50 a.m., the Administrator confirmed that the recommendation from the psychiatrist to increase the anti-depressant medication had not been implemented in a timely manner. 28 Pa. Code 211.12(d)(1)(5) Nursing services. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 5 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation and staff interview, it was determined that the facility failed to provide appropriate treatment and services to prevent contractures and a decrease in range of motion for one of nine sampled residents with limited range of motion. (Resident 130) Findings include: Clinical record review revealed that Resident 130 had diagnoses that included paralysis of the left non-dominant side after a stroke, dementia, blindness and osteoarthritis. The Minimum Data Set assessment dated [DATE], indicated that the resident had some memory impairment and had limited range of motion on one side of her upper and lower extremities. A review of the care plan revealed that the resident had a self care deficit and there was an intervention for staff to apply a left hand splint in the morning and remove the splint for evening care. Review of the current physician's orders revealed that staff was to apply a left orthotic hand splint in the morning and remove in the evening to prevent contracture. On December 10, 2023, the resident was observed in bed at 10:30 a.m., 12:30 p.m., and 1:36 p.m., without the left orthotic splint in place. On December 11, 2023, the resident was again observed in bed at 10:20 a.m., 11:06 p.m., and 12:16 p.m., without the left orthotic splint in place. In an interview on December 12, 2023, at 12:21 p.m., the Administrator confirmed that the staff was to apply the splint as ordered by the physician. CFR 483.25(c)(1)-(3) Increase/Prevent Decrease in ROM/Mobility. Previously cited 1/10/23 28 Pa. Code 211.12(d)(1)(5) Nursing services. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 6 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0697 Provide safe, appropriate pain management for a resident who requires such services. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to ensure non-pharmacological interventions to alleviate pain were attempted prior to the administration of pain medication prescribed on an as needed basis for one of three sampled residents with physician ordered pain medications. (Resident 159) Residents Affected - Few Findings include: Clinical record review revealed that Resident 159 had diagnoses that included a history of left femur fracture, a thoracic spine vertebrae compression fracture, and presence of artificial left hip joint. The Minimum Data Set assessment dated [DATE], indicated that the resident was cognitively impaired. Review of Resident 159's care plan revealed the resident had pain due to right hip surgery with an intervention for staff to encourage non-pharmacological interventions for pain relief, monitor and treat pain as needed. Physician's orders dated October 11, and December 1, 2023, directed staff to administer the narcotic pain medication oxycodone-acetaminophen every six hours as needed for pain. Review of Medication Administration Records (MARs) revealed the resident received the as needed oxycodone-acetaminophen 23 times in November 2023, and 15 times in December 2023. There was a lack of documentation to support that non-pharmacological interventions were attempted prior to the administration of as needed pain medication. During an interview on December 12, 2023, at 12:44 p.m., the Director of Nursing confirmed that there was a lack of documentation to support that non-pharmacological interventions for pain had been provided prior to the administration of as needed pain medication. 28 Pa. Code 211.9(a)(1) Pharmacy services. 28 Pa. Code 211.12(d)(1)(5) Nursing services. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 7 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0756 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Based on clinical record review, and staff interview, it was determined that the facility failed to ensure that pharmacy recommendations were acted upon in a timely manner for one of 39 sampled residents. (Resident 17) Findings include: Clinical record review revealed that Resident 17 had diagnoses that included atrial fibrillation, diabetes, and chronic kidney disease. Review of the monthly medication review revealed that the pharmacist made recommendations regarding Resident 17's medications on August 24, and October 25, 2023. On August 24, 2023, the pharmacist recommended an alternative to diphenhydramine (Benadryl, an antihistamine medication). On September 6, 2023, the physician accepted the recommendation and ordered staff to discontinue the diphenhydramine. On October 25, 2023, the pharmacist again recommended that diphenhydramine be discontinued. The physician accepted the recommendation on October 31, 2023. The diphenhydramine (Benadryl) order was not discontinued until November 10, 2023. In an interview on December 12, 2023, at 11:00 a.m., the Director of Nursing confirmed that the recommendation was not acted upon in a timely manner. 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 8 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0808 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation, and staff interview, it was determined that the facility failed to provide a therapeutic diet as ordered by the physician for one of six sampled residents who were on a therapeutic diet. (Resident 98) Findings include: Clinical record review revealed that Resident 98 had diagnoses that included stroke and oropharyngeal dysphagia (difficulty swallowing). Physician orders dated December 8, 2023, reflected that the resident was to receive a therapeutic diet that included mechanical soft texture food that was moist or had extra gravy. The Minimum Data Set assessment dated [DATE], indicated that the resident had some memory impairment, required assistance with eating and was on a therapeutic diet. Review of the current care plan identified the resident was at risk for nutritional problems due to history of stroke. There was an intervention for staff to provide the resident with a diet as ordered by the physician. Observation during lunch on December 10, 2023, at 1:01 p.m., revealed that the resident received uncut broccoli (with flowering heads and stems intact), a baked potato with skin intact and no dressing, and mashed potatoes on the plate. Review of the resident's meal tray ticket revealed that he was to receive soft, chopped, sauteed broccoli spears and mashed potatoes. In an interview on December 10, 2023, at 1:07 p.m., LPN1 confirmed the items on the tray did not match the items on the tray ticket. 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 9 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on review of facility policy and observation, it was determined that the facility failed to store, prepare and serve foods in a sanitary manner in the food service department to prevent the potential for foodborne illness. Findings include: A review of the facility policy entitled Food Preperation and Service, last reviewed August 10, 2023, revealed that food and nutrition services employees were to prepare, distribute and prepare food in a manner that complied with safe food handling practices. Appropriate measures were to be taken to prevent cross contamination which included cleaning and sanitizing work surfaces and food contact equipment between uses. Observation during the initial kitchen tour on December 10, 2023, at 9:45 a.m., revealed the following: The bottom shelf of the table that contained the large coffee urns was heavily stained with a black film. There were two coffee carts in this same area that were heavily stained with a brown film. There was crumbs and debris on the floor throughout the entire kitchen, underneath and in between equipment that included paper towels, cups, and straw wrappers. The small refrigerator that contained creamers, juice cups, butter packets and cartons of a thickened dairy beverage was soiled with spillage on the top and bottom of the vents. There was also a malfunctioning light in this refrigerator that was flickering on and off. There was a food preperation table that had containers of spices on it that was soiled with crumbs and spillage. There was also a bottle of cooking wine on the table that had been opened and it was not labeled or dated. The drain under the two compartment sink was soiled and covered with a brown film. There was debris on the floor of the main walk in refrigerator. In this refrigerator, there pieces of flooring were missing and lifting up from the floor in the entrance of the refrigerator. There were two trays of pound cake slices on individual plates that were not covered, labeled or dated. There was a re-sealed turkey breast that was not labeled or dated. There were two bottles of apple juice that had been opened but were not labeled or dated. There were ice chunks on the floor of the walk in freezer. There was also ice build up on the right side wall of the walk in freezer. There was debris and garbage on the floor underneath the three compartment sink. There was garbage on top of the drain in the floor in this same area. There was an accumulation of water on the floor near the three compartment sink, upon entering the dishwashing room and inside of the dishwashing room. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 10 of 11 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 395710 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oxford Rehabilitation and Healthcare Center 300 East Winchester Ave Langhorne, PA 19047 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many There was a desert refrigerator that contained four trays of desert pears that were not covered, labeled or dated. There was a heavy accumulation of crumbs underneath the main stove, cooking ovens and in between the ovens. The sides and front of the main stove were heavily soiled with spillage. The back splash of the main oven had a large area of splattered/burnt substance on it. The top of the convection oven was soiled with food spillage and crumbs. There was a black substance on five of the ceiling tiles that were surrounding a ceiling vent in the main cooking area near the three compartment sink. There was debris on the floor throughout the dry storage area. In the dry storage area, there were several gallon bottles of water that were stored directly on the floor. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395710 If continuation sheet Page 11 of 11