Health inspection·July 14, 2023

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. 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 and resident interviews, it was determined that the facility failed to provide assistance with bathing for two of 18 sampled residents. (Resident 28 and 52) Residents Affected - Few Findings include: Clinical record review revealed that Resident 28 had diagnoses that included severe morbid obesity and diabetes. According to two Minimum Data Set (MDS) assessments dated March 3 and May 29, 2023, the resident required extensive assistance from staff for activities of daily living (ADLs). A review of the care plan revealed that the resident required assistance with hygiene and that staff was to provide a shower or bed bath twice a week. According to nurse aide records the resident did not receive a shower on her scheduled day on June 29, 2023. In an interview on July 13, 2023, at 2:08 p.m., Resident 28 stated that she was not always offered showers and she wanted to receive one. In an interview on July 14, 2023, at 10:55 a.m., the Director of Nursing confirmed that the resident wasn't offered a bath or shower on that date. Clinical record review revealed that Resident 52 has diagnoses of abnormal posture and difficulty walking. According to the MDS assessment dated [DATE], the resident required extensive assistance from staff for ADLs and was totally dependent on staff for bathing. According to nurse aide records, the resident was scheduled for a bath or shower on July 4 and 7, 2023, and did not receive one. In an interview on July 11, 2023, the resident stated that she had previous gone up to a month without a shower. In an interview on July 14, 2023, at 10:55 a.m., the Director of Nursing confirmed that there was no documented evidence that the resident was offered a shower in July 2023. 28 Pa. Code 211.12(d)(5) Nursing services. Page 1 of 2 395735 395735 07/14/2023 Lifequest Nursing Center 2450 John Fries Highway Quakertown, PA 18951

F 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm Based on facility policy review, clinical record review, and observation it was determined that the facility failed to change respiratory equipment in accordance with facility policy and physician's orders for one resident receiving oxygen therapy out of 18 sampled residents. (Resident 11) Residents Affected - Few Findings include: Review of the facility policy entitled, Respiratory Equipment, last reviewed January 27, 2023, revealed that all respiratory equipment was to be changed weekly and that all new equipment was to be labeled with the date it was changed. Clinical record review revealed that Resident 11 had diagnoses that included acute and chronic respiratory failure. On March 6, 2021, the physician ordered that staff administer continuous oxygen therapy to the resident change the equipment weekly. On July 11, 2023, at 1:00 p.m. through July 12, 2023, at 12:00 p.m. Resident 11's oxygen tubing was observed dated June 8, 2023. There was no documented evidence that facility staff gave the resident fresh oxygen tubing every week. 28 Pa. Code 211.12 (d)(5) Nursing services. 395735 Page 2 of 2