Health inspection·May 3, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. 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 accomodate the needs and maintain dignity for two of seven sampled residents. (Residents 1 and 3) Residents Affected - Few Findings include: Clinical record review revealed that Resident 1 had diagnoses that included a stroke with hemiplegia on her right dominant side, aphasia (inability to swallow), dysphagia (speech impairment), and depression. The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident needed help with self care, had limitations in range of motion on one side of her upper extremities, and required maximum assistance with toileting and dressing. Further review of the MDS assessment revealed that family had relayed to the facility that it was very important for the resident to choose her own activities, clothing, and bed time. A review of the care plan revealed that the resident had a communication deficit and there was an intervention for staff to anticipate and meet her needs. In addition, the care plan revealed the resident had an activities of daily living (ADL) self care deficit. There were interventions for staff to assist her with dressing and toileting and to encourage her to use the call bell for assistance. Review of a nurse practitioner's note dated April 23, 2025, revealed that Resident 1 does try to express herself and does appear to have some understanding of questions asked. On May 3, 2025, at 10:40 a.m., 11:00 a.m., 11:15 a.m., and 11:30 a.m., observation revealed that the resident was in bed and only dressed in a hospital gown. The hospital gown was falling down in the front and was not tied or snapped in order to fully cover her upper chest. Her hair was not combed and it did not appear that she had received assistance with her hygeine care, including getting out of bed and getting dressed. During the observations, her call bell was tangled and hanging behind her night stand and out of her reach. In an interview with Resident 1 at 10:40 a.m., when asked if she had her call bell, she shook her head no and was turning her head to see if she could find it. She was not aware of where the call bell was and she did not have access to it to call staff for assistance. Further observation at 12:00 p.m., revealed that Resident 1 was dressed and seated at bed side in her wheelchair. Her hair was combed and she had been served her lunch. In an interview at that time, when asked if she felt better now that she was out of bed, dressed and had received care, she smiled and nodded yes. Clinical record review revealed that Resident 3 had diagnoses that included diabetes, fibromyalgia (chronic pain in muscles and soft tissues surrounding joints), and major depressive disorder. A review of the care plan revealed that she had an ADL self care deficit and there was an intervention for Page 1 of 2 395760 395760 05/03/2025 Cedar Crest Post Acute 1265 South Cedar Crest Blvd Allentown, PA 18103

F 0558 staff to encourage her to use the call bell for assistance. Level of Harm - Minimal harm or potential for actual harm On May 3, 2025, at 10:45 a.m., observation revealed that Resident 3 was in her room calling out for help. At that time, she stated, I need to go to the bathroom. When asked where her call bell was located, she was unable to locate it. Observation revealed that the call bell was draped over the night stand, hanging inside the open drawer of the night stand, and was out of her reach. Residents Affected - Few 28 Pa. Code 211.12(d)(1)(5) Nursing services. 395760 Page 2 of 2