Health inspection·December 12, 2024

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 observations, clinical record review, and staff interviews, it was determined that the facility failed to ensure a resident with limited mobility received appropriate services, equipment, and assistance to maintain or improve mobility for one of four residents reviewed (Resident 27). Findings include: Review of Resident 27's clinical record revealed diagnoses that included Parkinson's Disease (progressive and irreversible neurological disease that causes decreased control of the nervous system resulting in stiffness, slowing of movement, and uncontrolled bodily movements) and muscle weakness. Review of Resident 27's care plan revealed that the Resident had an impaired functional status and approaches/interventions included transfers: 1-person assist, stand pivot with a walker and to have right AFO (Ankle Foot Orthotic - braces support the ankle, keeping the toes aligned with the rest of the foot) on for transfers and when OOB [out of bed], OOB to pedal Broda chair (a tilt-in-space positioning chair which prevents skin breakdown through reducing heat and moisture) with cushion and bilateral leg rests for proper positioning, dated January 27, 2024; and Walking: non-ambulatory, dated January 27, 2024. Observation of Resident 27 on December 9, 2024, at 10:26 AM, revealed that the Resident was in their room, seated in their Broda chair with no leg rests, leaning slightly to the left, and that the Resident had slippers on both feet. The leg rests for the Broda chair, their AFO, and their shoes were noted on the floor nearby in front of a nightstand. Observation of Resident 27 on December 10, 2024, at 10:18 AM, revealed that the Resident was in their room, seated in their Broda chair with leg rests present, and that the Resident had gripper socks on both feet. Their AFO and shoes were noted on the floor nearby in front of a nightstand. Observation of Resident 27 on December 10, 2024, at 12:52 PM, revealed that the Resident was in the dining room, seated in their Broda chair with leg rests in place, and the Resident had on sneakers. The AFO was not present. Immediate observation of Resident 27's room revealed that their AFO was present in their room on the floor in front of the nightstand. Observation of Resident 27 on December 11, 2024, at 10:09 AM, revealed that the Resident was in their room, seated in their Broda chair with leg rests present, and that the Resident had their AFO in place and was wearing sneakers. (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 6 Event ID: 395802 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 395802 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/12/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thornwald Home 442 Walnut Bottom Road Carlisle, PA 17013 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)