Inspection·January 28, 2025

F 0623 Level of Harm - Potential for minimal harm Residents Affected - Many Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Based on facility policy review, clinical record review, facility documentation review, and staff interview, it was determined that the facility failed to notify the resident's representative of a 30 day advanced notice of discharge and failed to notify the resident and the resident representative(s) of hospital transfer(s), including the reasons for the moves, Ombudsman information, and how to file an appeal, in writing for four of four sampled residents who had an impending discharge from the facility or who were transferred to the hospital. (Residents 1, 2, 3, 4) Findings include: A review of the facility policy entitled, Transfer or Discharge, Facility-Initiated, last reviewed January 7, 2025, revealed that the resident and resident representative were to be given a 30 day advanced written notice of a planned impending transfer or discharge from the facility and a transfer notice if sent to the hospital. Clinical record review revealed that Resident 1 received a 30 day discharge notice on January 16, 2025. Review of facility documentation revealed that Resident 1 had a revised 30 day advanced written notice of planned discharge date d January 24, 2025, that was to begin that day. There was no documentation to support that the resident's responsible party or legal representative was provided written information regarding the pending discharge. In an interview on January 28, 2025, at 1:05 p.m., the Administrator confirmed that 30 day discharge notifications in writing were not provided to the resident 's responsible party or legal representative. Clinical record review revealed that Resident 2 was transferred to the hospital on January 6, 2025, after a change in condition. There was no documentation to support that the resident and/or the resident's responsible party or legal representative was provided written information regarding the transfer to the hospital. Clinical record review revealed that Resident 3 was transferred to the hospital on January 3, 2025, after a change in condition. There was no documentation to support that the resident and/or the resident's responsible party or legal representative was provided written information regarding the transfer to the hospital. Clinical record review revealed that Resident 4 was transferred to the hospital on January 18, 2025, after a change in condition. There was no documentation to support that the resident and/or the resident's responsible party or legal representative was provided written information regarding the (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: 395817 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 395817 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/28/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Yardley Rehabilitation and Healthcare Center 1480 Oxford Valley Road Yardley, PA 19067 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)