Health inspection·November 25, 2025

F 0553 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Allow resident to participate in the development and implementation of his or her person-centered plan of care. Based on observations, clinical record review, and interviews with residents and staff, it was determined the facility failed to conduct care plan conferences timely to ensure updates for four of twelve residents reviewed. (Residents R4, R5, R6, R7)Findings Include: During the entrance conference held on November 25, 2025 at 9:15 a.m. the Nursing Home Administrator Employee E1 and the Director of Nursing Employee E2 and they stated that currently there are four full-time social workers. They stated that for a short period of time they were down one social worker who was the Director of Social Services. Review of Resident R4's clinical record revealed the last social service note indicating a care plan meeting was held was dated March 6, 2025. Review of facility documentation dated October 17, 2025 states the resident has a BIMS (Brief Interview for Mental Status) score of 8 and there was no indication that the resident's representative listed on file was invited to the care plan meeting. During the tour of three nursing units on November 25, 2025 there were two residents that stated that they have not talked to the social worker since the old one no longer works at the facility. Observation was made of the third-floor nursing unit at 10:00 a.m. on November 25, 2025. During the observation Resident R5 was observed in bed with breathing treatment on. The resident had a clear medication bedside with about six to eight pills in it. Resident R5 asked for her social worker and stated, I have not seen or talked to one in months. Review of the clinical record for Resident R5 revealed the last care conference was held on May 29, 2025. Review of Resident R5's clinical record revealed the last social service progress note was from September 2, 2025. Prior to September 2, 2025 the last social service progress note was from July 30, 2025. Further review of random resident clinical record revealed Resident R7 had their last care conference held on July 25, 2025. At 12:34 p.m. Resident R6 approached the survey in the hall and asked if they were the social worker. When asked what he needed help with Resident R6 stated, I need to talk to the social worker, since mine left a few months ago I haven't heard anything. Review of Resident R6 record revealed the last care conference was held on May 29, 2025. Review of Resident R6's clinical record revealed the last social service progress note was from July 18, 2025. The current Director of Social Work Employee E4 was interviewed and has been employed only for a few weeks. Employee E4 did explain that there was no overlap with the old Director of Social Work. Employee E4 was asked about the care conference for R6, R5, and R7. Employee E4 stated that she knew there was an identified lapse with care conferences held. 28 Pa. Code 201.18(e)(1) Management. 28 Pa. Code 201.24(e)(4) admission Policy. 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 3 Event ID: 395819 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 395819 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Caring Heart Rehabilitation and Nursing Center 6445 Germantown Avenue Philadelphia, PA 19119 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)