Inspection·May 7, 2025

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Based on observations, staff interviews, review of clinical records, and the census of the designated Hospice Specialty Unit, it was determined the facility failed to ensure sufficient and appropriately deployed nursing staff to consistently provide timely quality of care, supervision, and services necessary to meet the physical and mental well-being of 10 residents receiving hospice services. Findings include: Review of facility census revealed 10 residents currently receiving Hospice services in the designated Hospice Specialty Unit. The unit was staffed with one LPN (licensed practical nurse) and one nurse aide. Observation of the Hospice Unit on May 7, 2025, at 11:35 AM revealed six residents seated in the common area in wheelchairs and/or specialty chairs. The assigned LPN was stationed at the medication cart. Interview with Employee 1 (LPN) at the time of observation confirmed there was no other staff present as the assigned nurse aide was off unit on a scheduled break. During continued observation, two separate call bell lights were observed activated in resident rooms. Employee 1 responded to one call bell, leaving the common area unattended. While in the resident's room, Resident 8, seated in the common area and identified by the facility as a fall risk with poor safety awareness, was observed attempting to stand unassisted from her wheelchair, activating her chair alarm. Upon hearing the chair alarm, Employee 1 left the private resident room and rushed into the common area to address the sounding alarm. No staff member was present to supervise the common area while Employee 1 was answering call bells and attending to other residents' needs. Interview with Employee 1 on May 7, 2025, at 11:45 AM revealed that when a staff member takes a scheduled break, there is no assigned staff member to relieve and/or replace that staff member during their break, leaving the unit with only one staff member to care for all 10 residents. Continued interview with Employee 1 revealed that the Hospice unit is not adequately staffed to meet the acuity of needs of the residents (a measure of the level of care someone needs, considering factors like the severity of their illness, the frequency of interventions required and potential for complications). Three out of the ten hospice residents use a mechanical lift (a lift that uses hydraulic power to transfer a person while cradled in a sling. Requiring the use of two staff members to operate.) for transfers, seven residents require two staff member assistance for bed mobility, transfers, and assist with cares, and seven require total staff assistance for feeding. Employee 1 stated (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: 395824 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 395824 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Emmanuel Center for Nursing 600 School House Road Danville, PA 17821 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)