Inspection·June 11, 2025

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Based on observation, facility policy review, staff interview, and resident interview, it was determined that the facility failed to ensure that hot beverages were monitored and served at a safe temperature on the nursing units, which placed residents at risk for burn injuries. (Homestead and B Unit) In addition, the facility failed to provide adequate supervision and interventions to prevent accidents related to hot beverages for one of 35 sampled residents which resulted in a burn to the abdominal area. (Resident 105)Findings include: Review of documentation by the American Burn Association's Burn Prevention Committee entitled, Scald Injury Prevention, revealed that a scald injury occurred when a hot liquid damaged one or more layers of skin and hot beverages were a frequent source of scald burns. Older adults were the most frequent victims of scald injuries due to thin skin, reduced mobility, and reduced ability to feel heat. Hot liquid at a temperature of 155 degrees Fahrenheit (F) could result in a scald injury in one second.Review of the facility policy entitled, Safety of Hot Liquids, last reviewed January 17, 2025, revealed that staff were to ensure that serving temperatures for hot liquids were maintained not more than 180 degrees F. The policy indicated that hot beverages could be served at temperatures greater than 155 degrees F, contrary to the safety parameters outlined by the American Burn Association's Burn Prevention Committee. Clinical record review revealed that Resident 105 had diagnoses that included Parkinson's disease (progressive movement disorder of the nervous system), Lewy body dementia (a type of dementia that damaged part of the brain that affects cognition, behaviors, and movement), Apraxia (a motor disorder caused by damage to the brain which causes difficulty to perform tasks or movements), xerosis cutis (dry skin), and anxiety. The Minimum Data Set assessment (a periodic evaluation of resident care needs) dated April 10, 2025, indicated that the resident was cognitively impaired and required assistance from staff to set up his meals. The care plan identified that Resident 105 was on a restorative nursing program (a program intended to restore or maintain a specific function) for feeding and that staff was to provide supervision for self-feeding during meals. On June 6, 2025, at 5:00 p.m., a nurse noted that while passing medication outside the (Homestead) unit dining room, Resident 105 was heard screaming. The Resident had a coffee cup turned upside down in his hand. A spill was noted to the abdomen and on his lap. Resident 105's clothing was removed and a burn was noted to the center of his abdomen that measured 15 centimeters (cm) by two cm. A verbal order by the physician instructed staff to cleanse the resident's abdominal burn with normal saline solution and apply sliver sulfadiazine ointment (a topical medication primarily used to prevent and treat infections in burn wounds) three times a day for five days and to monitor the burn every shift for changes. In addition, the Resident was to utilize a coffee cup with a lid to prevent future injury. A review of the food temperature form dated June 6, 2025, revealed that the temperature of the hot beverages for dinner were recorded in the kitchen as 174 degrees to 181 degrees F. There was no evidence that the hot beverages were retested prior to serving.On June 8, 2025, at 12:50 p.m., Resident 105 was observed unsupervised in 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 8 Event ID: 395831 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 395831 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Schuylkill Center 1000 Schuylkill Manor Rd Pottsville, PA 17901 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)