Inspection·December 26, 2024

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to ensure that residents were free from neglect for one of four residents reviewed (Resident R1). Finding include: Review of facility policy Skilled Nursing - Abuse dated 11/5/24, indicated neglect is the failure of the community, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS - a periodic assessment of care needs) dated 10/13/24, indicated diagnoses of dementia (a group of symptoms that affects memory, thinking and interferes with daily life), muscle weakness, and repeated falls. Review of Resident R1's care plan dated 10/22/24, indicated the resident has potential for impairment to skin integrity related to fragile skin, impaired mobility, bladder incontinence and fall history with history of skin tears. Review of a physician order dated 12/17/24, indicated to cleanse right forearm skin tear and surrounding area with NSS (normal sterile saline), steri-strips applied, cover with Tegaderm foam border dressing, change every 7 days until healed. Review of a facility Incident Report completed by Licensed Practical Nurse Employee E3 stated, This writer was made aware of a 2 x 2.5 cm (centimeter) bruise on occipital bone (back of head) during resident dinner. Bruise was purple in color with no open areas and resident neurologically at baseline. This writer informed Charge Nurse and physician and also called the resident's daughter. When speaking with the daughter she alerted me her father had a skin tear near his right elbow and informed Nurse Aide (NA) Employee E1 around 11 a.m. on 12/16/24. NA Employee E1 came back with Tegaderm and informed her the nurse was aware and dressed wound without cleansing it. The daughter said she was skeptical on why the wound wasn't cleansed first but figured he knew what he was doing since the nurse was aware. After assessing the wound with the Charge Nurse the skin wasn't approximated (clean edges that fit neatly together), had moderate bleeding, and was 6 cm x 1 cm near the end of the wound. During an interview on 12/26/24, at 12:50 p.m. the Director of Nursing (DON) stated, I'm aware of the situation but I didn't investigate it as neglect. We performed a Corrective Action Plan for NA (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 11 Event ID: 395882 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 395882 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/26/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Longwood at Oakmont 500 Route 909 Verona, PA 15147 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)