Health inspection·July 9, 2025

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review facility polices, observations, clinical records, and staff interviews it was determined that the facility failed to make certain that appropriate treatments and services were provided for the use of a foley catheter required for two of three residents (Resident R112 and R114). Findings include: Review of the facility Catheters Indwelling (Foley) last reviewed 6/3/25, stated an indwelling catheter is only to be used when there is a valid medical justification. The resident should be assessed for and provided cared and treatment needed to reach his or her highest level of continence possible. Review of the clinical record indicated Resident R112 was admitted to the facility on [DATE], with diagnoses of right below the knee amputation, high blood pressure, and weakness of both legs. During an observation on 7/7/25, at 10:28 a.m. Resident R112 was observed with a foley catheter intact. Review of Resident R112 physician orders on 7/7/25, at 11:40 a.m. failed to include and order or care plan for Resident R112's foley catheter. Review of the clinical record indicated Resident R114 was admitted to the facility on [DATE], with diagnoses of urinary tract infection, delirium, and dementia. Review of Resident R114's physician order dated 6/26/25, indicated to insert foley now. The order failed to include the size of the foley catheter. During an observation on 7/7/25, at 11:40 a.m. Resident R114 was observed with a foley catheter intact. Review of Resident R114 physician orders on 7/7/25, at 11:43 a.m. failed to include an order or care plan for Resident R114's foley catheter. During an interview on 7/7/25, at 11:47 a.m. Registered Nurse, E1 confirmed the facility failed to ensure Resident R112 and R114 had a physician order and care plan for their foley catheter. During an interview on 7/7/25, at 2:40 p.m. the Nursing Home Administrator confirmed the facility (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 4 Event ID: 395890 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 395890 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Snu Armstrong CO Memorial Hosp One Nolte Drive Kittanning, PA 16201 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)