Health inspection·August 30, 2023

F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Level of Harm - Actual harm Residents Affected - Few Based on review of facility investigation, facility policy review, clinical record review, observations, and staff interviews, it was determined that the facility displayed past noncompliance, in that they had failed to ensure each resident the right to be free from neglect, resulting in harm, for one of three resident records reviewed (Resident 1). Findings Include: Review of the facility's policy, titled Abuse Prevention and Prohibition last revised August 2021, read, Homewood Retirement Centers s hall provide a safe person-centered environment that is as homelike as possible and includes a culture and environment that treats each resident with respect and dignity. The policy defines neglect as failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physicial harm, pain, mental anguish, or emotional distress. Neglect refers to failure through in attentiveness, carelessness, or omission to provide timely, consistent, safety, adequate and appropriate services, treatment and care, including but not limited to: nutrition, medication, therapies, and activities of daility living. Activities of Daily Living (ADLs) are defined as activities related to personal care. They include bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating. Review of the facility's Nurse Aide job description, revised March 23, 2015, summarizes the job as providing the activities of daily living care to residents . The nurse aide essential functions are described as promoting the activity of daily living according to the resident's care plan. Also, Resident lifts and transfers will be done according to the resident's care plan and the Lift Free program. Lift is defined as the procedure used to carry the entire weight of the patient. Review of the facility's lift equipment revealed one type utilized is the Vanderlift. According to documentation, the purpose of the Vanderlift is used to transfer residents from bed to chair, chair to bedside commode and chair to bed. Review of the facility's policy related to the Vanderlift use read At least 2 people must be in attendance when lift is being used. (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 3 Event ID: 395898 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 395898 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/30/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Homewood Living Plum Creek, Inc 425 Westminster Avenue Hanover, PA 17331 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)