Health inspection·March 30, 2023

F 0623 Level of Harm - Potential for minimal harm Residents Affected - Some Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview it was determined that the facility failed to notify the resident and the residents' representative(s) of the transfer and the reasons for transfer in writing for three out of three sampled residents who were transferred to the hospital. (Residents 43, 73, 76) Findings include: Clinical record review revealed that Resident 43 was transferred and admitted to the hospital on [DATE], after a change in condition. There was no documented evidence that the resident's responsible party was provided written information regarding the resident's transfer to the hospital. Clinical record review revealed that Resident 73 was transferred and admitted to the hospital on [DATE], after a change in condition. There was no documented evidence that the resident's responsible party was provided written information regarding the resident's transfer to the hospital. Clinical record review revealed that Resident 76 was transferred and admitted to the hospital on [DATE], and 22, 2023, after a change in condition. There was no documented evidence that the resident's responsible party was provided written information regarding the resident's transfer to the hospital on either date. In an interview on March 30, 2023, at 10:46 a.m., the Director of Nursing stated that the aforementioned residents and/or resident's representatives were not notified in writing of the transfer to the hospital. 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 7 Event ID: 395913 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 395913 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/30/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Huntingdon Skilled Nursing and Rehabilitation Cent 3430 Huntingdon Pike Huntingdon Valley, PA 19006 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)