Health inspection·October 13, 2023

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 of clinical records, resident and staff interviews, it was determined that the facility failed to implement individualized approaches to restore normal bladder function and prevent continued decline of bladder continency for one of one resident reviewed for bowel and bladder management (Resident R38). Findings include: Interview with Resident R38 on October 11, 2023, at 11:54 a.m. stated she was continent 6 weeks ago, now she was incontinent after her recent hospitalization. Resident stated she was not using her bathroom or staff did not make any toileting plan. A review of Resident 38's admission assessment dated [DATE], revealed an assessment of resident's genitourinary system review which indicated that the resident was incontinent of urine, and she had a new onset of incontinence. Further review of the assessment revealed that the resident also had bowel incontinence. A review of Resident 38's bladder elimination record from September 19, 2023, to October 13, 2023, revealed the resident had 58 documented occurrences of incontinence. It was also revealed that continent of bladder was documented 6 times. Review of Resident R38's admission MDS (Minimum Data Set- assessment of resident care needs) dated September 26, 2023, revealed that the resident was frequently incontinent of urine (7 or more episodes of urinary incontinence, but at least one episode of continent voiding). Further review of the MDS revealed that there was no trial of a toileting program (e.g. Scheduled toileting, prompted voiding, or bladder training) been attempted on admission or reentry or since urinary incontinence was noted in the facility. Review of the resident's plan of care dated September 20, 2023, revealed that the resident was noted with new onset of urinary incontinence with interventions included, evaluate if resident was aware of the need to void, evaluate for urinary complaints, evaluate medication schedule and possible pharmacological causes of new urinary incontinence, and evaluate resident's ability for toileting self-care. Review of clinical record for Resident R38 revealed no documented evidence that the staff assessed and implemented interventions to restore urinary continence or to prevent further decline in urinary continence. (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 5 Event ID: 395922 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 395922 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/13/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Artman Lutheran Home 250 North Bethlehem Pike Ambler, PA 19002 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)