Inspection visit
Health inspection
5 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 5 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0656
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and
actions that can be measured.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of facility policy, review of facility documentation, and review of clinical records it was determined
that the facility failed to develop a person-center, comprehensive care plan related to impaired skin integrity
for one of 15 residents reviewed (Resident R26).
Findings Include:
Review of facility policy Care Planning, undated, revealed a care plan shall be developed for each resident
that includes measurable objectives and timetables to meet the resident's medical, nursing, mental, and
psychosocial needs. The resident's comprehensive care plan is developed within 7 days of submission of
the complete MDS (Minimum Data Set - federally mandated resident assessment and care screening)
assessment.
Review of Resident R26's quarterly MDS dated [DATE], revealed the resident had short and long-term
memory problems and was at risk of developing pressure ulcers.
Review of facility skilled wound report dated August 15, 2024, by Licensed Nurse, Employee E5, revealed
Resident R26 had a deep tissue injury (DTI - localized area of discolored intact skin or blood filled blister
due to damage of underlying soft tissue from pressure and/or shear) of the right fifth toe with an onset date
of July 11, 2024.
Review of Resident R26's care plan revealed no documented evidence the facility developed or
implemented a person-centered, comprehensive care plan with measurable objectives and timetables to
address the resident's impaired skin integrity.
211.10 (d) Resident care policies.
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
08/23/2024
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)
F 0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Level of Harm - Minimal harm
or potential for actual harm
Based on observations, review of facility policy, and staff interviews it was determined that the facility failed
to implement procedures to ensure food was served at safe, appetizing temperatures for one of six
residents observed in the dining room (Resident R31).
Residents Affected - Few
Findings Include:
Review of facility policy Food Temperatures, undated, revealed microwave re-heating is appropriate and
acceptable when a resident requests to have their food reheated. Upon removal of the food from the
microwave, the food will be stirred or rotated and then allowed to stand covered for two minutes before
served to assure that the temperature will be under 180 degrees Fahrenheit.
Review of Resident R31's quarterly Minimum Data Set (MDS - federally mandated resident assessment
and care screening) revealed the resident had moderate cognitive impairment and had diagnoses of
muscle weakness and dementia (group of symptoms affective memory, thinking abilities, and social
abilities).
Observations on August 21, 2024, at 12:35 p.m. in the Park dining room revealed dietary aide, E4, heated
up a plate of food (hot dog and beans) for Resident R31. Further observations revealed dietary employee,
E4, removed the plate from the microwave and handed it directly to the nurse aide to serve to Resident R31
without checking the temperature or letting it sit to come down to the proper temperatures.
Subsequent interview on August 21, 2024, at 12:35 p.m. with dietary aide, Employee E4, confirmed the
temperature of the food was not checked to ensure it was being served at safe temperatures.
211.12 (d)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395922
If continuation sheet
Page 2 of 5
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
08/23/2024
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)
F 0807
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure each resident receives and the facility provides drinks consistent with resident needs and
preferences and sufficient to maintain resident hydration.
Based on observations, review of clinical record, and staff interview it was determined that the facility failed
to provide beverages consistent with resident needs for one of six residents reviewed with altered fluid
consistency (Resident R17).
Findings Include:
Review of Resident R17's clinical record revealed a physician order dated August 18, 2024, that revealed
Resident R17 was ordered nectar consistency liquids (beverages that are thicker than water and fall slowly
from a spoon).
Observations on August 21, 2024, at 10:00 a.m. revealed Resident R17's breakfast tray was sitting on the
overbed table in the resident's room. Observations revealed the meal ticket indicated Resident R17 was to
be provided nectar thick liquids. Further observations revealed Resident R17 was provided with orange
juice that was of thin, regular, consistency.
Interview on August 21, 2024, at 10:05 a.m. with Nurse Aide, Employee E3, confirmed Resident R17 was
provided with the wrong beverage.
211.10 (c) Resident care policies.
211.12 (d)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395922
If continuation sheet
Page 3 of 5
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
08/23/2024
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)
F 0882
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Designate a qualified infection preventionist to be responsible for the infection prevent and control program
in the nursing home.
Based on review of facility policy/Infection Control Program Overview, interview staff, review of facility
record, it was determined that the facility failed to designate one or more individual as the infection
preventionist who work at least part time at the facility.
Findings include:
Review facility Infection Control Program Overview, under section Goals: The goals of the infection control
program are to #a Decrease the risk of infection to residents and personnel #b Monitor for occurrence of
infection and implement appropriate control measures. #c Identify and correct problems relating to infection
control practices #d ensure compliance with the state and federal regulations relating to infection control.
Under section Division of Responsibilities for Infection Control Activities: the administrator is ultimately
responsible for the infection control program. #A. Infection control practitioner or designee Responsibility is
delegated to a staff member acting as the infection control practitioner or to a trained infection control
practitioner to carry out the daily functions of the infection control program. Those functions are described in
the Infection Control practitioner job description. The infection control practitioner or designee has
knowledge and interest in infection control.
Interview with Director of Nursing Employee E2 conducted on August 21, 2024, at 12:45pm confirmed that
Employee E2 was the full time Director of Nursing at the facility. Further interview with Employee E2 also
revealed that while being the full time Director of Nursing, Employee E2 was also the infection preventionist
for the facility and that she was the only employee in the facility with an infection control certification.
Follow-up interview with Employee E2 conducted on August 23, 2024, at 10:46 am revealed that Employee
E2 also revealed that she does not clock in because she is a salary employee. Further Employee E2 also
revealed that there was no documented evidence that she also worked part time as an infection
preventionist.
28 Pa. Code 210.18(e)(1) Management
28 Pa. Code 211.12(d)(1) Nursing Services
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395922
If continuation sheet
Page 4 of 5
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
08/23/2024
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)
F 0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of clinical record, review facility policy, and interview with staff, it was determined that the facility
failed to ensure the residents were provided with education regarding the benefits and potential side effects
of influenza immunization for two of two residents reviewed (Resident R29 and Resident R14).
Residents Affected - Some
Findings:
Review facility policy on Influenza and Pneumococcal Vaccination revealed that under section Policy, it is
the policy of [NAME] that each resident is to be protected against the influenza virus. Influenza vaccine will
be offered for each resident annually. Under section Purpose to control a potential outbreak and prevent
residents, visitors, and employees from being infected by the influenza virus. Under section procedure #1.
Up and admission, readmission and annually the residence medical record will be reviewed for a history of
influenza pneumococcal vaccination. #3 Each year the influenza vaccination is offered in a high dose for
residents over [AGE] years of age and if indicated, the resident will be offered pneumococcal vaccination. If
the resident/resident representative declines education about risk and complications of not receiving the
influenza or pneumococcal vaccine will be discussed. #5 An order to administer the influenza vaccination
each year will be obtained. #6 The resident will receive the influenza vaccination as ordered.
Review of Resident R29's clinical record revealed no documented evidence that before offering the
influenza immunization, Resident R29 received education regarding the benefits and potential side effects
of the immunization.
Review of Resident R14's clinical record revealed no documented evidence that before offering the
influenza immunization, Resident R14 received education regarding the benefits and potential side effects
of the immunization.
Interview with Director of Nursing Employee E2 conducted on August 23, 2024, at 10:46 AM revealed that
residents and families are provided with consent forms for vaccinations upon admission on ly and only asks
the residents verbally if they want the vaccines at the beginning of each flu season. Further, Employee E2
confirmed that there was no documented evidence that the residents or the resident representatives
received education regarding the benefits and potential side effects of influenza immunization.
28 Pa. Code 201.14(a) Responsibility of licensee
28 Pa. Code 211.12(d)(1)(5) Nursing services
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395922
If continuation sheet
Page 5 of 5
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Back to topCitations
5 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F656 - Comprehensive Care Plans
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F883 - Influenza and pneumococcal immunizations
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F804 - Food and drink
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F807 - Food and drink
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
F882 - Infection preventionist
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
FAQ · About this visit
Common questions about this visit
What happened during the August 23, 2024 survey of ARTMAN LUTHERAN HOME?
This was a inspection survey of ARTMAN LUTHERAN HOME on August 23, 2024. The surveyor cited 5 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at ARTMAN LUTHERAN HOME on August 23, 2024?
Yes, 5 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be ..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.