Health inspection·June 6, 2025

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 policy, facility documentation and clinical record, and staff interviews, it was determined that the facility failed to ensure that one of three residents reviewed (Resident R2) was free from neglect during care which resulted in actual harm of a left femur (upper leg) fracture. This deficiency is cited as past non-compliance. Findings include: A facility policy entitled, Abuse Prohibition dated 5/27/25, revealed that, Neglect is the failure to provide goods and services necessary to avoid physical harm, pain, mental anguish or emotional distress. Neglect refers to failure through inattentiveness, 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 daily living. Resident R2's clinical record revealed an admission date of 12/21/21, with diagnoses including stroke, Parkinson's Disease (brain disorder that causes gradual, progressive damage to parts of the brain over many years), and muscle weakness. Resident R2's physician's orders as of 5/19/25, revealed an order dated 2/02/24, to transfer to shower chair with assist of two, please follow instructions in tasks. Resident R2's Minimum Data Set (MDS- an assessment tool used to facilitate the management of care) Assessment, dated 4/15/25, under Section G, Functional Status revealed that Resident R2 required extensive assistance of two people to transfer between surfaces. Occupational Therapy documentation dated 5/15/25, indicated as of 5/07/25, Resident R2 required assistance of two staff and a walker to maintain his/her balance. Resident R2's Care Plan History revealed on 5/06/25, staff were instructed to transfer per therapy recommendations-see tasks for instructions. Resident R2's point of care documentation prior to 5/15/25, revealed that he/she was being transferred with a mechanical lift and assistance of two staff, and using a shower gurney. Resident R2's departmental progress notes revealed that on 5/15/25, at 9:21 p.m. staff was called to the shower room to assess Resident R2 after he/she fell, and orders were received to transport Resident R2 to the Emergency Department. At 10:22 p.m. the facility was notified that Resident R2 was admitted to the hospital for treatment of a fractured left femur. (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: 395959 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 395959 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/06/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Caring Place, The 103 N. Thirteenth Street Franklin, PA 16323 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)