Inspection·June 25, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policies, clinical records, and shower schedules, as well as staff and resident interviews, it was determined that the facility failed to ensure that residents were provided with showers as scheduled for four of nine residents reviewed (Residents 4, 5, 6, 7). Residents Affected - Few Findings include: The facility policy for bathing and showering, dated April 29, 2025, indicated that residents will be bathed or showered according to their preferences in order to maintain healthy hygiene and skin condition. Each resident will be asked about his/her bathing preferences upon admission (type of bath, preferred days and times). Each resident will be scheduled to receive bathing a minimum of two times per week. If the bath/shower cannot be given or the resident refuses, the nursing assistant will promptly report this to the charge nurse. The charge nurse will speak to the resident who refuses to ascertain why they are refusing and to determine if alternative arrangements that suit the resident can be made. If the resident continues to refuse, the charge nurse will document the resident's refusal in the medical record. An admission Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) assessment for Resident 4, dated June 12, 2025, revealed that the resident was cognitively intact, required assistance with care needs including bathing and toileting hygiene, was frequently incontinent of bowel and bladder, and had a diagnosis of diabetes. An interview with Resident 4 on June 25, 2025, at 10:05 a.m. revealed that he has had one shower since he was admitted to the facility, and he had been at the facility for about two weeks. A review of Resident 4's clinical record revealed that the resident was admitted on [DATE]. A review of Resident 4's bathing detail report for June 2025 revealed that he had received one shower since he was admitted to the facility. There was no documented evidence that the resident's bathing/shower preferences were obtained on admission and no documented evidence that the resident received a bath/shower a minimum of two times per week per facility policy. Interview with the Director of Nursing on June 25, 2025, at 3:50 p.m. indicated that shower preferences were obtained for Resident 4 on admission; however, the preferences were not documented in the resident's clinical record including the resident's care plan and shower schedule. She confirmed that there was no documented evidence that Resident 4 received showers per facility policy. An admission MDS assessment for Resident 5, dated May 18, 2025, revealed that the resident was cognitively intact, required assistance with care needs including bathing and toileting hygiene, was frequently incontinent of bowel and occasionally incontinent of bladder, and had a diagnosis including (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: 395985 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 395985 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Midtown Oaks Health & Rehab Center 1020 Green Avenue Altoona, PA 16601 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)