Inspection·January 14, 2026

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. Based on observations of care and services, clinical record reviews, reviews of policies and procedures and interviews with staff and residents, it was determined that for each resident reviewed with functional limitations with activities of daily living, the facility failed to ensure that a person-centered care plan related to therapeutic exercises and restorative nursing care was developed and implemented for two of seven residents reviewed. (Residents R118 and R88) Findings include:A review of the facility's policy and procedure titled restorative nursing services dated July 2017 revealed that it was the responsibility of the nursing services department to assess and develop a restorative nursing program to promote optimal safety and independence for each resident. The nursing department, physical therapy department and occupational therapy department was responsible for coordinating the restorative nursing program to meet each resident's care needs. The policy indicated that after discharge from rehabilitative care the resident was assessed for restorative nursing care as needed. The restorative nursing program was developed by the resident and his/her family and the interdisciplinary care team to maintain or improve functioning abilities for activities of daily living.Clinical record review for Resident R118 revealed the nurse practitioner's progress notes on January 12 and 13, 2026 that indicated this resident was cognitively intact. Interview with Resident R118 at 10:00 a.m., on January 11, 2026, revealed that the resident was wondering how often he was supposed to receive physical and occupational therapy services. The resident reported that he had not being out of bed into his chair regularly for therapy activities. Observations of Resident R118 at 10:00 a.m., on January 11, 2026, revealed that this resident was in bed with a right foot wound that was wrapped with kerlix and secured with ace wrap. A review of the physician's orders for October 18, 2025, revealed that physical therapy and occupational therapy services were to evaluate and provided rehabilitation services for Resident R118 five times a week. The therapy department (physical and occupation) indicated on October 19, 2025, that Resident R118 was assessed and required therapy to reposition self in bed, move from supine to sit in bed, bilateral lower extremity exercises for strengthening muscles, upper body dressing assistance, toileting and bathing assistance. Clinical record review revealed that there was no person-centered care plan developed and consistently implemented for physical therapy and occupational therapy for Resident R118 for October 18, 2025, through January 2026. The physician had ordered physical and occupational therapy services for Resident R118 five days a week for October 18 through January 2026.Clinical record review revealed that the physical and occupational therapy services of therapeutic exercises and activities, were not consistently documented as provided for Resident R118 five times a week for October 2025 through January 2026. Clinical record documentation for October 2025 revealed a lack of documentation to indicate that physical/occupational therapy services were provided for Resident R118 on October 23, 24, 25, 26 and 31. Clinical record documentation for November 2025 revealed a lack of documentation to indicate that physical /occupational therapy services were provided on November 4, 7, 8, 9, (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 4 Event ID: 395989 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 395989 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Providence Rehab and Hlthcare Ctratmercyfitzgerald 600 South Wycombe Ave Yeadon, PA 19050 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)