Health inspection·February 11, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observations, clinical record review, and interviews with staff and residents, it was determined that the facility failed to provide reasonable accommodations of needs relating to a bariatric bed and a functioning heater for two of 31 residents reviewed.(Residents R251 and R248) Residents Affected - Some Findings include: Review of Resident R251's Minimum Data Set (MDS-federal mandated assessment for all residents) dated February 12, 2025 revealed that Resident R251 was admitted into the facility on February 6, 2025 with diagnosis' including respiratory failure (respiratory system cannot maintain normal levels of oxygen and carbon dioxide in the body), chronic congestive heart failure(long term condition , the heart is unable to pump blood effectively), type 2 diabetes(condition that occurs when blood glucose is too high) and morbid (severe) obesity (health condition that results from abnormally high body mass that is diagnoses by having a body mass index(BMI) greater then 40). Review Resident R251's lift transfer evaluations dated February 6, 2025, revealed Resident R251's weight dated February 6, 2025, was assessed at 316 pounds (lbs) and Resident R251's height as 65 inches. This resident is assessed of not being able to independently turn or reposition in bed or the chair, the resident requires extensive total assistance to turn reposition of two or more staff. Review of facility assessment revealed that equipment and supply inventories this facility currently has adequate equipment to supply all therapies. Medical and non-medical equipment required hospital beds with bariatric capability, and Hoyer lifts with bariatric capability. Observation of Resident 251 on February 9, 2025, at 11:05 am, revealed Resident R251 lying in a regular sized hospital bed. Maintance Director, Employee E11 fixing resident bed by releasing extender to lengthen the bed while resident was still occupying the bed. The bed was observed with extender and regular mattress (too small for bed frame). Interview with resident at time of observation revelaed Resident R251 vocalized discomfort. Interview with Maintance Director, Employee E11 at time of the above observations revealed that he has a new mattress to install but cannot move the resident. Employee E11 was just notified on this day that the residents bed needed adjustment. Further observation of Resident R251 on February 9, 2025, at 11:35 a.m. was observed four staff members assisting in lifting resident from bed with Hoyer lift while Maintance Director, Employee E11, extended the bed frame width and switched the mattress to accommodate for large mattress to fit bariatric bed setting. The resident bed was made to a bariatric setting three days after he was admitted (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 19 Event ID: 396009 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 396009 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norriton Square Nursing and Rehabilitation Center 1700 Pine Street Norristown, PA 19401 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)