Health inspection·July 31, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, staff and resident interviews, clinical record review, and review of electronic call bell logs, it was determined that the facility failed to answer call bells in a timely manner to provide care and services respectful of each resident's dignity and preferences to promote the quality of life for three of 17 sampled residents. (Residents 1, 25, and 28)Findings include: Review of the facility's policy entitled Call Lights: Accessibility and Timely Response,” dated April 29, 2025, revealed that staff were responsible for responding to a call light in a reasonable amount of time. In an interview on July 31, 2025, at 8:45 a.m., the Nursing Center Operations Manager confirmed the expected call bell response time was within 15 minutes. Clinical record review revealed that Resident 1 had diagnoses that included pneumonia, muscle weakness, and difficulty walking. The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident was able to communicate his needs to staff and required assistance from staff for activities of daily living, such as toileting and dressing. Review of the care plan revealed that Resident 1 had physical limitations and was at risk for falls. The interventions included that staff ensure the call bell was within reach and encourage use of the call bell for assistance. In an interview on July 29, 2025, at 1:05 p.m., Resident 1 stated that staff took a long time to answer call bells which had affected his ability to receive care and services in a timely manner. Clinical record review revealed that Resident 25 had diagnoses that included cerebral infarction (stroke), hemiplegia and hemiparesis affecting left non-dominant side, and urinary tract infection. The MDS assessment dated [DATE], indicated that the resident was able to communicate his needs to staff and required assistance from staff for activities of daily living, such as toileting and dressing. Review of the care plan revealed that Resident 25 had physical limitations and was at risk for falls. The interventions included that staff encourage the use of the call bell for assistance. In an interview with Resident 25 on July 29, 2025, at 10:00 a.m., Resident 25 stated that he sometimes had to wait over an hour for staff to answer his call bells which had affected his ability to receive care and services in a timely manner. Clinical record review revealed that Resident 28 had diagnoses that included congestive heart failure, muscle weakness, and chronic kidney disease. The MDS assessment dated [DATE], indicated that the resident was able to communicate her needs to staff and was dependent on staff assistance for all activities of daily living such as toileting and dressing. Review of the care plan revealed that Resident 28 had physical limitations and was at risk for falls. The intervention included that staff ensure the call bell was within reach and encourage use of the call bell for assistance. In an interview on July 20, 2025, at 11:24 a.m., Resident 28 stated that staff took a long time to answer call (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: 396053 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 396053 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Country Meadows Nursing Center of Bethlehem 4025 Green Pond Road Bethlehem, PA 18020 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)