Inspection·May 31, 2024

F 0692 Provide enough food/fluids to maintain a resident's health. Level of Harm - Minimal harm or potential for actual harm Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to adequately monitor and assess a significant weight change for one of seven sampled residents at risk for weight loss. (Resident 100) Residents Affected - Few Findings include: A review of the facility policy entitled, Nutritional Assessment, last reviewed January 1, 2024, revealed that staff would conduct a nutritional assessment as indicated by a change in condition that placed the resident as risk for impaired nutrition. Clinical record review revealed that Resident 100 had diagnoses that included dementia and depression. Review of the care plan revealed that the resident was at risk for a nutritional problem. On September 12, 2023, the resident weighed 142.4 pounds (lbs.). On October 6, 2023, the resident weighed 129.6 lbs., which reflected a significant weight loss of 8.9 percent in less than 30 days. On October 9, 2023, the resident weighed 129.4 lbs., which confirmed the weight loss. There was no evidence that the dietitian assessed the resident until February 16, 2024. In an interview on May 30, 2024, at 3:17 p.m., the Administrator confirmed that the resident was not assessed by the dietitian prior to February 16, 2024. 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services. 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: 396077 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 396077 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/31/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Northampton Post Acute 4100 Freemansburg Avenue Easton, PA 18045 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)