Health inspection·November 9, 2023

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of clinical records, select facility policy and investigative reports, and staff interview, it was determined that the facility failed to ensure that one resident was free from sexual abuse out of 7 residents (Resident 1). Findings include: A review of facility policy titled Pennsylvania Resident Abuse last reviewed by the facility August 2023, revealed that the facility will not tolerate abuse, neglect, mistreatment, exploitation of residents, and misappropriation of resident property by anyone. A review of Resident 1's clinical record revealed that the resident was admitted to the facility on [DATE], with diagnoses, which included dementia (a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning. A review of the resident's admission Minimum Data Set Assessment (MDS - a federally mandated standardized assessment conducted at specific intervals to plan resident care) dated October 18, 2023, revealed that the resident was severely cognitively impaired. A review of Resident 2's clinical record revealed that the resident was admitted to the facility on [DATE], with diagnoses, which included toxic liver disease and cerebral infarction (disruption of blood flow to the brain preventing the brain of oxygen). A review of the resident's Quarterly Minimum Data Set assessment dated [DATE], revealed the Brief Interview for Mental Status indicated that he was cognitively intact. A review of a facility investigation report dated October 24, 2023, at 8:19 PM revealed Employee 1, a nurse aide, visualized Resident 2 rubbing Resident 1 between her legs. The report noted that Resident 2 was asked what he was doing, he stated, I want some so bad. A review of Employee 1's witness statement dated October 24, 2023, revealed the employee was coming down the hall and saw Resident 2 rubbing Resident 1 between her legs. The employee yelled for the resident to stop and removed him from the area. The employee indicated Resident 2 stated, I'm a man. I want some so bad. A review of a Report Form for Investigation of Alleged Abuse, Neglect, or Misappropriation of Page 1 of 3 396095 396095 11/09/2023 Scranton Health Care Center 2933 McCarthy Street Scranton, PA 18505

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Property (PB-22) submitted to by the facility to the Pennsylvania Department of Health on October 26, 2023, revealed the facility completed their investigation and concluded that sexual abuse was substantiated due to the resident perpetrator being capable and making statements that he wanted some. Resident 2 showed intent to sexually touch Resident 1 and criminal charges were filed with a pending court date. An interview with the Nursing Home Administrator and Director of Nursing on November 9, 2023, at approximately 3:00 PM confirmed the facility failed to ensure that Resident 1 was free from sexual abuse perpetrated by Resident 2. This deficiency is cited as past non-compliance. The facility's corrective action plan included the following: 1. The residents were immediately separated. A heat to toe assessment was completed. The residents' psychosocial needs were assessed. Resident 2 was placed on a one to one observation. 2. To identify like residents that have the potential to be affected, the director of nursing completed interviews on capable residents to ensure no other resident had any sexual interactions. To identify like residents that had the potential to be affected licensed nurses completed skin checks and observe for changes in behaviors in residents in the facility. to identify like residents that have the potential to be affected the director of nursing will review 72 hours of nursing progress notes and review resident care plans to identify any other residents that have a history of sexual behaviors. 3. To prevent reoccurrence The director of nursing will educate current staff on the abuse policy and procedures with emphasis on types of abuse. Newly hired staff will be educated on the abuse policy through the onboarding procedure. To prevent reoccurrence the director of nursing will educate all capable residents on abuse and to not touch other residents. 4. To monitor and maintain ongoing compliance the director of nursing will conduct resident interviews on five capable residents weekly for four weeks then monthly for two months to identify any unreported incidents of abuse. To monitor and maintain ongoing compliance for the director of nursing will conduct random skin checks Observe changes in behaviors for incapable residents weekly for four weeks then monthly for two months to identify any unreported incidents of abuse. To monitor and maintain ongoing compliance the nursing home administrator will complete abuse questionnaires on five random employees weekly for four weeks then monthly for two months to determine continued education needs for staff period to monitor and maintain ongoing compliance the director of nursing will review nursing notes weekly for four weeks and monthly for two months to identify residents exhibiting or having any history of sexual behavior. 396095 Page 2 of 3 396095 11/09/2023 Scranton Health Care Center 2933 McCarthy Street Scranton, PA 18505

F 0600 The facility's compliance date was October 26, 2023. Level of Harm - Minimal harm or potential for actual harm 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(e)(1) Management Residents Affected - Few 28 Pa. Code 201.29(a) Resident Rights 28 Pa. Code 201.29(c)(d) Resident Rights 28 Pa. Code 211.12(c)(d)(5) Nursing Services 396095 Page 3 of 3