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 (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 3 Event ID: 396095 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 396095 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Scranton Health Care Center 2933 McCarthy Street Scranton, PA 18505 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)