Inspection·June 4, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of clinical record, facility documentation, and interviews with staff, it was determined that the facility failed to provide care and treatment in accordance with professional standards of practice, by failing to perform weekly skin assessments as ordered by the physician for one of six residents reviewed. (Resident R1) Residents Affected - Few Findings include: Review of facility policy titled Skin Check Policy, effective 2025, stated the facility will perform comprehensive skin checks on all residents as prescribed in their care plan, and at a minimum frequency consistent with the physician's orders (e.g., weekly, biweekly, monthly). The goal is to promptly identify changes in skin integrity and initiate appropriate interventions. Findings must be recorded in the resident's clinical record immediately after completion. Any new or worsening skin condition must be documented and reported to the attending physician and Director of Nursing immediately. Clinical record review revealed Resident R1 was admitted to the facility on [DATE] with a diagnosis of type 2 diabetes mellitus (when the body doesn't use insulin properly, resulting in unusual blood sugar levels), bilateral primary of osteoarthritis of knee (condition that affects both knee joints with cartilage damage and inflammation), and dementia. Review of physician's order, dated April 18, 2025, revealed an order for Skin care: skin and nail checks weekly, every day shift, every Tuesday. Nursing progress note, dated May 13, 2025, stated Resident R1's skin check was done after (his/her) bed bath, Resident R1 abdominal fold looks irritated and red. Further review of Resident R1's progress notes revealed no further skin assessments and no indication of skin issues noted. Review of Resident R1's clinical record revealed on May 30, 2025 Resident R1 was transferred to the hospital due to change in mental status and abnormal vital signs. Review of Resident R1's hospital documentation, dated May 31, 2025, revealed Resident R1 had an admitting diagnosis of sepsis with acute renal failure (Sepsis is a life-threatening condition caused by an intense response of your immune system to an infection. Sepsis triggers inflammation throughout your body that can result in multiple organ failure. Sepsis is the most common risk factor of acute (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 2 Event ID: 396120 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 396120 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wyncote Care Center 208 Fernbrook Avenue Wyncote, PA 19095 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)