Health inspection·February 19, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to provide services to maintain adequate grooming and hygiene for one of four sampled residents who required assistance with activities of daily living (ADLs). (Resident 1) Residents Affected - Few Findings include: Clinical record review revealed that Resident 1 had diagnoses that included encephalopathy (disturbance of brain function), heart failure, and muscle weakness. The Minimum Data Set assessment dated [DATE], indicated that the resident was alert, had limited mobility to the right upper extremity, and required assistance with mouthcare. There was no documented evidence the resident was assisted with mouthcare, and no refusals were noted. In an interview on February 19, 2025, at 3:45 p.m., the Director of Nursing confirmed there was no documented evidence the resident was assisted with mouthcare and no evidence the resident refused. 28 Pa. Code 211.12(d)(1)(5) Nursing services. Page 1 of 2 396150 396150 02/19/2025 Advanced Health Care of Hanover 3370 High Pointe Boulevard Bethlehem, PA 18017

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 Based on clinical record review and staff interview, it was determined that the facility failed to ensure that a physician's order was implemented for one of four sampled residents. (Resident 1) Residents Affected - Few Findings include: Clinical record review revealed that Resident 1 had diagnoses that included encephalopathy (disturbance of brain function), heart failure, and muscle weakness. A physician's order dated January 6, 2025, directed staff to obtain a stat (immediate) urine sample for urinalysis to rule out an infection. There was no documented evidence that the urine sample was obtained as ordered. In an interview on February 19, 2025, at 3:45 p.m., the Director of Nursing confirmed the urine sampled was not obtained as ordered. 28 Pa. Code 211.12(d)(1)(5) Nursing services 396150 Page 2 of 2