Sinking Spring Skilled Nursing And Rehabilitation

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 resident interview, it was determined that the facility failed to provide services to maintain adequate grooming and hygiene for three of 37 sampled residents. (Residents 9, 10, 11)Findings include: Clinical record review revealed that Resident 9 had diagnoses that included cerebral palsy and a seizure disorder. A quarterly Minimum Data Set (MDS) assessment dated [DATE REDACTED], revealed that Resident 9 required maximum assistance with hygiene and self care and had no cognitive impairment. Review of the care plan dated July 22, 2025, revealed that staff were to assist the resident with hygiene and self care, including nail care on bath day and as necessary. On September 23, 2025, at 2:58 p.m., the resident was observed in his room. His nails were long and dirty. He stated that he preferred short nails and that staff had not offered to provide nail care recently. On September 25, 2025, at 10:49 a.m., the resident was observed in bed. His nails remained long. He stated that staff had not offered to provide nail care during his last shower and he would like his nails cut. Clinical record review revealed that Resident 10 had diagnoses that included congestive heart failure and kidney failure. An admission MDS assessment dated [DATE REDACTED], revealed that Resident 10 required moderate assistance with hygiene and self care and had no cognitive impairment. Review of the care plan dated July 9, 2025, revealed that staff were to assist with the resident's hygiene and self care, including nail care on bath day and as necessary. On September 23, 2025, at 2:11 p.m., the resident was observed in bed in his room. His nails were long and dirty. The resident stated that staff were to cut his nails during his showers but had not offered to provide nail care recently. On September 25, 2025, at 10:50 a.m., the resident was observed in bed. His nails remained long. He stated that staff had not offered to provide nail care during his last shower and he would like his nails cut. Clinical

record review revealed that Resident 11 had diagnoses that included Parkinson's disease, congestive heart failure and kidney failure. An admission MDS assessment dated [DATE REDACTED], revealed that Resident 11 was dependent on staff for assistance with hygiene and self care and had minor cognitive impairment. Review of

the care plan dated August 11, 2025, revealed that staff were to assist with the resident's hygiene and self care, including nail care on bath day and as necessary. On September 23, 2025, at 2:02 p.m., the resident was observed in bed in his room. His nails were long and he stated that he preferred short nails. He stated that staff were to cut his nails during his showers but had not offered to provide nail care recently. On September 25, 2025, at 10:47 a.m., the resident was observed in bed. His nails remained long. He stated that staff had not offered to provide nail care and he would like his nails cut. 28 Pa. Code 211.12(d)(1)(5) Nursing services.

Residents Affected - Few

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

Event ID:

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Sinking Spring Skilled Nursing and Rehabilitation

3000 Windmill Road Sinking Spring, PA 19608

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)

Federal health inspectors cited SINKING SPRING SKILLED NURSING AND REHABILITATION in SINKING SPRING, PA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-26.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 3 deficiencies cited during this inspection of SINKING SPRING SKILLED NURSING AND REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-05.

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and

the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation it was determined that the facility failed to provide a safe, sanitary, and comfortable environment for residents and staff on one of four toured nursing units. (Station 2) Findings include:Observations on September 23, 2025, from 9:45 a.m. through 1:00 p.m. and on September 24, 2025, from 9:00 a.m. through 1:00 p.m. revealed the following:Peeling wallpaper was observed on all four walls in the Chapel.The wall to the left of the door was damaged in room [ROOM NUMBER].The wall behind the bathroom sink and toilet, and linoleum below the sink were damaged in room [ROOM NUMBER].In an interview on September 25, 2025, at 1:11 p.m., the Administrator confirmed that the environmental problems should have been addressed.28 Pa. Code 201.14(a) Responsibility of licensee.28 Pa. Code 201.18 (b) (1) Management.

Event ID:

Facility ID:

If continuation sheet