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F0677
E

Failure to Provide Timely ADL Assistance and Call Bell Response

Lititz, Pennsylvania Survey Completed on 08-07-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide adequate assistance with activities of daily living (ADLs) for ten of eighteen residents, as evidenced by multiple resident and family complaints, observations, and interviews. Several residents reported extended wait times for assistance, particularly during third shift and when agency staff were present. One resident stated it takes a long time to get back into bed, and another noted insufficient staffing in the evenings. Facility grievances documented instances where residents' call lights were not answered in a timely manner, with one resident waiting over 1.5 hours for care and another having to use the bathroom unassisted due to lack of staff response. Family members also reported concerns about slow call bell response times, especially overnight and on weekends, and described situations where residents were left in soiled conditions or had to wait for extended periods to receive help with toileting. Observations included staff walking past active call bells and sitting at the nurses' station without responding to residents' needs. Family members described finding their loved ones in unsanitary conditions and noted that staff sometimes appeared disengaged or dismissive when concerns were raised. The Nursing Home Administrator confirmed the facility's failure to provide necessary ADL assistance to the affected residents. The cited deficiencies are in violation of 28 PA. Code:201.18(b)(2) Management and 28 PA. Code:201.29(a) Resident's Rights.

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