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F0677
D

Failure to Provide Ordered Oral Hygiene Assistance to Dependent Resident

Williamsport, Pennsylvania Survey Completed on 03-09-2026

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 required activities of daily living (ADL) assistance with oral hygiene to a dependent resident. Clinical record review showed that the facility admitted Resident CR2 on October 8, 2025, and the most recent MDS dated January 14, 2026, assessed the resident as dependent on staff for oral hygiene. The resident’s Kardex directed that his teeth were to be brushed twice daily. However, review of the Documentation Survey Report for January 1 through February 11, 2026, showed no documentation that staff assisted the resident with oral hygiene twice daily on 18 of 41 days reviewed, and there was no documentation indicating that staff were providing the ordered twice-daily oral hygiene assistance. These findings were discussed with the Nursing Home Administrator and DON on March 9, 2026. This deficiency was cited under 42 CFR 483.24(a)(2) for failure to provide ADL care for dependent residents and referenced a previously cited deficiency from April 4, 2025, as well as 28 Pa. Code 211.12(d)(1)(5) related to nursing services.

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