Artman Lutheran Home

Inspectors wroteBased on staff interviews and the review of facility documentation, it was determined that the facility failed to ensure a complete and through investigation for resident who sustained a fractured hip (Resident R37) for 1 out of 14 residents reviewed. (Resident R37)

Inspectors wroteBased on observations and the review of clinical records it was determined that the facility failed to acknowledge a physician recommendation regarding a resident's positioning during meal times for 1 out of 14 residents reviewed (Resident R37).

Inspectors wroteBased on staff interviews and the review of clinical documentation, it was determined the facility failed to ensure that a resident received supervision during toileting and was transferred by facility staff members after sustaining a fall incident in the bathroom for one of 14 residents reviewed. (Resident R37)

Inspectors wroteBased on the review of clinical records, facility fall investigation, it was determined that the facility failed to implement a care plan intervention for Resident R1 by not providing a properly functioning chair alarm as specified in the resident's individualized care plan for one of five residents reviewed. (Resident R1). Findings Include:Review of Resident R1's care plan dated September 5, 2025, revealed an intervention requiring the use of an electronic chair alarm to alert staff of unassisted rising. Ensure the device is in place every shift. Review of Resident R1's fall investigation dated October 7, 2025, revealed that the resident was found lying on his right side in his room on the floor with his head against the wall and his legs still positioned on his leg rests. Further review of the investigation revealed that current fall preventions included: [...]

Inspectors wroteBased on review of facility provided documentation, review of clinical record, and interview with staff, it was determined that facility did not ensure to provide pneumococcal immunization according to professional standards of practice for one of 73 residents reviewed (Resident R165)

Inspectors wroteBased on interviews with residents and staff, observations, and review of facility policy, it was determined the facility did not ensure the residents' right to file a grievance anonymously was available for the residents for nine of nine residents interviewed (Resident R15, 16, 26, 28, 29, 39, 42, 43, and 159).

Inspectors wroteBased on review of facility policies, clinical record reviews and interviews with staff, it was determined that the facility did not ensure that all allegations of abuse and neglect were reported immediately to the Pennsylvania Department of Health for one of 16 residents reviewed. (Resident R28) Findings Include: Review of the facility policy titled Abused or Neglected Residents revied 2023, states the resident has the right to freedom from neglect and protects residents from real or perceived abuse or neglect from any source. The policy defines neglect as deprivation by an individual, including caretaker, a facility, its employees, or service providers to provide good and services that is necessary to attain or maintain physical mental emotional psychosocial well-being. [...]

Inspectors wroteBased on clinical record review, interviews with staff and residents and reviews of policies and procedures, it was determined that the facility failed to conduct complete and thorough investigations into allegations of abuse and neglect for one of 16 residents reviewed. (Resident R28)

Inspectors wroteBased on review of facility provided documentation, review of clinical record, and interview with staff, it was determined that facility did not provide Covid-19 immunizations according to professional standards of practice for 35 of 73 residents reviewed (Residents R7, R26, R35, R27, R48, R43, R29, R18, R177, R15, R178, R20, R14, R38, R166, R167, R168, R169, R170, R171, R172, R173, R174, R8, R175, R176, R179, R180, R39, R37, R9, R46, R40, R22, R181)

Inspectors wroteBased on interviews review of clinical records and facility policy, it was determined the facility failed to have a scheduled maintenance for residents' bed rails to ensure safety for one of 16 resident records reviewed (Resident R28).

Inspectors wroteBased on review of clinical record, review facility policy, and interview with staff, it was determined that the facility failed to ensure the residents were provided with education regarding the benefits and potential side effects of influenza immunization for two of two residents reviewed (Resident R29 and Resident R14).

Inspectors wroteBased on review of facility policy, review of facility documentation, and review of clinical records it was determined that the facility failed to develop a person-center, comprehensive care plan related to impaired skin integrity for one of 15 residents reviewed (Resident R26). Findings Include: Review of facility policy Care Planning, undated, revealed a care plan shall be developed for each resident that includes measurable objectives and timetables to meet the resident's medical, nursing, mental, and psychosocial needs. The resident's comprehensive care plan is developed within 7 days of submission of the complete MDS (Minimum Data Set - federally mandated resident assessment and care screening) assessment. Review of Resident R26's quarterly MDS dated [DATE], revealed the resident had short and long-term memory problems and was at risk of developing pressure ulcers. [...]

Inspectors wroteBased on observations, review of facility policy, and staff interviews it was determined that the facility failed to implement procedures to ensure food was served at safe, appetizing temperatures for one of six residents observed in the dining room (Resident R31). Findings Include: Review of facility policy Food Temperatures, undated, revealed microwave re-heating is appropriate and acceptable when a resident requests to have their food reheated. Upon removal of the food from the microwave, the food will be stirred or rotated and then allowed to stand covered for two minutes before served to assure that the temperature will be under 180 degrees Fahrenheit. [...]

Inspectors wroteBased on observations, review of clinical record, and staff interview it was determined that the facility failed to provide beverages consistent with resident needs for one of six residents reviewed with altered fluid consistency (Resident R17). Findings Include: Review of Resident R17's clinical record revealed a physician order dated August 18, 2024, that revealed Resident R17 was ordered nectar consistency liquids (beverages that are thicker than water and fall slowly from a spoon). Observations on August 21, 2024, at 10:00 a.m. revealed Resident R17's breakfast tray was sitting on the overbed table in the resident's room. Observations revealed the meal ticket indicated Resident R17 was to be provided nectar thick liquids. Further observations revealed Resident R17 was provided with orange juice that was of thin, regular, consistency. Interview on August 21, 2024, at 10:05 a.m. [...]

Inspectors wroteBased on review of facility policy/Infection Control Program Overview, interview staff, review of facility record, it was determined that the facility failed to designate one or more individual as the infection preventionist who work at least part time at the facility.

Inspectors wroteBased on observation, review of facility policy, clinical record review, resident and staff interviews, it was determined that the facility failed to provide appropriate Activity of Daily Living (ADL) for two of 6 residents reviewed who were unable to carryout ADL care independently. (Resident R1 & R3)

Inspectors wroteBased on review of facility policies, clinical record review and interviews with staff, it was determined that the facility failed to ensure that physician orders were followed related to toileting program, tubi-grips, gel cushion to wheelchair, for one resident of six residents reviewed. (Resident R1)