Inspection·October 8, 2024

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 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interviews, and policy review, the facility failed to ensure residents were free from delay of care and treatments as ordered by physicians. This affected one (#69) resident of three reviewed for quality of care. The facility census was 77. Residents Affected - Few Findings include: Review of the medical record for Resident #69 revealed an admission date of 07/22/24. Diagnoses included sepsis with methicillin resistant staphylococcus aureus (MRSA), chronic obstructive pulmonary disease (COPD), and hepatitis C, and Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #69 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of 12. Section O (special treatments, procedures, and programs) revealed Resident #69 had intravenous (IV) medications. Review of the Continuity of Care (COC) (hospital discharge paperwork) dated 07/22/24 revealed Resident #69 was to continue Daptomycin (antibiotic) 500 milligrams (mg) IV via peripheral inserted central catheter (PICC) every 24 hours through 08/29/24, Teflaro (Antibiotic) 600 mg IV every eight hours through 08/29/24, get weekly laboratory (labs) tests on Mondays for basal metabolic panel (BMP), complete blood count (CBC) with differential, and liver function tests (LFTs) and fax all laboratory (lab) results to the Infectious Disease (ID) specialist's office. The resident was to follow up with the ID specialist in three to four weeks and the facility was to call the ID specialist's office with any questions or concerns. Review of a physician order dated 07/22/24 revealed Resident #69 was ordered Teflaro Solution Reconstituted 600 mg IV every eight hours for seven days. Review of the physician order dated 07/23/24 revealed Resident #69 was ordered Daptomycin solution reconstituted 500 mg IV one time a day for seven days. Review of a nurse practitioner (NP) note dated 07/27/24 revealed Resident #69 was admitted to the facility with MRSA bacteremia and would order labs. Medications were reviewed, the resident had a PICC line in his right bicep and was to continue IV antibiotics as directed and follow up with ID specialist as directed. Review of the medication administration record (MAR) dated July 2024 revealed Resident #69 missed six out of the 22 physician ordered doses of Teflaro and five out of seven physician ordered doses of (continued on next page) 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 Page 1 of 5 Event ID: 365196 Printed: 05/15/2026 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 365196 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/08/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Pleasant Ridge Healthcare Center 5501 Verulam Cincinnati, OH 45213 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)