Health inspection·September 12, 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 medical record review and staff interview the facility failed to ensure physicians orders were followed in regard to laboratory (Lab) test. This affected two (Resident #57 and Resident #73) of four resident records reviewed. The census was 72. Residents Affected - Few Findings included: 1. Review of Resident #73's medical record revealed he was admitted tot he facility on 08/02/24 and discharged [DATE]. Diagnoses included Acute pancreatic, myelodysplastic syndrome, diabetes, , high blood pressure kidney failure, paroxysmal atrial fibrillation, herpesviral infection and protein calorie malnutrition. Review of the discharge minimum data set (MDS) assessment dated [DATE] revealed his cognition was intact. He required partial to moderate assistance with sitting to stand, chair to bed to chair, toilet transfer and shower and tub transfer. Review of the physicians orders dated 08/02/24 revealed basic metabolic profile (BMP) and liver function test (LFT) every day shift every Monday for Chronic Anemia and complete metabolic profile (CMP) with differential every day shift every Monday and Wednesday for Chronic Anemia. Further review revealed no ordered laboratory tests were obtained while at the facility. Interview on 09/12/24 at 1:50 P.M. with the Director of Nursing verified the orders for the lab tests for Resident #73 were not completed as ordered. 2. Review of Resident #57's medical record revealed she was admitted to the facility on [DATE]. Diagnoses included diabetes mellitus, chronic obstructive pulmonary disease (COPD), major depression, and vascular dementia. Review of the quarterly MDS dated [DATE] revealed her cognition was not intact, she was dependent on staff for care and incontinent of her bowel and bladder. Review of the physicians orders dated 03/17/22 revealed orders for BMP, thyroid stimulating profile (TSH), lipid panel, and hepatic panel every six months in March/September. Page 1 of 2 366094 366094 09/12/2024 Continuing Healthcare of Gahanna 167 North Stygler Road Gahanna, OH 43230

F 0684 Further review revealed theses labs were completed on 03/17/23 and then again on 06/14/24. Level of Harm - Minimal harm or potential for actual harm Interview with the Director of Nursing on 09/12/24 at 3:34 P.M. verified the lab test were not obtained as ordered. Residents Affected - Few This deficiency represents non-compliance investigated under Complaint Number OH00157040. 366094 Page 2 of 2