Inspection·January 30, 2025

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of clinical records, facility documents, and staff interviews, it was determined that the facility failed to notify the family of a change in condition in a timely manner for one of three residents (Resident CR1). Findings include: Review of facility policy Change in a Resident's Condition or Status, dated 1/9/25, indicated that the physician and resident representative will be notified promptly when there has been a significant change in the resident's physical/emotional/mental conditions, and a need to alter the resident's medical treatment. Notification must occur with 24 hours of a change occurring in a resident's medical condition or status. Review of the clinical record revealed that Resident CR1 was admitted to the facility on [DATE], with diagnoses of cerebral infarction (occurs when the supply of blood to the brain is reduced or blocked completely, which prevents brain tissue from getting oxygen and nutrients), ileostomy (a surgical procedure that connects your ileum to your abdominal wall. It's necessary when your colon or rectum can ' t eliminate waste.), and aphasia (a disorder that affects how you communicate). Review of Resident CR1's MDS (Minimum Data Set, periodic assessment of resident care needs) dated 8/2/24, indicated diagnoses were current. Review of Resident CR1's clinical record revealed he had a responsible party and durable power of attorney. Review of Resident CR1's physician order dated 3/22/23, through 12/9/25, indicated to administer 5 milligrams (mg) Eliquis (medication used to prevent blood clots), one tablet, two times a day for atrial fibrillation. Review of Resident CR1's clinical record revealed on 12/9/24, a nurse aide notified LPN, Employee E1 of blood noted in the resident's colostomy bag. LPN, Employee E1 assessed the resident and confirmed the resident had a moderate amount of blood mixed with dark brown stool in his colostomy bag. The Registered Nurse supervisor was notified. RN, Employee E2 tested the resident's stool for blood and it was positive. The doctor was notified and a new order to decrease the resident's Eliquis (medication used to prevent blood clots) to 2.5 mg twice a day and to schedule a colonoscopy was obtained. Review of Resident CR1's physician order dated 12/9/24, indicated to administer 2.5 mg Eliquis, one (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 6 Event ID: 395011 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 395011 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Platinum Ridge Ctr for Rehab & Healing 1050 Broadview Boulevard Brackenridge, PA 15014 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)