Inspection·February 23, 2026

F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for three of four residents sampled with facility-initiated transfers (Resident R1, R2, and R3), and failed to notify the resident or resident's representative of the facility bed-hold policy (an agreement for the facility to hold a bed for an agreed upon rate during a hospitalization) for three of four resident hospital transfers (Resident R1, R2, and R3).Findings include: Review of facility policy Transfer and Discharge Information dated 5/19/25, indicated when a resident is transferred or discharged , details of the transfer or discharge will be documented in the medical record and appropriate information will be communicated to the receiving health care facility or provider. Review of facility policy Bed Holds and Return dated 5/19/25, indicated all residents or representatives are provided written information regarding the facility bed hold policies well in advance of any transfer (in the admission packet) and at the time of transfer. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS - a periodic assessment of care needs) dated 2/9/26, indicated diagnoses of atherosclerotic heart disease (build-up of fats, cholesterol, and other substances in and on the artery walls), chronic obstructive pulmonary disease (COPD, a group of progressive lung disorders characterized by increasing breathlessness), and dysphagia (difficult swallowing). Review of the clinical record indicated Resident R1 was transferred to the hospital on 2/20/26, and remains at the acute care hospital. Review of Resident R1's clinical record revealed no documented evidence that the facility had communicated specific information to the receiving health care provider for the residents transferred and expected to return, which included the resident's care plan goals, advanced directive information, specific instructions for ongoing care, resident representative information, and all information necessary to meet the resident's specific needs at the receiving facility. Review of Resident R1's clinical record failed to include documented evidence that the resident or the resident's representative were provided with written information about the facility's bed hold policy at the time of the transfer to the hospital on 2/20/26. Review of the clinical record indicated Resident R2 was admitted to the facility on [DATE]. Review of Resident R2's MDS dated [DATE], indicated high blood pressure, depression, and muscle weakness. Review of the clinical record indicated Resident R2 was transferred to the hospital on 1/26/26, and returned to the facility on 1/26/26. Review of Resident R2's clinical record revealed no documented evidence that the facility had communicated specific information to the receiving health care provider for the residents transferred and expected to return, which included the resident's care plan goals, advanced directive information, specific instructions for ongoing care, resident representative information, and all information necessary to meet the resident's specific needs at the receiving facility. Review of Resident R2's clinical record failed to include documented evidence that the resident or the resident's representative were provided with written information about the facility's bed hold policy at the time of the transfer to the hospital on 1/26/26. Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE]. Review of Resident R3's MDS dated [DATE], indicated diagnoses of atrial fibrillation (disease of the heart characterized by irregular and often faster heartbeat), high blood pressure, and cerebral infarction (necrotic tissue in the brain resulting loss of blood and oxygen to the brain).Review of the clinical record indicated Resident R3 was transferred to the hospital on 1/31/26, and returned to facility on 2/1/26. Review of Resident R3's clinical record revealed no documented evidence (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395011 If continuation sheet Page 2 of 4 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 02/23/2026 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)

F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete that the facility had communicated specific information to the receiving health care provider for the residents transferred and expected to return, which included the resident's care plan goals, advanced directive information, specific instructions for ongoing care, resident representative information, and all information necessary to meet the resident's specific needs at the receiving facility. Review of Resident R3's clinical record failed to include documented evidence that the resident or the resident's representative were provided with written information about the facility's bed hold policy at the time of the transfer to the hospital on 1/31/26. During an interview on 2/23/24, at 1:53 p.m. the Director of Nursing confirmed that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for three of four residents sampled with facility-initiated transfers (Resident R1, R2, and R3), and failed to notify the resident or resident's representative of the facility bed-hold policy for three of four resident hospital transfers (Resident R1, R2, and R3). 28 Pa. Code: 201.29 (a)(c.3)(2) Resident rights. Event ID: Facility ID: 395011 If continuation sheet Page 3 of 4 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 02/23/2026 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)

F 0773 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record reviews and staff interviews, it was determined that the facility failed to obtain laboratory results as ordered by the physician and failed to provide evidence that the physician or resident representative were notified of the results for two of three residents reviewed (Resident R3, and R4).Findings include: Review of facility policy Laboratory Services and Reporting dated 5/19/25, indicated the facility is responsible for the timeliness of the services and notifying the ordering physician of laboratory results that fall outside of the clinical reference range.Review of the facility policy Change in a Resident's Condition or Status dated 5/19/25, indicated the facility promptly notifies the resident, his or her attending physician, and the resident representative of changes in the residents' medical/mental condition and/or status.Review of the admission record indicated Resident R3 was admitted to the facility on [DATE]. Review of Resident R3's Minimum Data Set (MDS -a periodic assessment of care needs) dated 1/12/26, indicated diagnoses of stroke (damage to the brain from an interruption of blood supply), hemiplegia (paralysis of one side of the body), and urinary tract infection.Review of Resident R3's physician order dated 2/18/26, indicated to acquire a CMP (complete metabolic panel - a blood test that measures various substances in your blood to assess your overall health. Includes tests for: kidney function, liver function, blood sugar levels, electrolyte and fluid balance) in the morning for monitoring.There was no documented evidence in Resident 3's clinical record that staff obtained the results of the bloodwork and there was no documented evidence that the physician or resident representative were notified of the results.During an interview on 2/23/26, at 11:05 a.m., Licensed Practical Nurse (LPN) Employee E1 indicated, the lab results were not in the clinical record, and she did not have access to the computer system for the lab results, only the supervisor has access.Review of the admission record indicated Resident R4 was admitted to the facility on [DATE]. Review of Resident R4's MDS dated [DATE], indicated diagnoses of anemia (the blood doesn't have enough healthy red blood cells), heart failure (heart doesn't pump blood as well as it should), and high blood pressure.Review of Resident R4's physician order dated 2/11/26, indicated to acquire a BMP (basic metabolic panel - a common blood test measuring eight key substances to assess kidney function, blood sugar, and electrolyte balance) one time only on 2/12/26.There was no documented evidence in Resident R4's clinical record that staff obtained the results of the bloodwork and there was no documented evidence that the physician or resident representative were notified of the results.During an interview on 2/23/26, at 10:30 a.m. with Resident R4's resident representative, it was indicated that Resident R4 had blood work a few weeks ago and nobody could tell the resident representative what the results were despite multiple inquiries made.During an interview on 2/23/26, at 11:05 a.m., LPN Employee E1 indicated, the lab results were not in the clinical record, and she did not have access to the computer system for the lab results, only the supervisor has access.During an interview on 2/23/26, at 3:00 p.m., the Director of Nursing confirmed that the facility failed to obtain laboratory results as ordered by the physician and failed to provide evidence that the physician or resident representative were notified of the results for two of three residents reviewed (Resident R3, and R4). 28 Pa. Code 211.12(d)(1)(3)(5) Nursing Services. Event ID: Facility ID: 395011 If continuation sheet Page 4 of 4