Health inspection·April 4, 2024

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 and staff interview, it was determined that the facility failed to notify the physician of changes in a resident's blood glucose (BG) levels for one of two Residents (Resident R1). Findings include: Review of facility policy Insulin Administration last reviewed 12/15/23, indicated to provide guidelines for the safe administration of insulin to residents with diabetes. Notify the physician if the resident has signs and symptoms of hypoglycemia (low blood sugar) that are not resolved by following the facility protocol for hypoglycemia management. Review of facility policy Management of Hypoglycemia last reviewed 12/15/23, indicated for level one BG less than 70 mg/dL. to notify the provider immediately. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE], with the diagnoses that included diabetes(level one - high sugar in the blood), hypertension (high blood pressure), atrial fibrillation (irregular heartbeat). Review of a nurse progress noted dated 3/29/24, indicated the following: At 12:30 a.m., BG was 52. At 1:30 a.m., BG was 59. At 2:30 a.m. BG was 60. At 5:00 a.m. BG was checked two times for a reading of 56 and 61. A review of the clinical record did not include documentation that the physcian was notified. During an interview on 4/4/24, at 1:58 p.m., the Director of Nursing (DON) confirmed the above findings that the facility failed to notify the physician of changes in a resident's blood glucose levels for Resident R1. 28 Pa. Code 201.14(a) Responsibility of licensee. Page 1 of 2 395013 395013 04/04/2024 Eldercrest Rehabilitation & Healthcare Center 2600 West Run Road Munhall, PA 15120

F 0580 28 Pa. Code 201.14(c)(e) Responsibility of licensee. Level of Harm - Minimal harm or potential for actual harm 28 Pa. Code 201.18(b)(1)(e)(1) Management. Residents Affected - Few 395013 Page 2 of 2