Health inspection·March 26, 2025

F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, resident, and staff interviews, it was determined that the facility failed to obtain physician orders and failed to care plan interventions for medication self-administration for one of three residents (Residents R1). Residents Affected - Few Findings include: Review of the facility policy Administering Medications last reviewed 8/19/24, indicates residents may self-administer their own medications only if the attending physician, in conjunction with the interdisciplinary care planning team, has determined that they have the decision-making capacity to do so safely. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE], with the diagnosis of diabetes (high sugar in the blood), atrial fibrillation (heart does not pump as it should) and high blood pressure. During an observation completed on 3/26/25, at 10:35 a.m. Resident R1 was sitting in her chair she was holding a medication cup that contained one pink pill, one yellow pill, one white pill, and one salmon colored pill. Review of Resident R1's physician orders on 3/26/25, failed to include an order for medication self-administration. Review of Resident R1's care plan on 3/26/25, failed to include interventions for medication self-administration. During an interview completed on 3/26/25, at 10:49 a.m. Registered Nurse (RN) Employee E5, stated I just left there, I put them in her hand, I thought she took them and confirmed the medications were left at the bedside and there was not an order for Resident R1 to self-administer medications. During an interview completed on 3/26/25, at 11:05 the Nursing Home Administrator (NHA) approached this surveyor while walking down the hallway and stated she just came down and told us about the medications. During an interview completed on 3/26/25, at 1:03 p.m. the NHA confirmed Resident R1's medications were at bedsideand that the facility failed to obtain physician orders and failed to care plan interventions for medication self-administration for one of three residents (Residents R1). Page 1 of 2 395109 395109 03/26/2025 Beaver Healthcare and Rehabilitation Center 616 Golf Course Road Aliquippa, PA 15001

F 0554 28 Pa. Code 201.14(a) Responsibility of Licensee. Level of Harm - Minimal harm or potential for actual harm 28 Pa. Code: 211.10(c)(d) Resident care policies. 28 Pa. Code: 211.12(d)(1)(5) Nursing services. Residents Affected - Few 28 Pa. Code: 211.9(a)(1) Pharmacy services. 395109 Page 2 of 2