Health inspection·February 5, 2025

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 review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to make certain that residents were provided appropriate treatment and care for one of three residents (Residents R1). Residents Affected - Few Findings include: Review of facility policy Resident Rights, indicated basic rights to all residents of this facility. Resident to be notified of his or her medical condition and of any changes in his or her condition. Be informed of, and participate in, his or her care planning and treatment. Review of facility policy Medication and Treatment Orders, indicated orders for treatments will be consistent with principles of safe and effective order writing. Review of Resident R1's clinical record indicated the resident was admitted to the facility on [DATE]. Review of Resident R1's MDS dated [DATE], indicated diagnoses of high blood pressure, arthritis, and coronary artery disease (damage or disease in the heart's major blood vessels). Review of Resident R1's physician orders dated 12/25/24, indicated a follow up appointment to be made with cardiology one month after stent placement (a medical procedure used to open up narrowed or blocked blood vessels). Review of Resident R1's clinical record on 2/5/25, at 11:33 a.m. failed to have cardiology follow up appointment records to review. During an interview on 2/5/25, at 12:05 p.m. Scheduler Employee E1 stated, I was not aware of that appointment, and it has not been made. She has not gone to that appointment. During an interview on 2/5/25, at 2:01 p.m. Director of Nursing confirmed that the facility failed to make an appointment per physician order for Resident R1. 28 Pa. Code 201.18 (b)(1) Management 28 Pa. Code 201.29(a) Resident Rights 28 Pa. Code 211.10 (c)(d) Resident Care policies Page 1 of 2 395208 395208 02/05/2025 Hillcrest Rehabilitation & Healthcare Center 100 Little Drive Lower Burrell, PA 15068

F 0684 28 Pa. Code 211.12 (d)(1)(2)(3)(5) Nursing services Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 395208 Page 2 of 2