Health inspection·August 11, 2023

F 0849 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of clinical records and staff interviews, it was determined that facility staff failed to maintain ongoing communication with hospice services (a special model of care for patients who are in the late phase of an incurable illness and wish to receive end-of-life care) center for two of two residents receiving hospice (Resident R13 and R49). Findings include: A review of the facility policy Hospice last reviewed 4/26/23, indicated the hospice will provide a communication process, including the method for documenting the communication between the center and the hospice provider to ensure that the patient's needs are met 24 hours per day A review of the clinical record indicated that Resident R13 was admitted to the facility on [DATE], with diagnoses that included iron deficient anemia secondary to chronic blood loss, chronic kidney disease, and failure to thrive. A review of a physician's order dated 11/23/22, indicated Resident R13 was admitted to hospice services. Review of a care plan indicated that hospice staff will visit to provide care, assistance, and evaluations. Review of the clinical record revealed the last documented hospice communication with the facility was on 5/23/23. A review of the clinical record indicated that Resident R49 was admitted to the facility on [DATE], with diagnoses that included dementia (a condition characterized by progressive or persistent loss of intellectual functioning), acute and chronic respiratory failure, and congestive heart failure (a condition in which the heart doesn't pump as well as it should). A review of a physician's order dated 10/25/22, indicated Resident R49 was admitted to hospice services. Review of a care plan indicated that hospice staff will visit to provide care, assistance, and evaluations. Review of the clinical record revealed the last documented hospice communication with the facility Page 1 of 2 395243 395243 08/11/2023 Laurel Ridge Center 75 Hickle Street Uniontown, PA 15401

F 0849 was on 7/13/23. Level of Harm - Minimal harm or potential for actual harm During an interview on 8/11/23, at 2:30 p.m. the Director of Nursing confirmed there were not consistent communication notes for Resident R13 and R49 for hospice visits and services. Residents Affected - Many 28 PA Code: 211.10(c)(d) Resident Care Policies 28 PA Code: 201.18 (b)(1)(e)(1) Management. 28 PA Code: 211.12 (d)(1)(2)(3)(5) Nursing Services. 395243 Page 2 of 2