Health inspection·October 29, 2024

F 0610 Respond appropriately to all alleged violations. 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 reviews and staff interviews, it was determined that the facility failed to initiate a thorough investigation for incident or accidents for one of three residents (Residents R1). Residents Affected - Few Findings include: The facility Accident and Incidents-Investing and Reporting policy dated 1/1/24, indicated all accidents and incidents occuring on the premises must be investigated and reported. Review of clinical record indicated Resident R1 was admitted [DATE], with diagnoses which included diabetes mellitus, rheumatoid arthritis and major depressive disorder. A review of Resident R1's Minimum Data Set (MDS-a periodic assessment of resident care needs), dated 8/11/24, indicated diagnoses remained current. Review of facility provided documents submitted 10/14/24, Resident R1 accidently spilled coffee on his abdomen that was microwaved by another resident. Review of Resident R1's dated 10/14/24 at 10:53 p.m. revealed nurse aide informed nurse that resident had a burn to his abdomen, he stated he accidently poured hot coffee on himself. Resident R1 denies pain, top layer of skin red, no swelling. Review of Resident R1's investigation report dated 10/14/24, failed to include signed and dated witness statements from the resident and all staff members who had contact with the resident during the period of the alleged incident. During an interview on 10/29/24, at 1:45 p.m. Director of Nursing (DON) confirmed the facility did not conduct a through investigation on Resident R1 as required. 28 Pa. Code: 201.14(a) Responsibility of licensee 28 Pa. Code: 201.18(b)(1)(3) Management 28 Pa. Code: 211. 10(d) Resident care policies 28 Pa. Code: 211.12(d)(3) Nursing services Page 1 of 3 395295 395295 10/29/2024 Wecare at Murrysville Rehab and Nursing Center 3300 Logan Ferry Road Murrysville, PA 15668

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy review, clinical and facility record review, facility provided documents and staff interviews, it was determined that the facility failed to provide adequate supervision for one resident resulting in a burn for one of four resident's (Residents R1). Findings include: Review of facility policy Safety and Supervision of residents dated 1/1/24, indicated facility strives to make environment as free hazards as possible Review of the admission Record indicated Resident R1 was admitted to the facility on [DATE]. Review of the Resident Assessment Instrument 3.0 User's Manual effective October 2019, indicated that a Brief Interview for Mental Status (BIMS) is a screening test that aides in detecting cognitive impairment. The BIMS total score suggests the following distributions: 13-15: cognitively intact 8-12: moderately impaired 0-7: severe impairment Review of Resident R1's Minimum Data Set (MDS - a periodic assessment of care needs) dated 8/11/24, indicated the diagnoses of diabetes mellitus, rheumatoid arthritis and major depressive disorder. Section C: Cognitive Patterns, Question C0100 indicated a BIMS score of 15- cognitively intact. Review of facility provided documents submitted 10/14/24, Resident R1 accidently spilled coffee on his abdomen that was microwaved by another resident. Review of Resident R1's dated 10/14/24 at 10:53 p.m. revealed nurse aide informed nurse that resident had a burn to his abdomen, he stated he accidently poured hot coffee on himself. Resident R1 denies pain, top layer of skin red, no swelling. Interview with Nursing Home Administator on 10/29/24 at 1:00 p.m. indicated staff and resident's were reeducated after incident. During an interview on 10/29/24 at 1:15 p.m. the Director of Nursing confirmed the facility failed to provide adequate supervision for one resident resulting in a burn (Resident R1). 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services 28 Pa. Code 211.10(d) Resident care policies. 28 Pa. Code: 201.29(a)(b)(c)(I)(n) Resident rights. 395295 Page 2 of 3 395295 10/29/2024 Wecare at Murrysville Rehab and Nursing Center 3300 Logan Ferry Road Murrysville, PA 15668

F 0689 28 Pa. Code 201.18(b)(1) Management. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 395295 Page 3 of 3