Health inspection·June 13, 2024

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 clinical records, hospital records, and staff interviews, it was determined that the facility failed to ensure the physician medication orders were accurately entered and followed for one of four residents reviewed (Resident CL1). Residents Affected - Few Findings include: Review of CL1's clinical records revealed Resident CL1 was admitted to the facility on [DATE], with a diagnosis of Epilepsy (abnormal movements due to unusual electrical activity in the brain), and Irritable Bowel Syndrome (IBS- disorder that affects the stomach and intestines). Review of Resident CL1's Hospital Discharge Summary, Medication List, revealed a list of the medications for the resident to take. The list includes an order for Prednisone (anti-inflammatory medication)10 mg. Take four tablets by mouth daily for five days, then three tablets daily for seven days, then two tablets daily for seven days, then one tablet daily for seven days. Start taking on May 19, 2024. Review of Resident CL1's physician's order dated May 18, 2024, revealed Prednisone 10 mg four tablets by mouth every five days until May 23, 2024; three tabs by mouth daily until May 31, 2024, two tablets by mouth every seven days until June 6, 2024, and one tablet by mouth once daily until June 15, 2024. Review of Resident CL1's May 2024, Medication Administration Record (MAR) revealed that the Prednisone 10 mg four tablets was transcribed to be given every five days instead of daily for five days which was the hospital's medication order sent to the facility. The MAR revealed that the Prednisone 10 mg four tablets was only administered on May 19, 2024, until the resident left the facility in the afternoon of May 21, 2024. Interview with the licensed nurse, Employee E3 conducted on June 13, 2024, revealed upon residents' admission, hospital medication orders were reviewed by the nursing supervisor with the physician. If the physician does not agree with the hospital medication order, a note is written in the medication list from the hospital or on the resident's medical record. Employee E3 then reported that upon the physician's approval of the medication list from the hospital, the nursing supervisor enters the order into the physician's order and will automatically be transcribed in the resident's medication administration record. Employee E3 confirmed that licensed nurse Employee E4 entered the Prednisone order in the physician's order but was unable to provide an answer as to why it was entered as every five days instead of daily for five days. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 395403 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395403 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/13/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Newport Meadows Health and Rehabilitation Center 41 Newport Avenue Christiana, PA 17509 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)