Health inspection·January 11, 2024

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Based on observations and interviews during a facility power outage, it was determined that the facility failed to ensure residents environment remained as free of accident hazards as is possible in two out of three nursing units (East and South Wings). Findings: Observations on January 10, 2024, at 9:30 a.m. revealed that the facility experienced a power outage during the night. Orange power cords (long extension cords) were in the lying, in the east and south wings of the nursing units, across the hallways into resident rooms. An interview with the Director of Nursing on January 10, 2024, revealed that the building is old and the outlets in the resident rooms were not active due to the power outage. Outlets that are in the hallways are active and for residents that are oxygen and have air mattresses need power. The extension cords provide these items power and function. Further observations at 12:00 p.m. revealed extension cords gathered in the middle of the hall in the east and south hall and staff walking over them and occasionally catching their feet in these cords. An interview with the Nursing Home Administrator on January 11, 2024, at 12:30 p.m., revealed the resident beds are powered by electricity to adjust the bed height and the head and foot of the bed. They could not secure the cords to the floor, with the tape, for this reason. The faciltiy failed to ensure the safety of residents and staff during a power outage by placing electrical cords across the hallways of the east and south halls. 28 Pa. Code 201.18(b)(1)(3) Management Page 1 of 2 395498 395498 01/11/2024 Wesley Enhanced Living Main Line Rehab and Skd Nsg 100 Halcyon Drive Media, PA 19063

F 0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. Level of Harm - Minimal harm or potential for actual harm Based on facility policy review, clinical record review, and staff interviews it was determined that the facility failed to provide adequate indications for use of pain medications for one of 24 residents reviewed (Resident 34). Residents Affected - Few Findings include: Review of the facility policy revealed a document titled Pain Assessment and Management, dated March 2015, states the staff will document the resident's reported level of pain with adequate detail as necessary and in accordance with the pain management program. Review of Resident 34's clinical record revealed an admission date of December 6, 2023, hip fracture and aftercare of joint replacement therapy. a physician order dated December 7, 2023, for Oxycodone Hcl Oral Capsule 5mg (pain medication) to be given every four hours (as needed) for severe pain (7-10). Review of the Medication Administration Record revealed that the resident received pain medication on pain scale and adequate documentation for administration. An interview with the Director of Nursing on January 11, 2024 at 12:00 p.m. revealed there was no further documentation. 28 Pa. Code 211.5(f) Clinical Records 28 Pa. Code 211.12(d)(5) Nursing Services 395498 Page 2 of 2