Inspection·December 31, 2024

F 0755 Level of Harm - Minimal harm or potential for actual harm Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on review of facility policy and clinical records, it was determined that the facility failed to ensure the timely availability of medication for three of three residents reviewed (Residents R1, R2, and R3). Residents Affected - Some Findings include: Review of the facility policy entitled Specialty RX Policies and Procedures Pennsylvania dated 5/15/24, revealed . Each facility has routine deliveries to meet the facility's needs and ensure timelines of medication availability . Specialty Rx, Inc. pharmacies provide emergency deliveries of medication during and after normally scheduled hours of pharmacy operation and to ensure the customer is provided medications and care as ordered by the physician. A stat medication refers to a new medication ordered by the physician or a true stat that is not available in the facilities Back-up box or E-kit to provide medications in a timely manner by utilizing satellite (back-up) pharmacies to dispense medications that are needed by a facility sooner than the facility's regularly scheduled delivery Resident R1's clinical record revealed an admission date of 12/06/24, with diagnoses that included epilepsy (a seizure disorder), cerebral palsy (a disorder affecting movement, muscle tone, or posture), and major depressive disorder. Resident R1's clinical record revealed a physician's order dated 12/06/24, for Lacosamide (an anticonvulsant medication used to treat seizures) 150 milligrams (mg) give one tablet two times a day. Review of Resident R1's December 2024 Medication Administration Record (MAR) revealed the Lacosamide 150 mg was not administered as ordered by the physician on 12/06/24 (one dose), 12/07/24 (two doses), and 12/08/24 (one dose). Progress notes corresponding with the missed doses indicated the facility was waiting for the pharmacy to deliver the medications. Resident R2's clinical record revealed an admission date of 11/29/24, with diagnoses that included pneumonia (lung infection), chronic obstructive pulmonary disease (a group of lung diseases that make it difficult to breath), and muscle weakness. Resident R2's clinical record revealed a physician's order dated 11/29/24, for Cefazolin Sodium Injection Solution Reconstituted (an antibiotic used to treat various infections) 2 grams every 8 hours intravenously (medication delivered directly into the bloodstream). Review of Resident R2's November 2024 MAR and December 2024 MAR revealed the Cefazolin Sodium Injection Solution Reconstituted 2 grams was not administered as ordered by the physician on 11/30/24 (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 2 Event ID: 395502 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 395502 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/31/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oakwood Heights Village 10 Vo Tech Drive Oil City, PA 16301 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)