Health inspection·April 4, 2023

F 0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Level of Harm - Minimal harm or potential for actual harm Based on review of facility financial records and clinical records, as well as staff interviews, it was determined that the facility failed to convey and provide a final accounting of a resident's funds upon discharge from the facility within 30 days as required for seven of seven residents reviewed (Residents 1, 2, 3, 4, 5, 6, 7). Residents Affected - Some Findings include: Physician orders for Resident 1 dated July 22, 2022, indicated that he was discharged to home. A check request form, dated December 20, 2022, revealed that a check was requested in the amount of $398.00 for a refund that was due to Resident 1, as a result of overpayment. The refund to Resident 1 was paid on December 27, 2022 (158 days after being discharged ). A nursing note for Resident 2, dated July 15, 2022, at 7:35 p.m. revealed that the resident ceased to breath and her family member was notified. A facility e-mail, dated December 27, 2022, revealed that a refund for Resident 2 was late and needed paid as soon as possible. A check request form, dated January 12, 2023 revealed that a check was requested in the amount of $1665.30 for a refund that was due to Resident 2's family, as a result of overpayment. As of April 4, 2023, there was no documented evidence that Resident 2's refund was paid out to the resident's family. Interview with the Business Office Manager on April 4, 2023, at 9:01 a.m. revealed that Resident 2 was the only resident refund that had not been paid. She indicated that she was having a hard time getting it paid and that it should have been paid by August 15, 2022. Physician's orders for Resident 3, dated October 20, 2022, indicated that he ceased to breath. A check request form, dated December 21, 2022, revealed that a check was requested in the amount of $648.40 for a refund that was due to Resident 3's family, as a result of overpayment. The refund to Resident 3's family was paid on December 27, 2022 (68 days after being discharged ). Physician orders for Resident 4, dated November 7, 2022, indicated that he ceased to breath. A check request form, dated December 20, 2022, revealed that a check was requested in the amount of $957.00 for a refund that was due to Resident 4's family, as a result of overpayment. The refund to Resident 4's family was paid on December 27, 2022 (52 days after being discharged ). A nursing note for Resident 5, dated October 21, 2022, at 11:52 p.m. revealed that the resident ceased to breathe and her family member was at bedside. A check request form, dated December 20, 2022, Page 1 of 2 395652 395652 04/04/2023 Ridgeview Healthcare and Rehabilitation Center 30 Fourth Avenue Curwensville, PA 16833

F 0569 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some revealed that a check was requested in the amount of $1816.70 for a refund that was due to Resident 5's family, as a result of overpayment. The refund to Resident 5's family was paid on December 27, 2022 (68 days after being discharged ). Nursing notes for Resident 6, dated November 1, at 5:04 p.m. and November 6, 2022, at 1:32 p.m. revealed that the resident was transferred to the hospital and ceased to breath. A check request form, dated December 21, 2022, revealed that a check was requested in the amount of $1521.00 for a refund that was due to Resident 6's family, as a result of overpayment. The refund to Resident 6's family was paid on December 27, 2022 (51 days after being discharged ). Physician order for Resident 7 indicated that he was discharged on September 3, 2022. A copy of a check, dated December 27, 2022, revealed that it was made in the amount of $8,613.00 for a refund that was due to Resident 7, as a result of over payment (114 days after being discharged ). Interview with the Business Office Manager on April 4, 2023, at 9:01 a.m. confirmed that the refund checks to the families of Residents 3, 4, 5, 6, and to Residents 1 and 7 were all paid beyond the deadline. 28 Pa. Code 201.29(j) Resident rights 28 Pa. Code 201.18(b)(2) Management 395652 Page 2 of 2