Inspection·March 4, 2024

F 0836 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Many Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a review of the facility's accounts payable ledger, as well as interviews with staff, it was determined that the facility failed to operate in compliance with state regulations and codes. The facility's failure created a situation which placed the residents in immediate jeopardy of the likelihood of serious bodily injury, harm or death. Findings include: 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection 201.14(g), dated July 1, 2023, revealed that a facility owner shall pay in a timely manner bills incurred in the operation of a facility that are not in dispute and that are for services without which the resident's health and safety are jeopardized. Information provided by the facility on February 28, 2024, revealed that they had not paid the employees of the facility their due wages for the payroll due February 23, 2024. The amount due to cover the payroll was $189,422.71. Documentation provided by the facility revealed that they received email notification from the payroll company on February 21, 2024, that a wire transfer was required to distribute the payroll for February 23, 2024. Interview with facility's union president revealed that there was a significant chance that many staff would walk off the job if not paid by Friday, March 1, 2024, which would leave the residents without proper staffing to care for all of their needs. The facility's accounts payable ledger, dated February 28, 2024, revealed outstanding balances for: [NAME] Highlands [NAME] lab for $29,325.03. The last payment was made February 28, 2024, for $3000.00. Clearfield [NAME] Primary Care Assoc, Dr. [NAME] for $24,500.00. The last payment was made February 28, 2024, for $3000.00. [NAME] Elevator Corporation for $3056.47. The last payment was made February 22, 2024, for $2868.06. Specialty RX for $45,466.78. The last payment was made on February 22, 2024, for $4000.00. (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: 395652 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 395652 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/04/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ridgeview Healthcare and Rehabilitation Center 30 Fourth Avenue Curwensville, PA 16833 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)