Health inspection·January 29, 2025

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, clinical records and staff interview, it was determined that the facility failed to notify the family of a change in condition in a timely manner for one of nineteen residents (Resident R1). Findings include: Review of the facility policy Resident Change in Condition Policy dated 6/27/24, indicated the responsible party or guardian is to be notified when there has been a significant change in the resident's physical condition. Review of the clinical record indicated that Resident R1 was admitted to the facility on [DATE], with diagnoses that included peripheral vascular disease (a circulatory condition in which narrowed blood vessels reduce blood flow to the limbs) and type 2 diabetes mellitus (condition in which the body has trouble controlling blood sugar) with diabetic neuropathy (complication that can cause nerve damage in the hands and feet). Review of the Minimum Data Set (MDS - a periodic assessment of care needs) dated 1/21/25, indicated the diagnoses remain current. Review of Resident R1's wound assessment dated [DATE], indicated the resident had a pressure ulcer to the right lateral heel 2.9 centimeters (cm) length by 2.6 cm width by 0.3 cm depth with moderate exudate (abrasion) and slough (dead skin cell) tissue. Review of Resident R1's wound assessment dated [DATE], indicated the resident had a pressure ulcer to the right lateral heel 12.5 cm length by 7.3 cm width by 0.5 cm depth with moderate exudate, eschar (dark falling away of dead skin) tissue, and mild wound odor. Wound status was declining. There was no evidence in the clinical record that the resident's family was notified of this change in condition. During an interview on 1/29/25, at 10:53 a.m. the Nursing Home Administrator and the Director of Nursing confirmed that the facility failed to notify the family of a change in condition in a timely manner for one of nineteen residents (Resident R1). 28 Pa. Code: 201.29(a)(b)(c)(d)(j)(m) Resident rights. 28 Pa. Code: 201.14(a)(c)(d)(e) Responsibility of licensee. Page 1 of 2 395653 395653 01/29/2025 Woodhaven Health & Rehab Center 2400 McGinley Road Monroeville, PA 15146

F 0580 28 Pa. Code: 211.12(d)(1)(2)(3)(5) Nursing services. Level of Harm - Minimal harm or potential for actual harm 28. Pa. Code: 211.10(a)(c)(d) Resident care policies. Residents Affected - Few 395653 Page 2 of 2