Health inspection·February 11, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policies, facility provided documentation, clinical records and staff interview, it was determined that the facility failed to make certain a resident was free from abuse/neglect for two of five residents(Residents R1 and R2). Findings include: Review of the facility policy Abuse, Neglect and Exploitation last reviewed on 1/31/25, with a previous review date of 1/31/24, indicated that the facility will provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. Potential employees will be screened for a history of abuse, etc. New employees will be educated on abuse, neglect, etc. The facility will have ongoing training for facility personnel as to he requirements of the facility's policies and procedures for assuring resident safety. Review of the clinical record indicated that Resident R1 was admitted to the facility on [DATE], with diagnoses which included dementia, difficulty walking, cognitive communication disorder and heart failure. A Minimum Data Set (MDS- a periodic assessment of resident care needs) dated 1/14/25, indicated the diagnoses remained current. Section C0500 (Brief Interview for Mental Status - BIMS) indicated a score of 15; which indicated the resident was cognitively intact. Review of the facility provided information dated 1/15/25, indicated that Resident R1 had been identified as being neglected by Nurse Aide Employee E1 when she put on her call light for assistance. The Housekeeper who submitted the allegation indicated that NA Employee E1 stated It was not her job to care for Resident R1 that the floater would do it. The information submitted indicated that NA Employee E1 confirmed that she refused to provide Resident R1 assistance. Review of the Alleged Neglect report dated 1/15/25, indicated that Resident R1 was interviewed by the Director of Nursing and Resident R1 stated she put on her call bell to use the bathroom, and she waited more than usual time to be provided assistance (30- 40 minutes). Review of a phone interview with NA Employee E1 dated 1/15/25, indicated that she was scheduled to be the NA on the wing where Resident R1 resides and that she refused to respond to Resident R1's request for assistance. Review of the statement submitted by the Housekeeper Employee E2 indicated that at approximately 3:30 a.m., Resident R1's call light was illuminated and NA Employee E1 walked past the room. At Page 1 of 2 395675 395675 02/11/2025 Waynesburg Nursing and Rehab 300 Center Avenue Waynesburg, PA 15370

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few approximately 4:10 a.m., NA Employee E1 walked up to another housekeeper and Housekeeper Employee E2 and said I am not getting that resident, it is ot my job. we have a floater who can do it. The stated indicated that Resident R1's call light was still on at 5:00 a.m. and NA Employee E1 was sitting in a chair in the hall on her phone. Review of Resident R1's Documentation Survey Report (an electronic report showing the care provided to a resident by the Nurse Aide's) did not include documented care for Resident R1 on 1/15/25, for the 11-7 shift. Review of the clinical record indicated that Resident R2 was admitted to the facility on [DATE], with diagnoses which included lung disease, bipolar disorder (a mental condition marked by alternating elation and depression), morbid obesity, anxiety and psychosis. A MDS dated [DATE], indicated the diagnoses remained current. Section C0500 (Brief interview for mental status) indicated a score of 15; which indicated the resident was cognitively intact. Review of the facility provided documentation dated 1/15/25, indicated that Resident R2 had indicated that on 1/6/25, LPN Employee E3 had questioned the resident why he was going to call the DOH and why. The report indicated that Resident R2 went to he Nursing Home Administrator with the concern who then went to LPN Employee E3 to speak to her. The report indicated that after that LPN Employee E3 went back to Resident R2 and asked him why he went to the NHA about her. Review of a statement dated 1/6/25 submitted by the NHA indicated that LPN Employee E3 made Resident R2 anxious about it. Review of the statement submitted by the DON after interviewing Resident R2 indicated that the LPN contacted he resident on Facebook and med him feel uncomfortable. During an interview on 2/11/25, at 2:35 p.m., the Nursing Home Administrator and Director of Nursing confirmed that the facility failed to make certain a resident was free from abuse/neglect for two of five residents reviewed (Resident R1 and R2). 28 Pa. Code 201.14(a) Responsibility of licensee. 28 Pa. Code 201.18(b)(1)(e)(1) Management. 28 Pa. Code 211.12(c)(d)(1)(3)(5) Nursing services. 395675 Page 2 of 2