Health inspection·December 13, 2023

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility records, resident and staff interview it was determined that the facility failed to respect resident rights in the handling and protection of personal property an packages being delivered upon receipt and unopened for one of three residents reviewed Resident R1. Findings include: Resident R1 was admitted to the facility on [DATE], and has a readmission date of 10/31/18, Resident R1 has a BIMS (brief interview mental status) score of14 which indicated he is alert and oriented. Resident R1 has a diagnosis of type 2 diabetes mellitus (problem in the way the body regulates and uses sugar as fuel) , COPD ( a condition involving constriction of the airways and difficulty/discomfort breathing), and spinal stenosis (space in the spine narrow and create pressure on the spinal cord and nerve roots). Which remain current as of the MDS (minimum data set - a brief periodic review of resident needs), dated 11/13/23. Review of facility documentation concern form, dated 12/11/23, indicated Missing package delivered by FedEx on 11/21, for all personal items ordered through his insurance. The actions section of the form indicated items in UM (Unit Manager) of. During an interview on 12/12/23 at 9:50 a.m. Resident R1 indicated that they had ordered a package online and received a text telling him his package was delivered by mail carrier to the facility. Resident R1 indicated that the package was not delivered to him for several days after receipt of the text. Resident R1 also indicated that when he got the package it was open with no explanation as to why it had been opened. During a review of Resident R1 clinical record there was no mention of the missing package. Review of the concern form failed to indicate why Resident R1 did not receive the package timely and why it was opened. During an interview on 12/12/23, at 3:50 p.m. Registered Nurse Unit Manager Employee E3 confirmed that the package was opened prior to Resident R12 receiving it, and that it sat in the office (unit managers) for days prior to Resident R1 receiving the package. During an interview on 12/12/23, at 3:55 p.m. Director of Nursing (DON) confirmed that there was no Page 1 of 4 395745 395745 12/13/2023 Rose Meadows Health & Rehab Center 1717 Skyline Drive Pittsburgh, PA 15227

F 0557 further documentation about the package and why there was a delay in the resident receiving the package. Level of Harm - Minimal harm or potential for actual harm During an interview on 12/12/23, at 3:56 p.m. DON confirmed that the facility failed to respect resident rights in the handling and protection of personal property for Resident R1 package being deliver opened and not upon receipt in the facility. Residents Affected - Few 28 Pa. Code 201.18 Euro(1)(h)Management. 28 Pa. Code 201.29(a)c(i)(k)Resident rights. 395745 Page 2 of 4 395745 12/13/2023 Rose Meadows Health & Rehab Center 1717 Skyline Drive Pittsburgh, PA 15227

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy, facility submitted reports, clinical record review and staff interviews, it was determined that the facility failed to make certain that assistance for activities of daily living were consistently provided for 16 of 93 residents (R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16 and R17). Residents Affected - Some Review of the facility policy Routine Resident Care, last reviewed 8/21/23, indicated that routine care by a nursing assistant includes assisting or providing for personal care including timely incontinence care. Review of three facility provided documents indicated Residents R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15 and R16 had not been provided assistance with incontinence care timely and Resident R17 had been left on a bedpan but had refused care when staff attempted to provide care. All residents had complete assessments completed with no identified skin issues. Review of the clinical record indicated Resident R2 was admitted to the facility on [DATE], with diagnoses of dementia and agitation. An MDS (Minimum Data Set- a periodic assessment of resident needs) dated 12/7/23, indicated the diagnoses remained current and that Resident R2 requires assistance with ADL's (activities of daily living). Review of the clinical record indicated that Resident R3 was admitted to the facility on [DATE], with a diagnosis of dementia. An MDS dated [DATE], indicated the diagnosis remained current and that Resident R3 required assistance with ADL's. Review of the clinical record indicated that Resident R4 was admitted to the facility on [DATE], with diagnosis of dementia. An MDS dated [DATE], indicated the diagnosis remained current and that Resident R4 required assistance with ADL's. Review of the clinical record indicated that Resident R5 was admitted to the facility on [DATE], with diagnosis of dementia. A MDS dated [DATE], indicated the diagnosis remained current and that Resident R5 required assistance with ADL's. Review of the clinical record indicated that Resident R6 was admitted to the facility on [DATE], with a diagnosis of dementia. A MDS dated [DATE] indicated the diagnosis remained current and that Resident R6 required assistance with ADL's. Review of the clinical record indicated that Resident R7 was admitted to the facility on [DATE], with a diagnosis of dementia. A MDS dated [DATE], indicated the diagnosis remained current and that Resident R7 required assistance with ADL's. Review of the clinical record indicated that Resident R8 was admitted to the facility on [DATE], with a diagnosis of dementia. A MDS dated [DATE], indicated the diagnosis remained current and the Resident R8 required assistance with ADL's. Review of the clinical record indicated that Resident R9 was admitted to the facility on [DATE], with a diagnosis of dementia. A MDS dated [DATE], indicated the diagnosis remained current and that Resident R9 required assistance with ADL's. 395745 Page 3 of 4 395745 12/13/2023 Rose Meadows Health & Rehab Center 1717 Skyline Drive Pittsburgh, PA 15227

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Review of the clinical record indicated that Resident R10 was admitted to the facility on [DATE], with diagnosis of dementia. A MDS dated [DATE]. indicated the diagnosis remained current and that Resident R10 required assistnace with ADL's. Review of the clinical record indicated that Resident R11 was admitted to the facility on [DATE], with a diagnosis of dementia. A MDS dated [DATE], indicated the diagnosis remained current and that Resident R11 required assistance with ADLs. Review of the clinical record indicated that Resident R12 was admitted to the facility on [DATE], with a diagnosis of dementia. A MDS dated [DATE], inidcated the diagnosis remained current and that Resident R12 required assistance with ADL's. Review of the clinical record indicated that Resident R13 was admitted to the facility on [DATE], with a diagnosis of dementia. A MDS dated [DATE], indicated the diagnosis remained current and that Resident R13 required assistance with ADL's. Review of the clinical record indicated that Resident R14 was admitted to the facility on [DATE], with a diagnosis of a fracture thoracic spine. A MDS dated [DATE], indicated the diagnosis remained current and that Resident R14 required assistance with ADL's. Review of the clinical record indicated that Resident R15 was admitted to the facility on [DATE], with a diagnosis of pneumonia and lung disease. A MDS dated [DATE], indicated the diagnosis remained current and that Resident R15 required assistance with ADL's. Review of the clinical record indicated that Resident R16 was admitted to the facility on [DATE], with a diagnosis of a fracture left leg. A MDS dated [DATE], indicated that the diagnosis remained current and that Resident R16 required assistance with ADL's. Resident R16 has been discharged . Review of the clinical record indicated that Resident R17 was admitted to the facility on [DATE], with a diagnosis of Multiple Sclerosis and inability to use both lower extremities. A MDS dated [DATE], indicated the diagnosis remained current and that Resident R17 required assistance with ADL's. During an interview on 12/12/23, at 2:50 p.m., the Nursing Home Administrator confirmed that the reports indicated staff had not provided timely assistance with ADL's and that the staff had been removed from care and/or terminated due to the lack of providing timely care to the residents identified. 28 Pa. Code: 211.10(a)(c)(d) Resident care policies. 28 Pa. Code: 211.12(d)(1)(2)(3)(5) Nursing services. 395745 Page 4 of 4