Inspection·December 21, 2023

F 0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Level of Harm - Minimal harm or potential for actual harm Based on clinical record review, facility policy and interviews with staff, it was determined that the facility did not ensure that a physician assessment was completed related to unplanned weight loss for one of 33 residents with weight loss reviewed (Resident R25). Residents Affected - Few Findings include: Review of clinical documentation for Resident R25 revealed that that the resident was admitted to the facility September 13, 2023, with diagnoses of hyperlipemia (excessive amounts of fat and fatty substances in the blood), difficulty in walking and muscle weakness. Review of the resident's weight documentation revealed that on September 20, 2023, Resident R25 weighed 133.1 pounds and on December 19, 2023, the resident weighed 116.8 pounds which was unplanned weight loss of a -12.25% in three month, which met the criteria of a significant weight loss. On December 20, 2023 at 11:15 a.m. an interview with the Registered Dietician, Employee E4 revealed that dietician did evaluate Resided R25 and implemented weight gain interventions; however, clinical record had no evidence that the physician assessment was completed related to unplanned weight loss. Interview with the Nursing Home Administrator and the Director of Nursing on December 20, 2023, at 11:15 p.m. confirmed that there was no validating documentation from admission date of September 20, 2023 through December 20, 2023 that physician had assessed the resident in regards to weight loss. 28 Pa. Code:211.12(d)(5) Nursing services. 28 Pa. Code:211.2(a) Physician services. 28 Pa. Code 211.5(f) Clinical records 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 2 Event ID: 395757 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 395757 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/21/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Edgehill Nursing and Rehab Cen 146 Edgehill Road Glenside, PA 19038 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)