Health inspection·May 24, 2023

F 0678 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of select facility policies, staff cardiopulmonary resuscitation (CPR) training and certification information and staff interview, it was determined that the facility failed to ensure licensed nursing staff maintained current training to provide basic life support for six of 12 licensed personnel reviewed (Employees E1 through E6). Findings include: Review of a facility policy entitled, Emergency Procedure-Cardiopulmonary Resuscitation, indicated that in Preparation for Cardiopulmonary Resuscitation clinical staff members would maintain Basic Life Support/Cardiopulmonary Resuscitation certification. During interview on [DATE], at 9:45 a.m. the Nursing Home Administrator (NHA) disclosed that the employee files for licensed staff did not contain records of current CPR certification and revealed that several of licensed staff employed by the facility, did not have current CPR certification. On [DATE], the NHA provided a list of currently employed licensed staff and their CPR certification status. This list disclosed that Registered Nurse Employees E1, E2, E3, E4 and E5 and Licensed Practical Nurse E6 did not have current CPR certifications. 28 Pa. Code 201.18(b)(1)(3) Management 28 Pa. Code 211.12 (d)(1)(3)(5) Nursing services Page 1 of 2 395867 395867 05/24/2023 Lakeview Healthcare and Rehab 15 West Willow Street Smethport, PA 16749

F 0836 Level of Harm - Minimal harm or potential for actual harm 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 vendor invoices as well as interviews with vendors and staff, it was determined that the facility failed to operate in compliance with state regulations and codes and failed to pay vendors in a timely manner. Findings include: 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations subsection 201.14(g), dated [DATE], 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. Review of a vendor invoice for Cardio-Pulmonary Resuscitation (CPR) training services reflected services were provided [DATE] for an original fee of $713.69. The facility failed to pay for those services rendered. The CPR vendor has applied a monthly late fee of $42.82 each month. Review of a facility invoice payment with an effective date of [DATE], in the amount of $899.25 indicated that a payment was in process to the vendor that provided the CPR training services. During an interview on [DATE], at 2:00 p.m. CPR training vendor representative disclosed that they had received a copy of the invoice payment with the effective date of [DATE], from the facility and was awaiting payment but had not yet been received as of [DATE]. During an additional interview on [DATE], at 8:05 a.m. CPR training vendor representative revealed that there continued to be accruing late fees for a current outstanding total of $984.89. The vendor representatives indicated they have reached out to the facility for payment and would not continue to provide these training services due to non-payment. Review of the facility's Accounts Payable Ledger, on [DATE], that reflected amounts due through [DATE], revealed an outstanding balance of $899.25 for the vendor that provided CPR training services for the facility and that a payment was made in the amount of $899.25 on [DATE]. The late fees for April and [DATE] were not reflected in the payment made on [DATE]. The ledger also revealed multiple outstanding payments due for a variety of other vendors. During an interview on [DATE], at 10:58 a.m. the Nursing Home Administrator confirmed that the above vendor continued to have an outstanding payment due from [DATE], through [DATE] and that a payment transaction was currently to be processed of $899.25 on [DATE], reflecting 237 days past the date services were rendered on [DATE] and did not include the additional late fees. 28 Pa. Code 201.14 (g) Responsibility of licensee 28 Pa. Code 201.18 (e)(1) Management 395867 Page 2 of 2