Health inspection·November 22, 2023

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Based on review of manufacturer's instruction manual for the Hoyer lift (full body, mechanical lift machine), observations, and staff interview, it was determined the facility failed to establish that all Hoyer lift inspections were completed at least annually to ensure safe, proper functioning for one of one Hoyer lifts observed. Findings include: Review of the facility Hoyer lift manufacturer's instruction manual revealed that .a yearly service, inspection and test will ensure a lift is kept in optimum safe working condition . Observation on 11/18/23, at approximately 12:00 p.m. revealed the facility Hoyer lift in the corridor with a lift inspection sticker on the machine that identified the Hoyer lift service company had last serviced/inspected the machine in November 2021 and the next inspection was due in November 2022. During an interview on 11/18/23, at 12:10 p.m. the Maintenance Director confirmed that the last Hoyer lift service/inspection conducted by the service company was from November 2021 and that the lift was not serviced/inspected annually. Observation on 11/21/23, at 1:17 p.m. of the the Hoyer lift operation for one resident being transferred to bed revealed that during the process of elevating into the air, the lift paused and the nurse aide hit the battery casing and the lift proceeded to continue to operate. While the resident was being elevated into the air, the lift elicited a loud screeching/grinding noise during the entire motion upward. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(b)(1) Management 28 Pa. Code 201.18(e)(1) Management Page 1 of 2 395867 395867 11/22/2023 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. Based on a review of vendor invoices and staff interviews, 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 July 1, 2023, 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 the facility's Accounts Payable Ledger, on 11/20/23, that reflected amounts due through 7/15/23, revealed a combined outstanding balance of $93,410.66 for two vendors that provided agency nurse staffing services for the facility. The ledger also revealed multiple outstanding payments due for a variety of other vendors. During an interview on 11/21/23, at 1:34 p.m. the Nursing Home Administrator confirmed that the facility's Accounts Payable ledger as of 11/20/23, was up to date and accurate. 28 Pa. Code 201.14 (g) Responsibility of licensee 395867 Page 2 of 2