Health inspection·January 24, 2024

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, resident and staff interviews it was determined the facility failed to follow physician orders for medication treatments for one of three residents reviewed. (Resident R1) Residents Affected - Few Findings Include: Review of Resident R1's clinical record revealed diagnoses of the following including but not limited to of Obstructive Sleep Apnea and Acute Respiratory Failure with Hypoxia. Interview conducted with Resident R1 on January 24, 2024, at approximately 2:40 p.m. revealed after resident's admission on [DATE]; Resident R1 went nearly two weeks without his/her CPAP (continuous positive airway pressure machine) which is required for him/her to breathe properly. Review of Resident R1's clinical record revealed the resident was admitted into the facility on December 8, 2023. Further review of the resident's clinical record revealed a progress note dated December 14, 2023, indicating the resident needed a new CPAP machine, due to previous machine malfunctioned. Review of Resident R1's progress notes dated December 15, 2023, thru December 21, 2023, indicated the resident did not receive a CPAP machine. Review of Resident R1's progress note dated December 21, 2023, at 4:23 p.m., indicated the resident was shown how to use new CPAP machine. Review of Resident R1's medications administration record for December 2023, revealed the resident was receiving the CPAP treatments on days when the progress notes documented the equipment was not available. During interview with the Director of Nursing (DON) on January 24, 2024, at 4:25 p.m. inquiry was made concerning the conflicting documentation. The DON failed to explain the conflicting documentation. Interview conducted with Nursing Home Administrator(NHA) and Director of Nursing (DON) on January 24, 2024, at 5:00 p.m., revealed Resident R1 was diagnosed with sleep apnea during a hospital stay. Director of Nursing indicated that Resident R1 never went without a CPAP machine. DON stated the progress notes were referring to the resident receiving a new CPAP machine to take home, although the resident does not have a discharge plan. The NHA and DON failed to explain why the progress notes Page 1 of 2 395917 395917 01/24/2024 Brinton Manor Nursing and Rehabilitation Center 549 Baltimore Pike Glen Mills, PA 19342

F 0684 indicated the resident had not received a new CPAP machine timely. Level of Harm - Minimal harm or potential for actual harm 28 Pa. Code 211.12 (a)(c)(d)(3)(5) Nursing Services Residents Affected - Few 395917 Page 2 of 2