396056
09/17/2024
William Penn Care Center
2020 Ader Road Jeannette, PA 15644
F 0623
Level of Harm - Minimal harm or potential for actual harm
Residents Affected - Few
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for three out of nine residents (Residents R1, R2 and R3).
Findings include: Review of Resident R2's admission record indicated she was originally admitted on [DATE], with diagnoses that included diabetes, anxiety disorder and fibromyalgia (chronic condition that causes widespread pain and tenderness in the body). Review of Resident R2's annual MDS assessment (MDS-Minimum Data Set assessment: periodic assessment of resident care needs) dated 8/29/24, indicated that the diagnoses were current upon review. Review of Resident R2's clinical record revealed that the resident was transferred to the hospital on 8/20/24, and returned to the facility on 9/9/24. Review of Resident R2's clinical record indicated the facility failed to include documented evidence that the facility provided a written transportation notification to the Office of the Long-Term Care Ombudsman for the hospitalization on 8/20/24 Review of Resident R1's admission record indicated she was originally admitted on [DATE], with diagnoses that included protein-calorie malnutrition, chronic kidney disease and cardiomegaly ( a condition where the heart is larger than normal). Review of Resident R1's admission MDS assessment (MDS-Minimum Data Set assessment: periodic assessment of resident care needs) dated 9/9/24, indicated that the diagnoses were current upon review. Review of Resident R1's clinical record revealed that the resident was transferred to the hospital on 9/13/24, and returned to the facility on 9/15/24. Review of Resident R1's clinical record indicated the facility failed to include documented evidence that the facility provided a written transportation notification to the Office of the Long-Term Care Ombudsman for the hospitalization on 9/13/24. Review of Resident R3's admission record indicated she was originally admitted on [DATE], with diagnoses that included anemia, respiratory disorders and spinal stenosis (narrowing of the spinal canal
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396056
396056
09/17/2024
William Penn Care Center
2020 Ader Road Jeannette, PA 15644
F 0623
that occurs when the spinal cord or nerve roots are compressed).
Level of Harm - Minimal harm or potential for actual harm
Review of Resident R3's entry MDS assessment (MDS-Minimum Data Set assessment: periodic assessment of resident care needs) dated 8/28/24, indicated that the diagnoses were current upon review.
Residents Affected - Few
Review of Resident R3's clinical record revealed that the resident was transferred to the hospital on 8/16/24, and returned to the facility on 9/18/24 and 8/22/24, returned 8/28/24. Review of Resident R3's clinical record indicated the facility failed to include documented evidence that the facility provided a written transportation notification to the Office of the Long-Term Care Ombudsman for the hospitalization on 8/16/24 and 8/22/24. During an interview on 9/17/24 at 11:30 a.m. the Nursing Home Administrator confirmed the facility failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for two out of four residents (Residents R1, R2 and R3). 28 Pa. Code 201.29(a)(c.3)(2) Resident rights.
396056
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396056
09/17/2024
William Penn Care Center
2020 Ader Road Jeannette, PA 15644
F 0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility assessment and staff interview, it was determined that the facility failed to provide a qualified full time social worker for a facility with more than 120 beds.
Residents Affected - Few
Findings include: The facility assessment dated [DATE], indicated that the facility will have a full time Social Services Director. The faciliy has a capacity of 145 requiring a full time Social Worker. Interview with the Nursing Home Administrator (NHA) revealed that the Social Worker left 9/6/24. The facility hired a new social worker, start date in a few weeks. During an interview on 9/17/24, at 11:45 a.m. the Nursing Home Administrator confirmed there is currently no social worker employed at the facility as required. 28. Pa. Code: 201(b)(2) Management. 28. Pa. Code: 201(a) Social services.
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