Health inspection·April 21, 2023

F 0573 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Let each resident or the resident's legal representative access or purchase copies of all the resident's records. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of clinical records, interviews with staff and review of policies and procedures, it was determined that the facility failed to ensure timely access to personal and clinical records for one of seven residents reviewed. (Resident R168) Findings include: The facility policy titled Nursing Services dated March 12, 2023, indicated that the clinical records person or designee was responsible for ensuring that each resident had access to his/her personal records upon request. The policy indicated that each resident would receive confidential treatment of his/or her personal and medical records. The policy stated that the clinical records would be released within 24 hours, after the written consent by the resident or the resident's legal representative was received. The policy also indicated that a copy of the records (in an electronic form or format when such records are maintained electronically) would be provided to the resident or resident's responsible party, within 24 hours of the facility receiving the notice of the request Clinical record review revealed that Resident R168 was admitted to the facility on [DATE] for short term rehabilitation and discharged on July 22 2022. The clinical record for Resident R168 indicated that the responsible party for this resident was his spouse. Clinical record documentation of the closed record for Resident R168 revealed that the spouse of this former resident had requested on December 7, 2022, a personal copy of resident R168's entire medical record. The request was documented, signed and dated by the responsible party for Resident R168. Interview with the Nursing Home Administrator (NHA), on April 19, 2023 at 10:00 a.m. confirmed the responsible party for Resident R168 as his wife. Further during interview with NHA, it was confirmed that the responsible party for Resident R168 was not given electronic access to the personal medical record for Resident R168, within 24 hours of the facility receiving the notice of the request. The NHA reported during this interview that the resident's responsible party did not receive a personal copy of the record for Resident R168 until January 13, 2023; thirty-six days following the signed and dated request from the responsible party. 28 Pa. Code 201.18(b)(3) Management 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: 396113 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 396113 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/21/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Center at the Hill at Whitemarsh, The 4000 Fox Hound Drive Lafayette Hill, PA 19444 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)