Health inspection·June 10, 2024

F 0692 Provide enough food/fluids to maintain a resident's health. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record reviews and staff interviews, it was determined that the facility failed to ensure initial weight was accurately taken for baseline, and reweighting was timely done to address a significant weight change for one of two residents reviewed (Resident CL1). Residents Affected - Few Findings include: Review of Resident CL1's clinical record revealed Resident CL1 was admitted to the facility on [DATE], for skilled rehab. The resident was receiving a GT (Gastrostomy Tube - medical device used to provide nutrition to people who cannot obtain nutrition by mouth) feeding. Review of Resident CL1's weights and vitals revealed an admission weight of 230 pounds taken with a bed scale on April 2, 2024. On April 3, 2024, the resident's weight was 230 pounds also taken with a bed scale. On April 17, 2024, the resident's weight was 234 sitting, on April 24, 2024, the weight was 233.4 pounds taken with a mechanical lift. On April 25, 2024, Resident CL1's weight was 199.8 pounds sitting, a 33.5 (14.40) weight loss in one day. A reweight was not done until May 1, 2024, six days after a significant weight change was identified and revealed a weight of 201.8 which was still a significant weight loss. Review of Resident CL1's Dietitian's note dated April 25, 2024, at 2:45 p.m., revealed resident noted a significant weight change, weight on April 25, 2024, is likely incorrect, reweight requested. Interview with the Registered Dietitian was conducted on June 10, 2024, at 11:00 a.m. The dietitian reported that the 33.5 weight loss in a day was identified but believed that the weight was done incorrectly so a reweight was requested. The dietitian reported that nursing does re-weight and must be done within 24 hours after a significant change was identified. The dietitian was unable to explain a 33.5 pounds weight loss in one day. Interview with the licensed nurse Employee E2, conducted on June 10, 2024, at 11:30 a.m., revealed that the facility does not have a bed scale, a weighing scale used to obtain Resident CL1's baseline weight on April 2, and 3, 2024. Employee E2 also confirmed that re-weigh should have been done within 24 hours when a significant weight change was identified. The above informatio was conveyed to the Nursing Home Administrator on June 10, 2024, at 1:00 p.m. 28 Pa. Code 211.5 (f) Clinical records 28 Pa. Code 211.12(c)(d)(1)(5) Nursing services 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: 396144 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 396144 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/10/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Exton Post Acute 501 Thomas Jones Way Exton, PA 19341 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)