Aspire Of Pleasant Valley

During an interview on 10/30/25 at 10:24 a.m. the Director of Nursing (DON) stated their lab came every Tuesday for lab draws and could gather specimens at that time, if staff needed labs done or a specimen collected on other days, they had to order it as a STAT (immediate) for lab to collect the specimen that day, and staff know to do that and have done that.

During an interview on 10/30/25 at 4:11 p.m.

Staff C, facility MDS nurse stated she had no understanding of why the UA ordered on 10/17/25 was scheduled for 10/20/25. If it was a STAT order or if their laboratory was unable to pick up the specimen staff could take specimens to 1 of the local hospital labs and Staff A must not have known that at the time, that was the only explanation she could offer.

During an interview on 10/30/25 at 10:32 a.m., the facility's Advanced Practice Registered Nurse Practitioner (ARNP) stated she did see the notation about the resident's 10/20/25 UA results, did not remember the nurses speaking to her about this when she was at the facility on 10/19/25, and did not authorize the order for it. If the resident was having symptoms of an UTI, she would have directed them to collect the UA at that time and not wait 3 days.

During an interview on 10/30/25 at 4:15 p.m., when quarried why she wouldn't have collected the urine specimen on 10/17/25 when she wrote the order at 11:32 a.m., Staff A, RN stated because she didn't think the laboratory would pick up the specimen.

When asked if she obtained the order from Staff D, the facility ARNP, or had she contacted a different provider for the order, Staff A stated she notified Staff D about it.

When informed that Staff D denied that any staff had informed her the resident had symptoms of a UTI or requested an order for a UA with C and S, and would have directed staff to collect the specimen at that time and not wait 3 days, Staff A stated she had nothing more to say about the matter.

During an interview on 11/10/25 at 7:20 p.m., Staff B, RN, stated I didn't do anything wrong, I did everything appropriately and as I was instructed.

When asked what that statement referred to, she stated it was about getting the UA on the resident, Staff A told her to get it early in the morning when she worked Sunday night, so it could go out Monday morning with labs.

When asked about the order, to obtain the specimen 3 days after the order was written, was that normal? Staff B stated that is how it was ordered and that is what she did, she didn't do anything incorrectly.

When asked if there were any problems with their lab, or getting the lab to pick up their specimens, Staff B stated the only issue she was aware of was there was a specimen on another resident that the lab wouldn't take because it was not labeled correctly, otherwise she was not aware of any problems with their lab transporting specimens when needed.

During an interview on 11/10/25 at 10:40 a.m.

Staff C, MDS nurse stated the 10/17/25 UA order was not authorized or signed by any medical provider because it was entered as a provider written order in their computer system, and those orders were not sent to the provider for written authorization.

She learned to always enter orders in the computer as telephone orders and those went to the provider for authorization and signature.

The facility was in the process of staff education related to the matter.The facility's Laboratory Services and Reporting policy, dated 2024, directed:a.

The facility must provide or obtain laboratory services when ordered by a physician, physician assistant, nurse practitioner, or clinical nurse specialist in accordance with state law.b.

The facility must provide or obtain laboratory services to meet the needs of its residents. c.

The facility is responsible for the timeliness of the services.

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