Oakwood Heights Village

During interviews on 10/21/25, with RN Employees E2 and E9, LPN Employees E3, E5, and E6, and CNA Employees E7 and E8, all confirmed that Resident R1 was always an assist of two for transfers/bed mobility rolling side to side and the information could be found under the task orders.

The facility failed to ensure that Resident R1 was free from neglect resulting in actual harm of a laceration to the right forehead and an intraventricular hemorrhage.

During an interview on 10/21/25, at approximately 9:30 a.m. the DON confirmed that the agency CNA Employee E1 did not ask for assistance, did not follow the task orders, and did not follow the care plan which indicated Resident R1 required two staff for bed mobility/rolling side to side and attempted to roll Resident R1 independently causing harm to Resident R1. 28 Pa.

Code 201.14(a) Responsibility of licensee 28 Pa.

Code 201.18(b)(1)(e)(1) Management 28 Pa.

Code 211.12(c) Nursing services 28 Pa.

Code 211.12(d)(1)(3)(5) Nursing services

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/22/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Oakwood Heights Village

10 Vo Tech Drive Oil City, PA 16301

SUMMARY STATEMENT OF DEFICIENCIES