Sayre Health Care Center

Review of facility documents dated October 7, 2025, (after the resident was discharged ) completed by the Director of Nursing, noted that on September 23, 2025, the resident's responsible party was present for a care plan meeting with social services, and the resident care coordinator and the resident's behaviors such as attempting to elope (leave) the facility, pulling the facility fire alarms, threatening to let all the residents out of the building, inappropriate touching of other resident, entering resident rooms and taking items, and frequent falls after interventions implemented. It was discussed the facility is not able to meet the needs of the resident and it is in the best interest of the resident to be transferred to a facility that is able to provide the care and safety she desperately needs. It noted the responsible party was very angry regarding the information. A follow up meeting was requested by the responsible party and was scheduled for September 26, 2025, at 1:00 PM on the same document.

Review of

Review of the same documents noted above dated October 7, 2025, revealed further documentation by the Director of Nursing that a meeting was held on September 26, 2025, with the inter-disciplinary team, nurse practitioner, and the resident's responsible party, son, and granddaughter to review the resident's behaviors and need to transfer the resident to another facility as the facility could not meet the resident needs and the other facility had a secured unit.

Review of email communication between the Nursing Home Administrator and administration of the receiving facility dated September 26, 2025, indicated a transfer of the resident was planned for September 30, 2025.

There was no evidence in Resident CR1s clinical record of physician documentation prior to discharge to indicate a transfer of the resident to another facility was necessary for the resident's welfare and the facility could not meet the resident's needs to include the following information as required: The basis for the transfer.The specific resident needs that could not be met in the facility.The facility's attempts to meet the resident's needs.The services available at the receiving facility to meet the needs of the resident.

The above information was reviewed with the Nursing Home Administrator and Director of Nursing in a telephone interview on October 9, 2025, at 10:30 AM. 28 Pa.

Code 201.29 (a) Resident rights 28 Pa.

Code 201.18 (3)(e)(1) 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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/08/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Sayre Health Care Center

151 Keefer Lane Sayre, PA 18840

SUMMARY STATEMENT OF DEFICIENCIES