Embassy Of East Mountain
EMBASSY OF EAST MOUNTAIN in WILKES-BARRE, PA — inspection on March 7, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the clinical record revealed Resident 64 was admitted to the facility on [DATE] with diagnosis to include dementia (a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning), and congestive heart failure (weakness of the heart that leads to build-up of fluid in the lungs and surrounding body tissues).
The resident sustained a fall on February 23, 2025, at 9:30 PM and was hospitalized with fractures of the right hip and right pubic ramus.
Upon readmission to the facility on [DATE], at 3:00 PM the resident had physician orders for Oxycodone HCL 5 mg every 4 hours (a narcotic opioid pain medication) for moderate pain as needed, hospital documentation, The resident received 2 doses of oxycodone in the hospital, one at 5:57 AM and another at 10:19 AM.
A review of the facility physician orders dated February 24, 2025, at 9:00 PM revealed an order for Oxycodone HCL 5 mg by mouth every 4 hours as needed for pain rated 6-10 on the pain scale.
However, this order was discontinued on February 25, 2025, at 7:00 AM. A new order for Oxycodone HCL 5 mg every 4 hours as needed for pain was re-entered on February 25, 2025, at 7:00 AM, with the addition of non-pharmacological interventions.
A review of Resident 64's February 2025 Medication Administration Record (MAR) indicated that the resident did not receive Oxycodone on February 24, 2025, February 25, 2025, February 26, 2025, or February 27, 2025.
The first recorded administration of Oxycodone was at 7:09 AM on February 27, 2025.
395706
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 395706 B.
Wing 03/07/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Embassy of East Mountain 101 East Mountain Drive Wilkes-Barre, PA 18702
Review of Resident 54's plan of care, during the survey ending March 7, 2025, revealed no evidence the resident's plan of care was integrated with hospice services to demonstrate coordination of care and services to meet the resident's needs related to the care of the resident's terminal illness daily.
A review of the clinical record revealed that Resident 61 was admitted to the facility on [DATE], with diagnoses of dementia, chronic obstructive pulmonary disease (a progressive lung disease) and anxiety.
The resident was admitted to hospice services on October 10, 2024, for end stage chronic obstructive pulmonary disease.
Review of Resident 61's plan of care, during the survey ending March 7, 2025, revealed the resident's care plan failed to reflect coordination of services between the facility and the Hospice agency in meeting the resident's daily care needs and specific needs related to care and services provided for the resident's terminal diagnosis.
There was no evidence the hospice and the nursing home collaborated in the development of a coordinated plan of care for each resident receiving hospice services to identify the provider responsible for performing each or any specific services/functions that have been agreed upon and the location of the necessary plans.
During interview with the Director of Nursing (DON) on March 6, 2025, at 2:00PM she confirmed the residents' care plans were not integrated/coordinated with hospice for Resident 54 and 61.
28 Pa.
Code 211.12 (d)(1)(3)(5) Nursing services
395706