Exton Post Acute

In the surveyor’s words

From the most serious findings on record at Exton Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Feb 18, 2026

  Based on review of guidelines for Cardiopulmonary Resuscitation (CPR), facility's policies, staff interviews and residents' clinical and hospital records, it was determined the facility failed to ensure that code status was documented on the residents clinical record delaying the decision to provide life sustaining measures such as CPR for one of five residents reviewed (Resident CL1), creating a situation in which the residents were placed in Immediate Jeopardy related to failure to perform life sustaining interventions.Findings include: Review of the American Health Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, published on [DATE], revealed the AHA recommends all potential rescuers to initiate CPR unless a valid, Do Not Resuscitate… […]

• Actual harm, isolatedF760Apr 15, 2025

  Based on review of clinical records, incident reports, policy review, and staff interviews it was determined the facility failed to ensure that one of 18 residents reviewed was free of a significant medication error, which compromised the resident's clinical condition and resulted in actual harm when the resident required a hospital admission. This is being cited as past noncompliance. (Resident R1) Findings Include: Review of facility policy titled, Reconciliation of Medications on Admission undated, revealed, the purpose of the procedure is to ensure medication safety by accurately accounting for the resident's medications, routes and dosages upon admission or readmission to the facility. […]

• Actual harm, isolatedF684Jan 16, 2025

  Based on clinical record review and staff interview, it was determined the facility failed to assist one of one (Resident 43) residents in making transportation arrangements to and from multiple orthopedic surgery appointments resulting in actual harm by causing a deterioration of the wound and being admitted to a hospital for wound washing, and failure to follow a medication order from the physician for one out 19 residents reviewed (Resident 30). Findings include: Review of Resident 43's admission Minimum Data Set (MDS) assessment (mandated assessment of a resident's abilities and care needs), dated November 29, 2024, revealed the resident was admitted on [DATE], was understood, could understand others, was cognitively intact, dependent on staff for care needs, and had a fracture of… […]

• Actual harm, isolatedF689Jan 16, 2025

  Based on review of clinical records, hospital records, and interviews with resident and staff, it was determined that the facility failed to provide adequate supervision and assistance, resulting in harm from a fall which led to hospitalization and further surgical procedures and treatments for one of the 19 residents reviewed (Resident 20). Findings include: Clinical records review revealed Resident 20 was admitted to the facility on [DATE], with a diagnosis of post-right below knee amputation, Osteomyelitis (bone infection), and left trans metatarsal (foot bone) amputation. Review of Resident 20's admission Minimum Data Set (MDS-standardized assessment tool that measures health status in long-term care residents) dated October 21, 2024, revealed the resident was cognitively intact. […]

• Actual harm, isolatedF686Aug 22, 2024

  Based on facility policy and procedure review, staff interview and resident record review it was determined the facility failed to complete skin assessments to monitor skin conditions and prevent pressure ulcers for one of six residents reviewed causing actual harm to Resident 1 when they developed a stage 3 pressure ulcer to the sacrum(Resident 1). Findings Include: Review of facility policy and procedure titled Skin Integrity and Wound Management revealed under practice standards the following Complete risk evaluation on admission/readmission, weekly for the first month, quarterly, and with significant change in condition. Identify patient's skin integrity status and need or prevention or treatment interventions through review of all appropriate assessment information. […]