South Hills Post Acute

Inspectors wroteBased on review of facility policy, clinical records, and staff interview it was determined the facility failed to make certain a resident had an updated, person-centered care plan individualized to each specific resident's needs for four of six residents (Resident R90, R70, R21 and CR304).

Inspectors wroteBased on review of facility policy, clinical record and staff interviews, it was determined that the facility failed to make certain each resident received adequate supervision and assistance to prevent accidents for one of four residents (Resident R90).

Inspectors wroteBased on review of facility policy, facility documents, and staff interviews, it was determined that the facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) for two of three residents (Residents R302, and R303).

Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to properly restrain hair to prevent the potential for cross contamination in the Main Kitchen.

Inspectors wroteBased on review of facility policy, facility records, observation and resident interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment for six of fourteen residents as required (Residents R500, R501, R502, R503, R504, and R505) on two of three nursing units second and third floor.

Inspectors wroteBased on a review of facility policy, clinical record reviews, and staff interview, it was determined that the facility failed to ensure that the resident and/or their representative received written notice of the facility bed-hold policy at the time of transfer for five of six residents reviewed for hospitalization (Resident R10, R30, R61, R99, and R114). Findings Include: Review of federal regulation §483.15(d) Notice of Bed-Hold Policy, indicated: -Facilities must provide written information about these policies to residents prior to and upon transfer for such absences. This information must be provided to all facility residents, regardless of their payment source. These provisions require facilities to issue two notices related to bed-hold policies. -The first notice could be given well in advance of any transfer, i.e., information provided in the admission packet. [...]

Inspectors wroteBased on review of facility policy, clinical records, observations, and staff interview, it was determined that the facility failed to ensure direct care staff were aware of residents with fluid restriction orders to make certain acceptable parameters of nutritional status were maintained for three of three residents on physician ordered fluid restrictions (Resident R61, R27, and R16).

Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to make certain that residents are free of significant medication errors for two of three residents (Resident R24 and R63).

Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to post complete contact information for Adult Protective Services and the State Long-Term Care Ombudsman program as required, on three of three nursing units (First Floor, Second Floor, and Third Floor nursing units).

Inspectors wroteBased on observations and staff interview, it was determined the facility failed to ensure postings of the location Department of Health most recent survey results were readily accessible to residents and visitors, for three of three locations (nursing units first, second, and third). Findings Include: During an observation on 5/19/25, at 10:20 a.m., no postings were observed in the facility identifying the location of the Department of Health's most recent survey results. During an interview on 5/22/25, at 8:20 a.m. the Nursing Home Administrator confirmed the facility failed to ensure postings of the location Department of Health most recent survey results were readily accessible to residents and visitors, for three of three locations (nursing units first, second, and third). 28 Pa. Code 201.14(a) Responsibility of licensee.

Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to display written information on applying for Medicare and Medicaid benefits and receiving refunds for previous payments covered by Medicare and Medicaid as required, on three of three nursing units (First Floor, Second Floor, and Third Floor nursing units).

Inspectors wroteBased on review of facility policy, resident interviews, observation, and staff interviews, it was determined that the facility failed to provide prompt assistance to meet residents care needs for five of fifteen residents who require care (Residents R1, R2, R3, R4 and R5).

Inspectors wroteBased on review of facility policy, resident interviews, observation, and staff interviews, it was determined that the facility failed to ensure sufficient staffing to meet residents care needs for five of fifteen residents who require care (Residents R1, R2, R3, R4 and R5).

Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to provide adequate supervision for one of three residents (Resident R1), which resulted which resulted in an overdose.

Inspectors wroteBased on review of facility policy, clinical record reviews and interviews with staff, it was determined that the facility failed to establish a baseline care plan within 48 hours of admission/readmission for three of five residents (Resident R301, R307 and R312).

Inspectors wroteBased on review of clinical records, observations, and staff interview, it was determined that the facility failed to provide prescribed treatment and services related to the care of pressure ulcers for three of five residents (Resident R22, R76, and R85).

Inspectors wroteBased on facility policy, clinical record review, and staff interview, it was determined that the facility failed to make certain that a pneumococcal immunization was offered to two of five residents (Resident R101 and R119).

Inspectors wroteBased on review of facility policy, observations, and staff interview, it was determined that the facility failed to make certain that medications and medication supplies were properly stored and/or disposed of in one of three medication rooms (Second-floor medication room) and two of seven medication carts (Second-floor medication cart for rooms 211-225 and Second-floor medication cart for rooms 241-255).

Inspectors wroteBased on review of facility policy, clinical records and incident reports and staff interviews, it was determined that the facility failed to make certain each resident received adequate supervison and assistance to prevent accidents for one of five residents (Resident R1).

Inspectors wroteBased on a review of facility policy, facility provided documents and staff interview, it was determined the facility failed to follow infection control practices related to COVID 19, and risked the potential for the spread of the virus, in four of four resident rooms ( Rooms 109, 114, 225 and 242).