WeCare at Murrysville: Hospice Care Coordination Failure - PA
The resident, identified in inspection records only as Resident R1, was living with dementia, high blood pressure, and difficulty swallowing. A physician order dated August 1, 2025, confirmed enrollment in hospice services. What followed should have been a coordinated plan, one that told nursing staff exactly who to call at the hospice agency and how to reach them at two in the morning if something went wrong.
There was no such plan.
Inspectors reviewed R1's comprehensive care plan and found no contact information for the hospice agency and no guidance on accessing the hospice's 24-hour on-call system. The care plan, the document that is supposed to govern every aspect of a resident's care, was silent on both points.
The Director of Nursing, interviewed by inspectors on September 9 at 2:55 in the afternoon, confirmed it. The facility had failed to include the hospice agency's contact information. The facility had failed to document how staff could reach the on-call system. The Director of Nursing said so directly.
That admission matters, because the gap it describes is not abstract. Hospice care exists precisely for the hours when a resident's condition shifts, when pain breaks through, when breathing changes, when family members are in the room and frightened and asking what to do next. The 24-hour on-call line is the mechanism that makes hospice work outside of business hours. Without that number written into the care plan, a nurse on a night shift caring for a dying resident has to find it some other way, or guess, or wait.
R1 had dementia, which means the resident could not advocate for that information independently. Difficulty swallowing is a serious and often distressing symptom in end-of-life care, one that hospice teams routinely manage with specific protocols and medications. A resident with that combination of diagnoses, in the final chapter of their life, is precisely the kind of patient for whom the coordination between a nursing facility and a hospice agency needs to be airtight.
It was not.
The inspection was triggered by a complaint, not a routine survey. Someone raised a concern, inspectors came, and they looked at two residents receiving hospice services. One of the two had a care plan that failed to document coordination with the hospice agency. That is a fifty percent failure rate on a narrow, specific, and consequential question.
The violation was cited under F0849, which governs the coordination of hospice services with facility services to meet the needs of residents at the end of life. CMS rated the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected. Those classifications reflect the inspection framework's language, not a judgment that a dying person's care being undocumented is a minor matter.
The facility's own nursing director did not argue otherwise.
What the inspection report does not contain is any explanation for how a resident could be enrolled in hospice for more than a month, from August 1 through at least September 9, without the care plan ever being updated to reflect that enrollment in a meaningful way. The physician order was there. The hospice services were, presumably, being delivered. The paperwork that would tell any nurse or aide or administrator how to reach the hospice team in an emergency was not.
Resident R1 was dying. The people responsible for that resident's care did not write down the phone number.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Wecare At Murrysville Rehab and Nursing Center from 2025-09-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
WECARE AT MURRYSVILLE REHAB AND NURSING CENTER in MURRYSVILLE, PA was cited for violations during a health inspection on September 9, 2025.
The resident, identified in inspection records only as Resident R1, was living with dementia, high blood pressure, and difficulty swallowing.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.