Highland Hills Post Acute: Admin Change Unreported - PA]
Not that day. Not that week. Not for the nearly three weeks that passed before federal inspectors arrived and started asking questions.
The Director of Nursing confirmed it herself. During an interview on September 22, at 9:00 in the morning, she told inspectors that Employee E14, the facility's licensed Nursing Home Administrator, had gone on leave, and that an interim administrator had been running the building since September 5. She also confirmed that the facility had not sent the required written notification to the Pennsylvania Department of Health at the time of the change.
That's the part that matters: at the time of the change. Not eventually. Not before the next inspection. When it happens.
Highland Hills Post Acute is a post-acute care facility on Perry Highway in Pittsburgh, operating under provider number 395826. The inspection that caught the lapse was a complaint survey, completed September 25, 2025.
The evidence wasn't buried. A password agreement document dated September 16 already named the interim administrator and described their responsibilities, including submitting Plans of Correction in response to state deficiencies. The document existed. The transition had happened. The state just hadn't been told.
Pennsylvania Code 201.14(a) places the responsibility for that notification squarely on the licensee. The requirement exists for a reason: state health agencies need to know who is legally responsible for a licensed nursing facility at any given moment. When a building housing vulnerable adults changes hands administratively, the state is supposed to know. Immediately. In writing.
Inspectors cited the deficiency under F0844, which covers ownership disclosure requirements. The level of harm was recorded as minimal harm or potential for actual harm, and the number of residents affected was listed as few.
Those designations sometimes cause readers to look away. They shouldn't here.
The violation isn't about a medication error or a missed wound check. It's about whether the people responsible for overseeing this facility, the state agency charged with protecting its residents, knew who was actually in charge. For seventeen days, from September 5 to September 22 when inspectors asked the question directly, they did not.
The interim administrator's identity is not disclosed in the inspection report. Neither is the reason Employee E14 went on leave, or when or whether they were expected to return. What the record shows is that someone was running a licensed nursing facility in Pennsylvania without the state having been formally notified of that fact.
The Director of Nursing did not dispute any of it. She confirmed the timeline, confirmed the absence of the written letter, confirmed that the notification requirement had not been met.
There is no indication in the inspection report that the facility self-reported the lapse before inspectors arrived. The discovery appears to have come through the inspection process itself, not through any voluntary disclosure by the facility.
Highland Hills Post Acute's plan of correction for this deficiency is not included in publicly available inspection materials. Residents and their families seeking information about the facility's response are directed to contact the nursing home or the Pennsylvania Department of Health directly.
What the record does show is a facility that went more than two weeks operating under new administrative leadership without the state agency responsible for its oversight knowing who that leader was.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Highland Hills Post Acute from 2025-09-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 27, 2026 · Our methodology
HIGHLAND HILLS POST ACUTE in PITTSBURGH, PA was cited for violations during a health inspection on September 25, 2025.
Not for the nearly three weeks that passed before federal inspectors arrived and started asking questions.
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.