Havencrest Rehab: Infection Control Leadership Gap - PA
Inspectors who visited the facility on September 30 found that since September 8, the interim Director of Nursing had been serving simultaneously as the facility's Infection Control Preventionist, a role that carries its own job description, its own set of responsibilities, and its own full-time demands. The facility had no one else designated to fill it.
The infection control position at Havencrest exists to plan, organize, and direct the facility's program for preventing and controlling infections, keeping it in line with federal, state, and local standards. The director of nursing position exists to plan, organize, and direct the entire nursing department. The two job descriptions describe two distinct, substantial roles. Havencrest had been assigning both to one person.
When inspectors sat down with the interim DON on the morning of the inspection, she was straightforward about what had happened. She told them the facility had just placed a licensed practical nurse in the infection control role, and that the LPN had received training, but that she herself had been acting as the infection control nurse in the meantime. She confirmed that the facility had failed to keep a qualified person designated and on-site to run the infection control program.
The gap ran from September 8 through at least September 30, the date of the inspection. That is 22 days during which the facility's infection prevention activities were being absorbed into the workload of an administrator already carrying full responsibility for nursing operations.
Infection control in a nursing home is not a secondary concern. Residents in long-term care facilities are among the most vulnerable to infections of any population, and the consequences of an outbreak, whether of a respiratory illness, a gastrointestinal illness, or a drug-resistant organism, can move quickly through a building where people share spaces, staff, and air. The person responsible for tracking those risks, identifying patterns, and coordinating the facility's response is supposed to be focused on exactly that.
What inspectors found instead was a facility that had lost its designated infection control officer and, rather than filling the gap with a qualified replacement, had quietly folded the responsibilities into a role that already had no room for them.
The interim DON did not dispute the finding. She confirmed it herself.
CMS rated the deficiency as causing minimal harm or potential for actual harm and noted that some residents were affected. The facility was cited under Pennsylvania nursing services regulations.
Havencrest had, by the time of the inspection, begun moving toward a solution, placing the LPN in the role and providing training. But the LPN was not yet in place on September 30. The interim DON was still the infection control officer. The position had been vacant, in any meaningful sense, for three weeks.
Whether any resident contracted an infection during those three weeks, and whether a properly staffed infection control program might have caught or prevented it, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Havencrest Rehabilitation and Healthcare Center from 2025-09-30 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 26, 2026 · Our methodology
HAVENCREST REHABILITATION AND HEALTHCARE CENTER in MONONGAHELA, PA was cited for violations during a health inspection on September 30, 2025.
The facility had no one else designated to fill it.
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.