Havencrest Rehab: No Qualified Infection Control Officer - PA
During a complaint inspection on September 30, 2025, the interim Director of Nursing told inspectors that the facility had recently placed a Licensed Practical Nurse in the infection control role. The LPN had received some training. But the interim DON acknowledged she had been the one actually serving as the infection control nurse in the meantime.
There was no qualified infection preventionist designated and working at the facility. The interim DON said so plainly, at 9:08 in the morning, when inspectors asked.
The facility's own job description for the Infection Preventionist position lays out what the role demands: planning, organizing, developing, coordinating, and directing the infection control program in accordance with federal, state, and local standards, at all times. That language, "at all times," was in the document Havencrest itself wrote. The position was effectively vacant.
Infection control gaps in nursing homes are not bureaucratic technicalities. Residents in long-term care facilities are among the most vulnerable people to infectious disease, often elderly, often immunocompromised, often sharing air, surfaces, and staff with dozens of other residents. The job of an infection preventionist is to track patterns, identify outbreaks before they spread, enforce hygiene protocols, and keep the machinery of prevention running even when no one is watching. When that role is unfilled, or filled by someone doubling as the facility's top nursing officer, the machinery stops.
Inspectors rated the violation as carrying minimal harm or potential for actual harm, and noted it affected some residents. The citation does not describe any outbreak or documented injury tied directly to the lapse.
What it does describe is a facility that, at the moment inspectors walked in, could not point to a single qualified person whose job it was to prevent infections. The interim DON was doing two jobs. The LPN stepping into the role was trained but not yet designated. And the gap between those two facts, between the person who was supposed to be doing the work and the person actually doing it, was the violation.
Pennsylvania cited Havencrest under multiple sections of state code covering the responsibilities of licensees, facility management, personnel records, and nursing services.
The inspection was triggered by a complaint. The report does not describe what the complaint alleged or whether it was related to infection control.
Havencrest's interim DON did not dispute any of what inspectors found. She confirmed the failure directly. Whether the LPN has since been formally designated, whether she meets the qualifications the position requires, and whether the interim DON has stopped absorbing a second job on top of her own, none of that is in the inspection record.
What is in the record is a nursing home that wrote a job description requiring someone to maintain an effective infection prevention program at all times, and then, when inspectors arrived, had no one in that role.
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: 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 12, 2026 · Our methodology
HAVENCREST REHABILITATION AND HEALTHCARE CENTER in MONONGAHELA, PA was cited for violations during a health inspection on September 30, 2025.
The LPN had received some training.
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.