WeCare at Monroeville: Missing Lab Work Delays Treatment - PA
The resident at WeCare at Monroeville Rehabilitation and Nursing Center, identified in inspection records only as Resident R13, had been living at the facility with chronic kidney disease, heart failure, and high blood pressure. His psoriasis had stopped responding to topical treatments. The dermatologist who examined him on December 10 determined he needed a systemic medication, the kind that circulates through the body rather than treating only the skin. Before starting it, the doctor required bloodwork — a liver function panel, hepatitis B and C screenings, and a tuberculosis test.
The orders, apparently, went nowhere.
Between December 10 and December 14, nursing staff entered no progress notes at all in R13's clinical record. Five days after the dermatology visit, on December 15, a nurse documented that the resident himself had started asking about his bloodwork, along with a knee culture and knee X-ray he also believed had been ordered. The nurse asked a registered nurse to locate the orders. The RN couldn't find any. An RN supervisor went to speak with R13 about the situation.
The following day, December 16, the dermatology office called the facility directly. Staff from that office told the facility that labs had been ordered and had to be completed before the medication could start. A physician's order was entered that same day. The order was active for three days, December 18 through December 21.
A progress note dated December 25 recorded that lab work had been drawn on December 18. That appeared to resolve the matter. It didn't. When inspectors reviewed the actual laboratory results, they found the blood drawn on December 18 was connected to a different, unrelated order. The specific tests the dermatologist required, the liver panel, the hepatitis screens, the TB test, had not been completed.
The facility's own administrator confirmed it on December 22. R13 confirmed it himself on December 23, telling inspectors the blood tests still had not been done. On December 29, the last day of the inspection, R13 said the same thing. The administrator confirmed it again that afternoon.
Nineteen days after a specialist said the tests were required before treatment could begin, they hadn't been done.
The facility's own laboratory policy, dated June 1, 2025, states that lab tests must be obtained, processed, reviewed, and acted upon in a timely manner. The gap between what that policy says and what happened to R13 is documented in detail across his clinical record: a five-day stretch with no nursing notes after a specialist visit, a resident who had to ask staff about his own orders, an RN who couldn't locate those orders, a dermatology office that had to call the facility to remind them, a three-day order window that passed without the right blood being drawn, and a progress note that appeared to document compliance but didn't.
Inspectors cited the facility under Pennsylvania codes governing licensee responsibility and nursing services.
The medication R13 needs for his uncontrolled psoriasis remains on hold. The tests that would allow his doctors to start it remain incomplete. He is a man with chronic kidney disease and heart failure waiting, now more than three weeks, for bloodwork his dermatologist said couldn't wait.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Wecare At Monroeville Rehabilitation and Nsg Ctr from 2025-12-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 19, 2026 · Our methodology
WECARE AT MONROEVILLE REHABILITATION AND NSG CTR in MONROEVILLE, PA was cited for violations during a health inspection on December 29, 2025.
His psoriasis had stopped responding to topical treatments.
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.