Ivy Park Post Acute: Physician Not Told of Lab Refusal - PA
The resident, identified in inspection records only as Resident R1, was admitted to the facility in April 2024 with a cluster of serious neurological diagnoses: seizures, moyamoya disease, and cerebral infarction. Moyamoya is a rare condition in which the carotid artery inside the skull becomes blocked or narrowed, restricting blood flow to the brain and raising the risk of stroke.
On August 5, 2025, a physician ordered valproic acid along with a complete blood count and comprehensive metabolic panel for the resident. Valproic acid is an anticonvulsant used to control seizures, and the bloodwork was ordered the same day. The resident refused it.
That refusal was never passed to the physician.
Clinical progress notes covering the three weeks between August 5 and August 25 contained no documentation of any notification to the doctor. Inspectors reviewed those records during a complaint investigation on September 3.
At 1:35 that afternoon, the Director of Nursing sat down with inspectors and confirmed what the records showed: staff had not told the physician that the resident declined the lab work.
For a patient whose seizure management depends on medication levels that bloodwork is designed to monitor, a three-week gap in that information is not a paperwork problem. It is a gap in the physician's ability to make informed decisions about her care.
The facility's own Director of Nursing did not dispute it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for IVy Park Post Acute from 2025-09-03 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 22, 2026 · Our methodology
IVY PARK POST ACUTE in PITTSBURGH, PA was cited for violations during a health inspection on September 3, 2025.
On August 5, 2025, a physician ordered valproic acid along with a complete blood count and comprehensive metabolic panel for the resident.
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.