Woodhaven Health & Rehab: Heart Failure Care Failures - PA
The resident, identified in inspection records only as R1, was seen by a physician on July 21, 2025, after the daughter's call. The doctor suspected congestive heart failure and noted lower extremity edema. The next day, nursing staff advised the physician of a 13-pound weight gain.
The actual gain was 23 pounds.
Weight records reviewed by inspectors confirmed the discrepancy. The physician, working from the lower number, ordered an increased dose of Lasix after a chest x-ray showed fluid in the left lower lobe of her lung. By July 23, her heart rate had climbed into the 120s.
A nurse's note from around the time of the initial discovery described the resident as easy to arouse, with stable vital signs and capillary refill under three seconds. The note indicated the registered nurse supervisor was aware and planned to inform the doctor during morning rounds.
That sequence, a daughter's worry, a physician's visit, a weight number that was wrong by ten pounds, a heart rate spiking days later, became the basis for a deficiency citation under Pennsylvania's nursing services code.
During an interview on August 27, the facility's administrator and director of nursing confirmed to inspectors that Woodhaven had failed to provide treatment and services related to heart failure for one of three residents reviewed.
They said it themselves.
The inspection, completed September 3, 2025, was triggered by a complaint. CMS rated the harm as minimal or potential for actual harm, affecting few residents. The daughter who first raised the alarm had called in about swelling in her mother's legs. By the time inspectors reviewed the records, the physician had been making follow-up visits for days, working from a weight figure that understated what was actually happening inside her body.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Woodhaven Health & Rehab Center 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
WOODHAVEN HEALTH & REHAB CENTER in MONROEVILLE, PA was cited for violations during a health inspection on September 3, 2025.
The resident, identified in inspection records only as R1, was seen by a physician on July 21, 2025, after the daughter's call.
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.