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Complaint Investigation

Friendship Rehab And Health

August 27, 2025 · Beaver, PA · 246 Friendship Circle
Citations 2
CMS Rating 1/5
Beds 589
Provider ID 395015
Healthcare Facility
Friendship Rehab And Health
Beaver, PA  ·  View full profile →
Inspection Summary

Friendship Rehab and Health in BEAVER, PA — inspection on August 27, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During an interview on 8/27/25, at 11:05 a.m. the Director of Nursing (DON) confirmed that the facility failed to ensure Resident R1 was free from abuse.

This was identified for past non-compliance for Resident R1.

During this interview, the DON confirmed the facility was able to identify an AP and the employee had been terminated from the facility.

The facility implemented a plan of correction that included the following:Resident R1 was assessed and no injury was identified, no signs or symptoms of pain or discomfort.Walking rounds were completed on all units 8/19/25, no additional restraints in use.Facility abuse policy was reviewed with no revisions made.DON implemented re-education in all departments on abuse prevention policy; staff to be educated prior to next shift.On 8/20/25 the MDS Coordinator reviewed all active care plans to ensure use of restraints was not care planned for any residents. No issues were identified.As of 8/21/24, facility was >90% with regard to abuse education.Beginning on 8/21/25, DON or designee will begin auditing cognitively impaired residents on 5 units daily for 1 week, then 3 units daily for 1 week, then 2 units daily for 2 weeks to ensure cognitively impaired residents are free from physical restraints.

Review of facility documentation included the followingEducation for all employees on abuse prevention policy, including under no circumstances are residents to be restrained in a way that prevents them from moving independently.8/19/25, walking rounds completed on all units to ensure no residents had any type of restraints in use. No restraints present.8/20/25, all active care plans reviewed.

Confirmed there are no interventions encouraging the use of restraints.Ad-hoc meeting of QAPI (Quality Assurance and Performance Improvement) completed 8/19/25.Ongoing audits for restraint use completed 8/21/25, 8/22/25, 8/23/25,8/24/25, 8/25/25, and 8/26/25.

During interviews on 8/27/25, fifteen staff to include nurses, nurse aides, and therapy staff verified they were trained on the facility abuse prevention policy and restraints.

The facility has demonstrated compliance with the above since 8/22/25.

Information was reviewed via Plan of Correction documentation.

During an interview on 8/27/25, at 2:56 p.m. with the DON and review of facility's immediate actions, education, and review of the QAPI monitoring process, it was verified that the facility had implemented a plan of correction and achieved compliance ensuring residents are free from abuse. 28 Pa.

Code: 201.14(a) Responsibility of licensee28 Pa.

Code: 201.18(b)(1) Management.28 Pa.

Code: 211.10(d) Resident care policies.28 Pa.

Code: 211.12(d)(1)(5) Nursing services.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Brighton Rehabilitation and Wellness Center

246 Friendship Circle Beaver, PA 15009

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 8/27/25, at 11:05 a.m. the Director of Nursing (DON) confirmed that the facility failed to ensure Resident R1 was free from physical restraints.

This was identified for past non-compliance for Resident R1.

During this interview, the DON confirmed the facility was able to identify an AP and the employee had been terminated from the facility.

The facility implemented a plan of correction that included the following: Resident R1 was assessed and no injury was identified, no signs or symptoms of pain or discomfort.Walking rounds were completed on all units 8/19/25, no additional restraints in use.Facility abuse policy was reviewed with no revisions made.DON implemented re-education in all departments on abuse prevention policy; staff to be educated prior to next shift.On 8/20/25 the MDS Coordinator reviewed all active care plans to ensure use of restraints was not care planned for any residents. No issues were identified.As of 8/21/24, facility was >90% with regard to abuse education.Beginning on 8/21/25, DON or designee will begin auditing cognitively impaired residents on 5 units daily for 1 week, then 3 units daily for 1 week, then 2 units daily for 2 weeks to ensure cognitively impaired residents are free from physical restraints.

Review of facility documentation included the following: Education for all employees on abuse prevention policy, including under no circumstances are residents to be restrained in a way that prevents them from moving independently.8/19/25, walking rounds completed on all units to ensure no residents had any type of restraints in use. No restraints present.8/20/25, all active care plans reviewed.

Confirmed there are no interventions encouraging the use of restraints.Ad-hoc meeting of QAPI (Quality Assurance and Performance Improvement) completed 8/19/25.Ongoing audits for restraint use completed 8/21/25, 8/22/25, 8/23/25,8/24/25, 8/25/25, and 8/26/25.

During interviews on 8/27/25, fifteen staff to include nurses, nurse aides, and therapy staff were trained on the facility abuse prevention policy and restraints.

The facility has demonstrated compliance with the above since 8/22/25.

Information was reviewed via Plan of Correction documentation.

During an interview on 8/27/25, at 2:56 p.m. with the DON and review of facility's immediate actions, education, and review of the QAPI monitoring process, it was verified that the facility had implemented a plan of correction and achieved compliance ensuring residents are free from abuse. 28 Pa.

Code: 201.14(a) Responsibility of licensee28 Pa.

Code: 201.18(b)(1) Management.28 Pa.

Code: 211.10(d) Resident care policies.28 Pa.

Code: 211.12(d)(1)(5) Nursing services.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BEAVER, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Friendship Rehab and Health or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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