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Complaint Investigation

Cedar Hill Healthcare And Rehabilitation Center

Inspection Date: August 28, 2025
Total Violations 11
Facility ID 395620
Location CORAOPOLIS, PA
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a

review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to notify the resident representative of the start of a new antibiotic for one of three residents (Resident Resident R136).Findings include: Review of the facility policy Notification of Change of Condition: Responsible Party/Guardian last reviewed 4/2/25, indicated the responsible party or guardian is to be notified of changes

in condition or occurrences. The nurse must document the name of the person notified, the date and time in

the nurse's notes. Review of the clinical record indicated that Resident Resident R136 was admitted to the facility on [DATE REDACTED]. Review of Resident Resident R136's Minimum Data Set (MDS - periodic assessment of resident care needs) dated 5/20/25, included diagnoses of high blood pressure, depression and heart failure (the heart doesn't pump the way it should). Review of Resident Resident R136's physician orders dated 6/18/25, indicated Keflex oral capsule (treats bacterial infection) give 500 milligrams (mg) three times a day for cellulitis right hip for 7 days. Review of Resident Resident R136's physician progress notes dated 6/18/25, indicated asked by staff to see

the patient. Resident Resident R136 has a right lateral thigh redness with tenderness. Clinically it looks like cellulitis.

Will treat with the Keflex for one week and reevaluate. Review of Resident Resident R136's progress notes failed to include notification of Resident Resident R136's representative of the start of the new antibiotic. During an interview completed on 08/27/2025, 12:22 p.m. the Nursing Home Administrator confirmed that the facility failed to notify the resident representative of the start of a new antibiotic for one of three residents (Resident Resident R136). 28 Pa. Code: 201.14(a) Responsibility of licensee. 28 Pa. Code: 201.18 (b)(1) Management. 28 Pa. Code: 211.10 (c)(d) Resident Care policies. 28 Pa. Code: 211.12 (d)(1)(2)(3)(5) Nursing services.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/28/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Cedar Hill Healthcare and Rehabilitation Center

951 Brodhead Road Coraopolis, PA 15108

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0609

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

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-08-28.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-28.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-28.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

review of facility policies, resident record review, and staff interviews, it was determined that the facility failed to follow professional standards of practice when obtaining physician orders for one of four residents. (Resident Resident R136).Findings include: Review of the facility policy Medication and Treatment Orders last reviewed 4/2/25, indicated telephone or verbal orders must be recorded in the clinical record, under physician orders when received and must be recorded by the nurse receiving the order. Review of the clinical record indicated that Resident Resident R136 was admitted to the facility on [DATE REDACTED]. Review of Resident Resident R136's Minimum Data Set (MDS - periodic assessment of resident care needs) dated 5/20/25, included diagnoses of high blood pressure, depression and heart failure (the heart doesn't pump the way it should).

Review of Resident Resident R136's nursing progress note dated 5/5/25, indicated Unit Manager (UM) called 3-11 Registered Nurse (RN) supervisor (sup) requested to put in order provided by physician (md) to unit manager for urinalysis with culture and sensitivity (UA/CS) due to increased confusion to determine if urinary tract infection (UTI). Order placed in point click care (PCC), assigned nurse. During an interview completed on 8/27/25, at 10:20 a.m. upon reviewing the nursing progress note dated 5/5/25, the Director of Nursing (DON) confirmed that a Unit Manager gave a RN supervisor a verbal order for a UA/CS and stated

they are not a physician and that the facility failed to follow professional standards of practice when obtaining physician orders for one of four residents. (Resident Resident R136). 28 Pa. Code: 201.14(a) Responsibility of licensee. 28 Pa. Code: 201.18 (b)(1) Management. 28 Pa. Code: 211.10 (c)(d) Resident Care policies. 28 Pa. Code: 211.12 (d)(1)(2)(3)(5) Nursing services.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

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F-Tag F0676

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0676 during a standard health inspection conducted on 2025-08-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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F-Tag F0698

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-08-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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F-Tag F0699

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0699 during a standard health inspection conducted on 2025-08-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care or services that was trauma informed and/or culturally competent.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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F-Tag F0803

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2025-08-28.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

πŸ“‹ Inspection Summary

CEDAR HILL HEALTHCARE AND REHABILITATION CENTER in CORAOPOLIS, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 CORAOPOLIS, 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 CEDAR HILL HEALTHCARE AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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