Redstone Highlands Health Care
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
for function.A facility wide sweep was conducted on all in house wander guard transmitters to ensure proper function and battery life. Any transmitters with a low battery life or improper function were replaced at the time of discovery.Disciplinary action was enforced with the staff member who failed to respond to the incident in a timely and appropriate manner.All licensed nursing staff were re-educated on the elopement policy and procedure. All licensed nursing staff were also re-educated on the wander guard system function and documentation. Education was completed on September 18, 2025. All new staff and agency staff will receive the education. The Director of Nursing or designee added checking the transmitter battery life to the weekly audit tool which was initiated on September 17, 2025 and the weekly audit tool would include wander guard placement and battery status. Any transmitters with a low battery status would be replaced at
the time of discovery. The wander guard system check was completed daily and will continue to be checked for function daily. System check audits would be completed by the Building Services Director or designee daily for three months and transmitter audits would be completed weekly for four months, and then monthly for three months.Upon admission, all residents would receive an elopement assessment and the assessments would determine interventions as needed. Updates would be added to the resident care plan and discussed with the interdisciplinary team.Audit results would be reported to the Quality Assurance Performance Improvement committee to identify trends, further opportunities for quality improvement, and needs for additional education/re-education. The Immediate Jeopardy was lifted on October 15, 2025, at 5:28 p.m. when it was confirmed that the corrective action plans developed on September 17, 2025, were completed by September 18, 2025, and that the wander guards were being checked as ordered and replaced as needed, and all residents that used the wander guard system had no elopements. The facility's date of compliance was September 18, 2025.28 Pa. Code 201.14(a) Responsibility of licensee.28 Pa. Code 201.18(b)(1)(e)(1) Management.28 Pa. Code 211.10(d) Resident care policies. 28 Pa. Code 211.12(d)(5) Nursing services.
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Redstone Highlands Health Care in GREENSBURG, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 GREENSBURG, 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 Redstone Highlands Health Care or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.