Westmoreland Manor
Westmoreland Manor in GREENSBURG, PA — inspection on April 29, 2026.
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.
Inspection Findings
a week for proper medication administration and proper intravenous medication administration.
The
Code 211.12(d)(1)(3)(5) Nursing Services.
395435 04/29/2026
Westmoreland Manor 2480 South Grand Blvd Greensburg, PA 15601
confused with giving medications crushed in a gastric tube.
Interview with Licensed Practical Nurse 4
Practical Nurse 2 put medications in the resident's midline catheter and she questioned if it was
he was crushing the resident's medications and giving them orally and he replied that he was.
She was aware of him giving an as needed pain medication by mouth.
Licensed Practical Nurse 4 attempted to show Licensed Practical Nurse 2 how to administer antibiotics in the midline for Resident 2 and the medication would not infuse and attempts to flush the midline catheter were unsuccessful despite Licensed Practical Nurse 2 stating he just flushed the midline catheter.
Licensed Practical Nurse 4 reported the allegation of improper medication administration to Registered Nurse 1 who reported it to Registered Nurse 3.
Licensed Practical Nurse 2 later admitted to Licensed Practical Nurse 4 that he crushed Resident 2's 6:00 p.m. medications and put them in her midline catheter.Interview with the Director of Nursing, Nursing Home Administrator and the facility's Clinical Compliance Certified Registered Nurse Practitioner on April 29, 2026, at 3:25 p.m. confirmed that Licensed Practical Nurse 2 administered medications that were ordered to be given by mouth via a syringe into a midline catheter and should not have.
Following the incident on April 23, 2026, the facility's corrective actions included:Licensed Practical Nurse 2, who was involved in the improper administration of medications to Resident 2, was removed from duty, and was reported to the nursing agency that employed him as well as the state board of nursing. A full facility audit of the residents with intravenous access devices was completed and education of staff was initiated regarding the six rights of medication administration with emphasis on the right route, the Pennsylvania Licensed Practical Nurse scope of practice an code of conduct including that Licensed Practical Nurses are not permitted to administer intravenous push medications, adherence to proper routes of administration at all times, and safe practices for IV medication administration, subcutaneous injections, and enteral feeding.
The education provided also included competency evaluations. A review of the facility's corrective actions revealed that they were in compliance with F-F760 on April 27, 2026.Interview with the Clinical Compliance Certified Registered Nurse Practitioner on April 29, 2026, at approximately 2:00 p.m. revealed that the facility had initiated audits three times a week for proper medication administration and proper intravenous medication administration.
The results of the audits were to be discussed during the monthly Quality Assurance (QA) meeting. 28 Pa.
Code 211.12(d)(1)(3)(5) Nursing Services.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.