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Complaint Investigation

Armstrong Rehabilitation And Nursing Center

February 25, 2026 · Kittanning, PA · 265 South Mckean Street
Citations 3
CMS Rating 1/5
Beds 113
Provider ID 395471
Healthcare Facility
Armstrong Rehabilitation And Nursing Center
Kittanning, PA  ·  View full profile →
Inspection Summary

ARMSTRONG REHABILITATION AND NURSING CENTER in KITTANNING, PA — inspection on February 25, 2026.

Found 3 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

Review of information submitted to the State Agency on 2/16/26, by the Director of Nursing

Nurse (LPN) and Nurse Aide (NA) reported to RN, Supervisor, Employee E1 that the resident was requesting to be sent out. RN Supervisor, Employee E1 refused to assess resident and refused to send him out to the hospital.

During an attempted phone interview on 2/25/26, at 10:24 a.m. RN, Employee E1 was unavailable for an interview.

During an interview on 2/25/26, at 10:38 a.m. the Director of Nursing (DON) confirmed Resident R1's Discharge Transition Packet dated 2/12/26, confirmed the resident's last bowel movement was 2/4/26, a total of eight days.

During an interview on 2/25/26, at 10:50 a.m.

Resident R1 confirmed when he was initially admitted to the facility he complained of abdomen pain and had to go to the hospital.

During an interview on 2/25/26, at 10:58 a.m.

Nurse Aide, Employee E2 stated Resident R1 wanted to go to the hospital and when she notified RN, Supervisor, Employee E1 she failed to go in and assess the resident. NA, Employee E2 stated the resident was complaining he hadn't moved his bowels.

During an interview on 2/25/26, at 11:07 a.m.

LPN, Employee E4 stated if a resident has not had a bowel movement in three days, the bowel protocol would be initiated. It was indicated for residents newly admitted , their last bowel movement is assessed upon admission.

Medications for the bowel protocol are automatically put in place upon admission.

Staff can also review discharge paperwork to see when a residents last bowel movement was. If a resident has a change in condition, they must be assessed, vitals obtained, and the physician is notified.

During an interview on 2/25/26, at 11:09 a.m. LPN, Employee E3 stated she worked 3 p.m. to 11 p.m. on 2/12/26. LPN, Employee E3 was notified Resident R1 wanted to talk with a supervisor and go to the hospital. It was indicated Resident R1 was asking all day.

Around 5 p.m.

Resident R1 rang his call bell again and requested to see supervisor and go to hospital. RN, Supervisor R1 failed to assess resident and Resident R1 called 911 himself. LPN, Employee E3 stated the resident was having abdomen pain from a bowel obstruction. LPN, Employee E3 stated The resident had an order for citrus magnesium from the other facility, and I don't think he got any of it.

During an interview on 2/25/26, at 1:18 p.m. the Director of Nursing and Nursing Home Administrator confirmed the facility failed to protect resident from neglect for one of five residents (Resident R1). 28 Pa.

Code 201.14(a) Responsibility of licensee 28 Pa.

Code 211.10 (a) (d) Resident care policies

395471 02/25/2026

Armstrong Rehabilitation and Nursing Center 265 South McKean Street Kittanning, PA 16201

Review of Residents R1's admission record indicated the resident was admitted on [DATE], and readmitted [DATE], with diagnoses of constipation, high blood pressure, and cervicalgia (neck pain).

Review of Resident R1's progress note dated 2/12/26, entered by Registered Nurse (RN), Employee E1 revealed the resident requested to go to the hospital for abdominal pain and constipation. He called 911 himself.

Review of information submitted to the State Agency on 2/16/26, by the Director of Nursing revealed on 2/13/26, Resident R1 stated he wanted to go to the hospital, and the Licensed Practical Nurse (LPN) and Nurse Aide (NA) reported to RN, Supervisor, Employee E1 that the resident was requesting to be sent out. RN Supervisor, Employee E1 refused to assess resident and refused to send him out to the hospital.

The facility failed to report the allegation of neglect within 24 hours to the local state field office.

During an interview on 2/25/26, at 12:37 p.m. the Director of Nursing confirmed allegations of neglect must be reported to the appropriate agencies within 24 hours.

During an interview on 2/25/26, at 1:18 p.m. the Director of Nursing and Nursing Home Administrator confirmed the facility failed to report an allegation of neglect within 24 hours to the local state field office for one of two residents (Resident R1). 28 Pa.

Code: 201.14(a) Responsibility of licensee. 28 Pa.

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

Code: 207.2(a) Administrator's responsibility. 28 Pa.

Code: 211.10(d) Resident care policies.

395471 02/25/2026

Armstrong Rehabilitation and Nursing Center 265 South McKean Street Kittanning, PA 16201

During an interview on 2/25/26, at 10:38 a.m. the Director of

10:50 a.m.

Resident R1 confirmed when he was initially admitted to the facility he complained of

Employee E2 stated Resident R1 wanted to go to the hospital and when she notified RN, Supervisor, Employee E1 she failed to go in and assess the resident. NA, Employee E2 stated the resident was complaining he hadn't moved his bowels.

During an interview on 2/25/26, at 11:07 a.m. LPN, Employee E4 stated if a resident has not had a bowel movement in three days, the bowel protocol would be initiated. It was indicated for residents newly admitted , their last bowel movement is assessed upon admission.

Medications for the bowel protocol are automatically put in place upon admission.

Staff can also review discharge paperwork to see when a residents last bowel movement was. If a resident has a change in condition, they must be assessed, vitals obtained, and the physician is notified.

During an interview on 2/25/26, at 11:09 a.m. LPN, Employee E3 stated she worked 3 p.m. to 11 p.m. on 2/12/26. LPN, Employee E3 was notified Resident R1 wanted to talk with a supervisor and go to the hospital. It was indicated Resident R1 was asking all day.

Around 5 p.m.

Resident R1 rang his call bell again and requested to see supervisor and go to hospital. RN, Supervisor R1 failed to assess resident and Resident R1 called 911 himself. LPN, Employee E3 stated the resident was having abdomen pain from a bowel obstruction. LPN, Employee E3 stated The resident had an order for citrus magnesium from the other facility, and I don't think he got any of it.

Review of Resident R1's Hospital Discharge Summary on 2/25/26, revealed the resident was hospitalized from [DATE], to 2/17/26 for a rectal fecal impaction, severe constipation, requiring oral laxatives, disimpacting and soap suds enema.

During an interview on 2/25/26, at 12:27 p.m. the Nursing Home Administrator confirmed that the facility failed to provide care and services needed for residents to attain or maintain the highest practicable physical, mental, and psychosocial well-being for one of five residents (Resident R1). 28 Pa.

Code: 201.14 (a) Responsibility of licensee. 28 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.

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 KITTANNING, 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 ARMSTRONG REHABILITATION AND NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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