Complaint Investigation

Havencrest Rehabilitation And Healthcare Center

August 21, 2025 · Monongahela, PA · 1277 Country Club Road

Citations 1

CMS Rating 2/5

Beds 48

Provider ID 395633

Healthcare Facility

Havencrest Rehabilitation And Healthcare Center

Monongahela, PA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

HAVENCREST REHABILITATION AND HEALTHCARE CENTER in MONONGAHELA, PA — inspection on August 21, 2025.

Found 1 citation. 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

FF0684

Quality of Life and Care Deficiencies

Potential for More Than Minimal Harm

Review of the facility Fall care path indicated that vital signs including neuro checks if unwitnessed fall should continue for 24 to 72 hours.

Review of the clinical record indicated that Resident R1 was admitted to the facility on [DATE], with diagnoses which included lung disease, heart fibrillation and dementia.Review of Resident R1's Minimum Data Set (MDS - a periodic assessment of care needs) dated 6/4/25, indicated diagnoses remined current.Review of Resident R1's care plan initiated on 5/12/23 and updated 6/9/25, indicated at risk for falls.Review of a progress note indicated Resident R1 had an unwitnessed fall on 6/25/25, with documented vital signs dated 6/4/25.

Documentation did not include continued monitoring of Resident R1 after her fall.

Review of the clinical record indicated that Resident R2 was admitted to the facility on [DATE], with diagnoses which included convulsions, schizoaffective disorder, and a history of falls.Review of Resident R2's MDS dated [DATE], indicated the diagnoses remained current.Review of Resident R2's care plan initiated on 5/31/24, and updated on 4/25/25, indicated Resident R2 was at risk for falls.

Review of a progress noted dated 8/12/25, indicated Resident R2 had and unwitnessed fall with documented vital signs dated 8/5/25.

Documentation did not include continued monitoring of Resident R2 after the fall.

Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE], with diagnoses which included lung disease, urinary infection history and diabetes.

Review of Resident R3's MDS dated [DATE], indicated the diagnoses remained current.Review of resident R3's care plan initiated on 11/20/24, and updated 7/24/25, indicated Resident R3 was at risk for falls.Review of a progress note dated 7/21/25, indicated Resident R3 had an unwitnessed fall with documented vital signs dated from a previous time of the same date.

Documentation did not include continued monitoring or Resident R3 after the fall.

During an interview on 8/21/25, at 11:02 a.m., the Director of Nursing (DON) confirmed the facility failed to provide an ongoing vital signs and neurological assessment post unwitnessed fall for three of five residents (Resident R1, R2 and R3). 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

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

More Reports

About This Inspection Report

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.