Wecare At Monroeville Rehabilitation And Nsg Ctr
Inspection Findings
F-Tag F0554
F 0554
Allow residents to self-administer drugs if determined clinically appropriate.
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 policy, observations and staff interview, it was determined that the facility failed to determine if it was safe to self-administer medications for one of five residents (Resident Resident R1).Findings include: Review of the facility policy, Self-Administration of Drugs dated 6/1/25, indicated, If a resident chooses to self-administer medication, he/she will be assessed for the ability to exercise this right safely and accurately. Review of the clinical record indicated Resident Resident R1 was admitted to the facility on [DATE REDACTED].
Review of the Minimum Data Set (MDS - periodic assessment of resident care needs dated included diagnoses of diabetes (a metabolic disorder in which the body has high sugar levels for prolonged periods of time) and dementia (a group of symptoms that affects memory, thinking and interferes with daily life).
Review of Section C: Cognitive Patterns indicated Resident Resident R1 had moderate cognitive impairment. Review of Resident Resident R1's plan of care updated 10/3/25, failed to include goals and interventions related to the self-administration of medications. Review of the clinical record failed to reveal an assessment for the ability to self-administer medications. Review of Resident Resident R1's physician orders failed to reveal an order for self-administration of medications. During an observation on 11/12/25, at approximately 11:15 a.m.
Resident Resident R1 was noted to have a medicine cup with five pills in it on her bedside table. Observation of those medications revealed them to be metformin 500 mg (medication for diabetes) amlodipine 10 mg (medication for high blood pressure), lisinopril 20 mg (medication for high blood pressure), apixaban 2.5 mg (medication to prevent blood clots), and fluoxetine 10 mg (medication to treat depression). During a second
observation on 11/12/25, at approximately 1:00 p.m. Resident Resident R1 was noted to have the same medicine cup with five pills in it on her bedside table. Review of Resident Resident R1's medication administration record on 11/12/25, at approximately 1:05 p.m. indicated Licensed Practical Nurse Employee E1 had administered Resident Resident R1's medications. During an interview completed on 11/12/25, at approximately 1:20 p.m. the Nursing Home Administrator confirmed the facility failed to determine if it was safe to self-administer medications for one of five residents. 28 Pa. Code: 211.12(d)(1)(2) Nursing services.
Residents Affected - Few
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:
WECARE AT MONROEVILLE REHABILITATION AND NSG CTR in MONROEVILLE, 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 MONROEVILLE, 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 WECARE AT MONROEVILLE REHABILITATION AND NSG CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.