Complaint Investigation

Woodhaven Health & Rehab Center

September 3, 2025 · Monroeville, PA · 2400 Mcginley Road

Citations 3

CMS Rating 1/5

Beds 119

Provider ID 395653

Healthcare Facility

Woodhaven Health & Rehab Center

Monroeville, 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

WOODHAVEN HEALTH & REHAB CENTER in MONROEVILLE, PA — inspection on September 3, 2025.

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.

Inspection Findings

FF0684

Quality of Life and Care Deficiencies

Review of a physician's note dated 7/21/25, at 11:03 a.m. indicated, Patient seen

her legs.

Patient is seen in her room this morning.

The note further stated suspect CHF congestive heart failure.

Review of a progress note dated 7/22/25, at 1:02 p.m. indicated that the physician was advised of a 13-pound weight gain.

Review of the weight records indicated that Resident R1 had a 23-pound weight gain, not 13-pound.

Review of a physician's note dated 7/23/25, at 9:46 a.m. indicated, Patient seen for follow-up of recent visits for leg swelling and weight gain.

This morning, nursing noted her HR (heart rate) to be elevated to 120s.

Patient was started on increased dose of Lasix yesterday for finding of LLL (left lower lobe of the lung) fluid on CXR (chest x-ray).

During an interview on 8/27/25, at approximately 12:45 p.m. the Nursing Home Administrator and the Director of Nursing confirmed the facility failed to provide treatment and services related to heart failure for one of three residents. 28 Pa.

Code: 211.12(d)(1)(3)(5) Nursing services.

395653 09/03/2025

Woodhaven Health & Rehab Center 2400 McGinley Road Monroeville, PA 15146

FF0742

Quality of Life and Care Deficiencies

During an interview on 9/3/25, at approximately 12:00 p.m. the Nursing Home

28 Pa.

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

Code 201.18 (b)(1)(3)(e)(1) Management. 28

211.12(d)(1)(3)(5) Nursing services.

395653 09/03/2025

Woodhaven Health & Rehab Center 2400 McGinley Road Monroeville, PA 15146

FF0745

Quality of Life and Care Deficiencies

DXA (type of bone density x-ray): Cancelled.6/05/25, Faslodex/labs: No show.6/26/25, Faslodex

interview on 9/3/25, at approximately 12:00 p.m. the Nursing Home Administrator confirmed the

residents. 28 Pa.

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

Code 201.18 (b)(1))(3)(e)(1) Management. 28 Pa.

Code 201.29 (a)(j) Resident rights. 28 Pa.

Code 211.2 (a) Physician services. 28 Pa.

Code 211.16 (a) Social services. 28 Pa.

Code 211.12(d)(1)(3)(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 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 WOODHAVEN HEALTH & REHAB 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.