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Complaint Investigation

Champion City Nursing And Rehabilitation Center

March 27, 2026 · Pittsburgh, PA · 6655 Frankstown Avenue
Citations 6
CMS Rating 1/5
Beds 187
Provider ID 395423
Healthcare Facility
Champion City Nursing And Rehabilitation Center
Pittsburgh, PA  ·  View full profile →
Inspection Summary

CHAMPION CITY NURSING AND REHABILITATION CENTER in PITTSBURGH, PA — inspection on March 27, 2026.

Found 6 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

FF0584
Resident Rights Deficiencies

During a tour with the Director of Operations Employee E9 on 3/23/26, from 1:38 p.m. to 2:07 p.m. of the Third floor, the following were observed: room [ROOM NUMBER] had unpainted plaster on the bathroom wallroom [ROOM NUMBER]'s vent cover was missing and the bathroom doorknob was missingroom [ROOM NUMBER] was missing four ceiling tiles in the room, vent cover was loose, and had two brown ceiling tiles in the bathroomroom [ROOM NUMBER] was missing a piece of the vent coverroom [ROOM NUMBER] was missing a piece of the vent coverroom [ROOM NUMBER] had unpainted plaster on the bathroom wallroom [ROOM NUMBER]'s window blind was brokenroom [ROOM NUMBER] was missing ceiling tile in the room, had brown ceiling tile in the bathroom, and unpainted plaster under sinkroom [ROOM NUMBER] had brown ceiling tiles in the bathroomroom [ROOM NUMBER] had brown ceiling tiles in the bathroomroom [ROOM NUMBER] had a baseboard heater mounted on the wall behind the bed that exposed sharp objectsroom [ROOM NUMBER] had brown ceiling tiles in the corner of ceilingHallway ceiling tile tracks had brown rusty color throughout the hallwayResident common room by exit door had unpainted plaster on wallsHallway walls throughout the unit were chipped, marked up, and not paintedCeiling tiles throughout the hallway had brown ceiling tiles

During an interview on 3/23/26, at 2:07 p.m.

Director of Operations Employee E9 confirmed the above findings, and that the facility failed to provide a clean, safe, comfortable, and homelike environment for one of five floors (Third floor). 28 Pa.

Code 201.18(b)(3)(e)(2) Management. 28 Pa code 211.12(d)(1) 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

395423 03/27/2026

Champion City Nursing and Rehabilitation Center 6655 Frankstown Avenue Pittsburgh, PA 15206

Review of the clinical record revealed Resident R169 was admitted to the facility on [DATE].

Review of Resident R169's Minimum Data Set (MDS - a periodic assessment of care needs) dated [DATE], indicated diagnoses of high blood pressure, hyperlipidemia (high levels of fats in the blood), and cognitive communication deficit.

Review of a nursing progress note dated [DATE], completed by Licensed Practical Nurse (LPN) Employee E30 stated, Around 1705 (5:05 p.m.) Caregiver informed writer that resident needed a nurse, when writer went into resident room resident breathing was labored and was mouth breathing mucus membranes were dry, BP (blood pressure) was low and could not get a O2 (oxygen saturation) on resident, writer notified supervisor and she came to assess resident and instructed me to call 911, writer notified sister and on call provider, resident was breathing and had a faint pulse when EMT's (Emergency Medical Technicians) arrived, as they were preparing to put resident on the stretcher resident stop breathing and CPR (cardiopulmonary resuscitation) was performed after a couple of hours to CPR EMT's pronounced resident expired, writer called sister back and informed her that her brother had expired and she stated that there was need for her to come say good bye and that no other family members will come in because she was the only family in the area, writer call the on call provider back to inform them that the resident had expired and the body will be picked up by the funeral home service listed in chart.

Review of Resident R169's clinical record failed to include documentation that the resident was assessed by a Registered Nurse after a change in condition was identified.

During an interview on [DATE], at 9:32 a.m. the Director of Nursing confirmed that the facility failed to make certain that residents were provided appropriate treatment and care in accordance with professional standards of practice for one of four residents (Resident R169). 28 Pa.

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

Code: 211.10(d) Resident care policies.28 Pa.

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

395423 03/27/2026

Champion City Nursing and Rehabilitation Center 6655 Frankstown Avenue Pittsburgh, PA 15206

Review of facility policy Tray Identification dated 10/29/25, indicated that appropriate identification shall be used to identify various diets. A review of the menu indicated that the menu for lunch on 3/23/26, was as follows:Chicken and biscuits, carrots, cranberries, gelatin, and juiceDuring an observation of lunch on 3/23/26, the third floor failed to include the following:Resident R71 was missing finger food items, magic cup, peanut butter and jelly sandwich, and milk were missing from trayResident R180 was missing magic cup on trayResident R127 was missing magic cup on trayResident R29 was missing gelatin on trayResident R66 was missing gelatin on trayResident R100 was missing gelatin on tray

During an interview on 3/23/26, at 12:44 p.m.

Licensed Practical Nurse (LPN) Employee E8 confirmed the missing food items above. A review of the menu indicated that the menu for lunch on 3/24/26, was as follows:Salisbury steak, carrots, mashed chive potatoes, gravy, soup, bread pudding During an observation of lunch meal trayline service in the main kitchen on 3/24/26, at 12:34 p.m., it was revealed residents (14) had the following instead: Hamburger or grilled cheese, mashed chive potatoes, california vegetables

During an interview on 3/24/26, at 12:45 p.m.

Dietary [NAME] Employee E26 confirmed that she was serving a different menu.

She stated Our morning cook called off, we had carrots two days in a row and we didn't give the right food to PC (personal care).

During an interview on 3/24/36, at 1:05 p.m.

Dietary Manager Employee E21 confirmed that the facility failed to serve what was on the menu and to reflect menu changes.

During an observation of lunch on 3/24/26, the third floor failed to include the following:Resident R86 was served blended vegetables, no soup on tray, and no onions and mushroomsResident R28 was missing vegetables and bread puddingResident R136 was missing soup and bread puddingResident R180 was missing magic cup and soup, no bread puddingResident R71 was served grilled cheese, no magic cup, no soup, no bread puddingResident R100 was missing soup and bread puddingResident R46 was missing soup and bread puddingResident R29 was missing bread puddingResident R14 was missing soup and bread pudding

During an interview on 3/24/26, at 1:15 p.m.

Licensed Practical Nurse (LPN) Employee E11 confirmed the missing food items above. 28 Pa.

Code: 211.6(a)(b) Dietary services

395423 03/27/2026

Champion City Nursing and Rehabilitation Center 6655 Frankstown Avenue Pittsburgh, PA 15206

During an observation of the main designated kitchen on 3/23/26, at 9:45 a.m. the following was observed: -(2) cups were stored in the flour bin -(2) packages uncooked ground pork stored improperly -(1 )open bag of hashbrowns in the freezer, open, not dated -(2) cases ice cream stored on walk in freezer floor -(5) individual ice cream, open, walk in freezer During tray line observation of the main designated kitchen on 3/24/2026 at 11:42 a.m. -11:49 a.m. server observed picking up Salisbury steaks with gloved hands, opened warming cart door, did not change gloves -lid covers for plates were still wet from being washed from breakfast During dish room observation 3/26/26 at 9:37 a.m. the following was observed: -dietary staff loading dirty dishes, when wash cycle was complete, he proceeded to clean side and unloaded without washing hands.

This was observed x 5.

During an interview on 3/26/26 at 10:00 a.m., Dietary Manager Employee E21 confirmed that the facility failed to properly label and date food products and maintain sanitary conditions which created the potential for cross contamination.28 Pa.

Code: 201.18(b)(1) Management28 Pa.

Code: 211.6(c) Dietary services28 Pa.

Code: 201.14(a) Responsibility of licensee

395423 03/27/2026

Champion City Nursing and Rehabilitation Center 6655 Frankstown Avenue Pittsburgh, PA 15206

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During an observation of the facility's outdoor trash receptacles on 3/23/26, at 9:30 a.m.

Dietary Manager Employee E21 confirmed that the lid/covers were not closed on dumpster one and three.

During an interview on 3/24/26, at 12:30 p.m.

Dietary Manager Employee E21 confirmed that the facility failed to properly contain garbage in the outside trash receptacles to prevent the potential for rodent and insect infestation. 28 Pa.

Code 201.18(b)(3) Management.

395423 03/27/2026

Champion City Nursing and Rehabilitation Center 6655 Frankstown Avenue Pittsburgh, PA 15206

Review of facility provided documentation included pest-control logs dated from 9/17/25-2/11/26.

The following treatments to the kitchen area were provided on the following dates: 9/17/25 crack/crevice spray to baseboards in kitchen10/29/25 crack/crevice spray to kitchen, dining room, maintenance hall11/19/25 crack/crevice spray to baseboards, kitchen, maintenance hall, front lobby12/3/25 crack/crevice spray to kitchen, maintenance hall1/21/26 crack/crevice spray to baseboards in kitchen, dish room, maintenance hall2/11/26 crack/crevice spray to baseboards in kitchen

During an interview on 3/26/26 at 10:00 a.m.

Dietary Manager Employee E21 confirmed the facility failed to maintain an effective pest control program in the main kitchen. 28 Pa.

Code 201.14(a) Responsibility of licensee28 Pa.

Code 207.2(a) Administrator's responsibility

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


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