Heritage Care Center
Inspection Findings
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident R1's MDS (Minimum Data Set, periodic assessment of resident care needs) dated 7/31/25, indicated diagnoses cerebral infarction (a stroke, happens when a blood clot or broken vessel prevents blood from getting to the brain), Moyamoya disease (rare, progressive cerebrovascular condition characterized by the narrowing of arteries at the base of the brain, which reduces blood flow) , and diabetes mellitus (group of diseases that affects how your body uses blood sugar (glucose), leading to high blood sugar levels and potential health complications). The Cognitive Patterns Section C0500, Brief Interview for Mental Status (BIMS) revealed that Resident Resident R1 was cognitively intact with a score of 15. The Participation in Assessment and Goal Setting Section Q0130, Resident's Overall Goal for Discharge indicated a 1: Discharge to the Community; Section Q0400, Discharge Plan: Is active discharge planning already occurring for the resident to return to the community?, was coded a 1, indicating yes. Review of Resident Resident R1's clinical progress note date 7/27/25, revealed that he/she would like to be transferred to another facility stating that he/she is familiar with the facility and would like to go tomorrow. Further review of clinical progress notes on 7/31/25, 8/7/25, and 8/14/25, indicated Discharge Plan (location/with who and services needed): home with paid caregiver. Review of Resident Resident R1 comprehensive care plan, initiated 7/28/25, failed to reveal any information related to discharge planning or goals of care to return to the community. Review of Resident Resident R1's physician progress note date 8/18/25, for service date 8/14/25, revealed that goal for him/her to return home with caregivers pending therapy progress and ongoing evaluation by IDT (interdisciplinary team).
Further review of physician progress note dated 8/28/25, for service date 8/21/25, revealed that he/she told physician he/she will be going home Saturday and does not have any concerns regarding discharge.
Further review of clinical record failed to reveal any progress notes or documentation regarding Resident Resident R1's discharge plans or goals; failed to provide evidence that the facility obtained a physician's order for discharge; and failed to provide evidence that the facility documented and provided resident or caregiver(s)
a discharge summary to include a post-discharge plan of care. During an interview on 9/10/25, at 12:40 p.m., the Director of Nursing (DON) confirmed that the facilityfailed to develop and implement discharge planning processes that focused on residents discharge goals for one out of three discharged residents sampled (Resident Resident R1). 28 Pa. Code 201.14(a) Responsibility of licensee28 Pa. Code 201.18(b)(1) Management28 Pa. Code 201.29(a) Resident rights.28 Pa. Code 211.10(a) Resident care policies.28 Pa.
Code 211.12(d)(1)(3)(5) Nursing services
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HERITAGE CARE CENTER in PITTSBURGH, 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 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 HERITAGE CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.