Skip to main content
Complaint Investigation

Highland Hills Post Acute

December 19, 2025 · Pittsburgh, PA · 1105 Perry Highway
Citations 2
CMS Rating 1/5
Beds 200
Provider ID 395826
Healthcare Facility
Highland Hills Post Acute
Pittsburgh, PA  ·  View full profile →
Inspection Summary

HIGHLAND HILLS POST ACUTE in PITTSBURGH, PA — inspection on December 19, 2025.

Found 2 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.

Advertisement

Inspection Findings

FF0558
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of the clinical record indicated that Resident R149 was admitted to the facility on [DATE], with diagnoses which included hepatic encephalopathy (brain dysfunction caused by liver dysfunction), diabetes mellitus and morbid obesity.

During an observation on 12/16/25, at 9:29 a.m.

Resident R149's call light above her door illuminated, the call light was not responded to until 9:45 a.m., 16 mintute later, when Nurse Aide Employee E18 and Nurse Aide Employee E19.

Review of facility provided documents Call Bell Audit's dated 12/11/15, 12/12/25, 12/16/25, revealed 12/11/25 room [ROOM NUMBER]: 21-minute response time, 12/12/25 room [ROOM NUMBER]: 20-minute response time, 12/16/25 room [ROOM NUMBER]: 16-minute response time.

During an interview on 12/16/25, at 1:00 p.m.

Registered Nurse Employee R12 confirmed that the facility failed to accommodate Resident R149's call bell needs. 28 Pa.

Code 201.14(a) Responsibility of license 28 Pa.

Code: 211.10(d) Resident care policies28 Pa.

Code: 211.12(d)(1)(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

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/19/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Highland Hills Post Acute

1105 Perry Highway Pittsburgh, PA 15237

SUMMARY STATEMENT OF DEFICIENCIES

Review of Resident R167's MDS assessment (Minimum Data Set assessment: MDS -a periodic assessment of resident care needs) dated 11/26/25, indicated she had diagnoses that included dementia (a condition characterized by memory loss and progressive or persistent loss of intellectual functioning), diabetes (metabolic disorder impacting organ function related to glucose levels in the human body), and hyperlipidemia (elevated lipid levels within the blood).Review of Resident R167's care plan dated 11/19/25, indicated if conflict arises to place Resident R167 in a calm and safe environment and allow her to vent.Review of Resident R167's clinical nurse note dated 11/19/25, indicated that at around 12:30 p.m. the Assistant Director of Nursing (ADON) Employee E4 entered resident's room and found Certified Nurse aide (CNA) Employee E6 and Licensed Practical Nurse (LPN) Employee E5 assisting resident into her wheelchair with a sit-to-stand lift.

Assistant Director of Nursing (ADON) Employee E4 heard Licensed Practical Nurse (LPN) Employee E5 yelling at Resident R167 to stop it, you aren't a child.

Stop acting like it. It appeared as if the Licensed Practical Nurse (LPN) Employee E5 pushed Resident R167 into the chair with the sling still around her waist.Facility investigation documents dated 11/19/25, Certified Nurse aide (CNA) Employee E6 witness statement was provided and indicated that Licensed Practical Nurse (LPN) Employee E5 yelled at Resident R167.Review of Licensed Practical Nurse (LPN) Employee E5 personnel record indicated she was hired 4/5/94.

Her personnel record also indicated she received annual re-education for psychosocial needs dated 11/13/24 and annual re-education on abuse dated 4/27/25.

During an interview on 12/16/25, at 8:54 a.m.

Assistant Director of Nursing (ADON) Employee E4 was asked about incident with Licensed Practical Nurse (LPN) Employee E5: while Resident R167 was still hooked up to Hoyer lift pad, Licensed Practical Nurse (LPN) Employee E5 appeared to have pushed her down into a chair while she was hooked to a sit-to-stand machine and the sling was still around the resident.

Licensed Practical Nurse (LPN) Employee E5 yelled in Resident R167's face to ‘stop acting like a child'.

During an interview on 12/17/25, at 3:00 p.m. information disseminated to the Director of Nursing (DON) and Nursing Home Administrator (NHA) that the facility failed to maintain an environment free of abuse for Resident R167 as required. 28 Pa.

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

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

Code 201.29(a)(c)(d)(j) Resident Rights28 Pa.

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

Facility ID:

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 HIGHLAND HILLS POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement