Highland Hills Post Acute

F 0583

Keep residents' personal and medical records private and confidential.

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 maintain resident's confidential personal and medical records for one of three residents (Resident Resident R1). Findings include: A review of the facility policy titled, Confidentiality of Information and Personal Privacy dated 1/18/25, indicated that the facility will safeguard the personal privacy and confidentiality of all resident personal and medical records. Review of the clinical record indicated Resident Resident R1 was admitted to the facility on [DATE REDACTED]. Review of Resident Resident R1's Minimum Data Set (MDS- a periodic assessment of care needs) dated 11/21/25, indicated diagnoses of stroke (when blood stops flowing to a part of the brain), high blood pressure, and difficulty swallowing. During an observation on 12/30/25, at 12:07 p.m. a sign was observed posted above Resident Resident R1's bed that included the following information: Blue [NAME] cup (a cup designed to limit the flow of liquids for residents who have difficulty swallowing) used for thin water. Only 5-10 ccs (milliliters) of liquid for each sip to reduce risk of aspiration (accidently inhaling liquid into the lungs).

Encourage resident to sit up when drinking. Review of Resident Resident R1's clinical record failed to include any documentation that the above resident or his representative approved the posting of private health information. During an interview on 12/30/25, at 2:13 p.m. the Assistant Director of Nursing Employee E1 confirmed that the facility failed to maintain resident's confidential personal and medical records for one of three residents (Resident Resident R1). 28 Pa. Code: 201.18(e)(1) Management

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:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Highland Hills Post Acute

1105 Perry Highway Pittsburgh, PA 15237

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

review of facility policy, clinical record review, and staff interview it was determined that the facility failed to revise a care plan to accurately reflect the current status for one of three residents (Resident Resident R1).Findings include: Review of facility policy Care Plans, Comprhensive Person-Centered dated 11/1/25, indicated that

a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet

the resident's physical, psychosocial and functional needs is developed and implemented for each resident.

Assessments of residents are ongoing, and care plans are revised as information about the residents and

the residents' conditions change. Review of a Resident Representative concern dated 12/22/25, stated

They are still giving him thin water through a straw. Review of the clinical record indicated Resident Resident R1 was admitted to the facility on [DATE REDACTED]. Review of Resident Resident R1's Minimum Data Set (MDS- a periodic assessment of care needs) dated 11/21/25, indicated diagnoses of stroke (when blood stops flowing to a part of the brain), high blood pressure, and difficulty swallowing. Review of Resident Resident R1's clinical record revealed a physician's order dated 11/12/25, that stated No straws. A Review of Resident Resident R1's care plan conducted on 12/30/25, did not include an intervention of No straws. During an interview on 12/30/25, at 1:43 p.m. the Assistant Director of Nursing confirmed the facility failed to revise care plan for Resident Resident R1 as required. 28 Pa. Code: 201.14(a) Responsibility of Licensee.28 Pa. Code: 211.12(d)(1)(3)(5) Nursing services.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Highland Hills Post Acute

1105 Perry Highway Pittsburgh, PA 15237

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

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 resident and staff interviews it was determined that the facility failed to make certain that nail care was provided for four of ten residents (Resident Resident R3, Resident R4, Resident R5, and Resident R6).

Findings include: Review of the facility policy Fingernails/Toenails, Care of last reviewed on 11/1/ 25, indicated that nail care includes daily cleaning and regular trimming. Review of a Resident Representative concern dated 12/22/25, stated the following: They don't clean or cut his nails. I'm the one that cuts his nails. Review of the clinical record indicated Resident Resident R3 was admitted to the facility on [DATE REDACTED]. Review of Resident Resident R3's Minimum Data Set (MDS- a periodic assessment of care needs) dated 12/23/25, indicated diagnoses of stroke (when blood stops flowing to a part of the brain), high blood pressure, and hemiplegia (paralysis on one side of the body). During an observation and interview on 12/20/25, at 11:16 a.m.

Resident Resident R3 was noted to have long fingernails, with brown debris underneath. State Agency (SA) asked Resident Resident R3 if he needed his nails cut to which he replied Yeah. Review of the clinical record indicated Resident Resident R4 was admitted to the facility on [DATE REDACTED]. Review of Resident Resident R4's MDS dated [DATE REDACTED], indicated diagnoses of high blood pressure, difficulty swallowing, and malnutrition (lack of nutrients in the body).

During an observation on 12/30/25, at 11:12 a.m. Resident Resident R4 was noted to have long fingernails. Review of the clinical record indicated Resident Resident R5 was admitted to the facility on [DATE REDACTED]. Review of Resident Resident R5's MDS dated [DATE REDACTED], indicated diagnoses of muscle weakness, dementia (a group of symptoms that affects memory, thinking and interferes with daily life), and low back pain. During an observation and interview on 12/30/25, at 11:30 a.m. Resident Resident R5 was noted to have long and jagged fingernails. SA asked Resident Resident R5 if she needed her nails cut, to which she replied, I need them cut but I don't know who cuts them. Review of

the clinical record indicated Resident Resident R6 was admitted to the facility on [DATE REDACTED]. Review of Resident Resident R6's MDS dated [DATE REDACTED], indicated diagnoses of Parkinson's disease (neuromuscular disorder causing tremors and difficulty walking), high blood pressure, and hip fracture. During an observation and interview on 12/30/25, at 11:31 a.m. Resident Resident R6 was noted to have long fingernails with brown debris underneath. SA asked Resident Resident R6 if he needed his nails cut and resident replied Yes, I do. During walking rounds with the Assistant Director of Nursing (ADON) Employee E1 on 12/30/25, from 12:29 p.m. to 12:36 p.m., the above

observations were confirmed by ADON. During an interview on 12/30/25, at 12:36 p.m. the ADON confirmed that the facility failed to make certain that nail care was provided for four of ten residents. 28 Pa.

Code:201.14(a) Responsibility of licensee.28 Pa. Code: 201.18(b)(1)(e)(1) Management.28 Pa. Code: 211.10(c)(d) Resident care policies.28 Pa. Code: 211.12(d)(1)(2)(3)(5) Nursing services.

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Highland Hills Post Acute

1105 Perry Highway Pittsburgh, PA 15237

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

'N for No, implying that brace was not applied on 12/3/25, 12/8/25, 12/22/25, and 12/23/25.Hand splint documentation as marked NA for Not applicable on 12/6/25, 12/27/25, and 12/28/25.Hand splint documentation was left blank, with no supporting documentation that brace was applied on 12/4/25, 12/12/25, 12/13/25, 12/15/25, 12/17/25, 12/18/25, 12/20/25, 12/21/25, 12/24/25, 12/25/25, and 12/29/25.

Review of the above documentation indicated that Resident Resident R2 did not have his hand splint applied on 18 of 29 days. Review of clinical record indicated Resident Resident R3 was admitted to the facility 2/13/25. Review of Resident 3's MDS dated [DATE REDACTED], indicated diagnoses of stroke, high blood pressure, and hemiplegia.

Review of Resident Resident R3's clinical record revealed a physician's order dated 10/15/25, for a splint to right hand, apply at bedtime and remove in the morning. Review of Resident 32's clinical record conducted on 12/30/25, revealed a Documentation Survey Report that revealed the following: Hand splint documentation as marked NA for Not applicable on 12/2/25, 12/4/25, 12/6/25, 12/7/25, 12/8/25, 12/10/25, 12/13/25, 12/14/25, 12/18/25, 12/20/25, 12/22/25, 12/24/25, and 12/27/25.Hand splint documentation was left blank, with no supporting documentation that brace was applied on 12/25/25.Review of the above documentation indicated that Resident Resident R3 did not have his hand splint applied on 14 of 29 days. During an interview on 12/30/25, at 1:38 p.m. the Assistant Director of Nursing Employee E1 confirmed that the facility failed to ensure that residents with limited mobility receives appropriate services, equipment, and assistance to maintain or improve mobility for three of three residents. 28 Pa. Code: 201.14(a) Responsibility of licensee.28 Pa. Code: 201.18 (b)(1) Management.28 Pa. Code: 211.10(a)(c)(d) Resident care policies.28 Pa. Code: 211.12(c)(d)(1)(2)(3)(5) Nursing services.

Event ID:

Facility ID:

If continuation sheet