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Complaint Investigation

Highland Hills Post Acute

December 30, 2025 · Pittsburgh, PA · 1105 Perry Highway
Citations 4
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 30, 2025.

Found 4 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

FF0583
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE].

Review of 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 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 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 R1). 28 Pa.

Code: 201.18(e)(1) Management

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

12/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Highland Hills Post Acute

1105 Perry Highway Pittsburgh, PA 15237

SUMMARY STATEMENT OF DEFICIENCIES

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 R1 was admitted to the facility on [DATE].

Review of 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 R1's clinical record revealed a physician's order dated 11/12/25, that stated No straws. A Review of 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 R1 as required. 28 Pa.

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

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Highland Hills Post Acute

1105 Perry Highway Pittsburgh, PA 15237

SUMMARY STATEMENT OF DEFICIENCIES

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 R3 was admitted to the facility on [DATE].

Review of 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 R3 was noted to have long fingernails, with brown debris underneath.

State Agency (SA) asked Resident R3 if he needed his nails cut to which he replied Yeah.

Review of the clinical record indicated Resident R4 was admitted to the facility on [DATE].

Review of Resident R4's MDS dated [DATE], 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 R4 was noted to have long fingernails.

Review of the clinical record indicated Resident R5 was admitted to the facility on [DATE].

Review of Resident R5's MDS dated [DATE], 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 R5 was noted to have long and jagged fingernails. SA asked 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 R6 was admitted to the facility on [DATE].

Review of Resident R6's MDS dated [DATE], 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 R6 was noted to have long fingernails with brown debris underneath. SA asked 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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Highland Hills Post Acute

1105 Perry Highway Pittsburgh, PA 15237

SUMMARY STATEMENT OF DEFICIENCIES

Review of the above documentation indicated that Resident R2 did not have his hand splint applied on 18 of 29 days.

Review of clinical record indicated Resident R3 was admitted to the facility 2/13/25.

Review of Resident 3's MDS dated [DATE], indicated diagnoses of stroke, high blood pressure, and hemiplegia.

Review of 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 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.

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.


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