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Complaint Investigation

John J Kane Regional Center-gl

May 26, 2026 · Pittsburgh, PA · 955 Rivermont Drive
Citations 2
CMS Rating 2/5
Beds 255
Provider ID 395643
Healthcare Facility
John J Kane Regional Center-gl
Pittsburgh, PA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

John J Kane Regional Center-Gl in PITTSBURGH, PA — inspection on May 26, 2026.

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.

Inspection Findings

FF0686
Quality of Life and Care Deficiencies

Review of a progress note on 5/5/26, indicated that three different bacteria were present in Resident R2's wound cultures.

Review of a progress notes dated 5/5/26, indicated Resident R2 was provided with her first dose of antibiotics related to her hip wound.

Review of a wound nurse practitioner's note dated 5/6/26, that wound measurements were:Right hip: 1.8 cm x 2.2 cm x 0.8 cm with a notation that the wound was deteriorating.Left hip: 1.0 cm x 1.5 cm x 2.5 cm, with a notation that there is undermining present.

Review of a progress note dated 5/11/26, at 10:34 a.m. indicated Resident R2's wounds to remained reddened and foul smelling, with a moderate amount of purulent drainage (commonly known as pus).

Review of a wound nurse practitioner's note dated 5/13/26, that wound measurements were:Right hip: 2.1 cm x 1.7 cm x 0.8 cm with a notation that there was undermining present and that the wound was deteriorating.Left hip: 1.0 cm x 1.3 cm x 2.5 cm, with a notation that there was undermining present, a large amount of drainage with an odor, and that the wound was deteriorating.

Review of a progress note dated 5/13/26, at 1:11 p.m. indicated that Resident R2 was sent to the hospital for worsening wounds.

Review of emergency room notes dated 5/13/26, indicated: Resident R2 was treated for dehydration in the setting of sepsis and was placed on broad-spectrum antibiotics. On my exam looked volume depleted with decreased skin turgor (skin's elasticity and its ability to change shape and snap back to its normal position).

Patient blood pressure stabilized after receiving 1.5 L (liters) of LR (an isotonic, sterile intravenous fluid used to rapidly replace water and electrolytes in cases of dehydration, blood loss, or shock), the infection source is likely from her chronic bilateral hip wound that is concerning for either soft tissue infection or osteomyelitis (inflammation of bone or bone marrow, usually due to infection) pending further imaging and plastic evaluation.

Does appear to be in pain and cries out when her hips are palpated.

Review of a hospital note dated 5/15/26, indicated the infectious source would likely be bilateral hip wound, and noted purulence from the left side.

Resident R2 continued on Vancomycin (a potent antibiotic used to treat serious, hard-to-treat bacterial infections) and Cefepime (broad-spectrum antibiotic used to treat moderate-to-severe bacterial infections).

Review of a plastic surgery consultation note dated 5/13/26, indicated: L Hip wound: 2x2 cm wound over L hip.

Wound bed with necrotic tissue.

Tracks approx. 4 cm deep along lateral aspect.

Could not palpate bone.

Purulent drainage appreciated.R Hip wound: 2 x 2 cm wound over R hip with some necrotic tissue appreciated. No visible bone.

Review of facility provided documentation on 5/16/26 indicated that on 5/4/26, the facility confirmed that the facility was in non-compliance with pressure ulcer care requirements.

During an interview on 5/26/26, at 1:30 p.m., the Nursing Home Administrator and the Director of Nursing confirmed that the facility failed to develop and implement care and services consistent with professional standards of practice to prevent the new development of pressure ulcers that resulted in hospitalization for the treatment of wounds.

This resulted in actual harm for two of three residents with facility-acquired pressure ulcers. 28 Pa.

Code 211.10(c)(d) Resident care policies28 Pa.

Code 211.12(c)(d)(1)(3)(5) Nursing services

395643 05/26/2026

John J Kane Regional Center-Gl 955 Rivermont Drive Pittsburgh, PA 15207

During an observation on 5/16/26, at 10:06 a.m. of the shared restroom for Residents R5, R6, and R7, revealed that the call light cord for was wrapped so tightly around the handrail it was unable to be alarmed.

During an observation on 5/16/26, at 10:16 a.m. of the shared restroom for Residents R8, R9, R10, and R11, revealed that the call light cord for was wrapped so tightly around the handrail it was unable to be alarmed.

During an observation on 5/16/26, at 10:19 a.m. of the shared restroom for Residents R12, R13, and R14 revealed that the call light cord for was wrapped so tightly around the handrail it was unable to be alarmed.

During an interview on 5/26/26, at approximately 1:30 p.m. the Nursing Home Administrator confirmed that the facility failed to maintain an effective call system for 14 of 17 residents. 28 Pa Code 201.14 (a) Responsibility of licensee.28 Pa Code 201.18 (b)(1) Management.28 Pa Code 204.11 (b) Equipment for Bathrooms.

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 John J Kane Regional Center-Gl or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.