Complaint Investigation

Rose Meadows Health & Rehab Center

October 23, 2025 · Pittsburgh, PA · 1717 Skyline Drive

Citations 2

CMS Rating 1/5

Beds 200

Provider ID 395745

Healthcare Facility

Rose Meadows Health & Rehab Center

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

ROSE MEADOWS HEALTH & REHAB CENTER in PITTSBURGH, PA — inspection on October 23, 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.

Inspection Findings

FF0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Actual Harm

safety measures or any other needs, and facility education provided on 10/3/25.Registered Nurse (RN) Employee E20 confirmed the use of the orders when caring for residents to provide instruction for additional safety measures or any other needs, and facility education provided on 10/3/25.Registered Nurse (RN) Employee E21 confirmed the use of the orders when caring for residents to provide instruction for additional safety measures or any other needs, and facility education provided on 10/3/25.Registered Nurse (RN) Employee E22 confirmed the use of the orders when caring for residents to provide instruction for additional safety measures or any other needs, and facility education provided on 10/3/25.Registered Nurse (RN) Employee E23 confirmed the use of the orders when caring for residents to provide instruction for additional safety measures or any other needs, and facility education provided on 10/3/25.Registered Nurse (RN) Employee E24 confirmed the use of the orders when caring for residents to provide instruction for additional safety measures or any other needs, and facility education provided on 10/3/25.During interviews on 10/22/25, (CNA Employees E1, E2, E3, E4, E5, E6, E7, E8, E9, E10, E11, and E12), confirmed they received point of care training on 10/3/25, for bed mobility and safe transfers.The facility has demonstrated compliance with the regulations since 10/16/25.

During an interview on 10/23/25, at 4:00 p.m. with the Nursing Home Administrator and Director of Nursing, and review of the facility's immediate actions, education, and review of the QAPI monitoring process to sustain solutions, it was verified that the facility had implemented a plan of correction and achieved compliance ensuring the prevention of resident neglect. 28 Pa.

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

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

Code 201.20(b)(1) Staff Development.28 Pa.

Code 201.29(a) Resident rights.28 Pa.

Code 211.10(c) Resident care policies28 Pa.

Code 211.11(d) Resident care plan.28 Pa Code 211.12(d)(1)(2)(5) Nursing services.

Facility ID:

IDENTIFICATION NUMBER:

Building

COMPLETED

10/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Rose Meadows Health & Rehab Center

1717 Skyline Drive Pittsburgh, PA 15227

SUMMARY STATEMENT OF DEFICIENCIES

FF0689

Quality of Life and Care Deficiencies

Actual Harm

demonstrated compliance with the regulations since 10/16/25

During an interview on 10/23/25, at approximately 3:30 p.m. the Nursing Home Administrator and the Director of Nursing confirmed the facility failed to provide adequate supervision to prevent falls that resulted in the actual harm of a left humerus (upper arm) fracture for one of six residents (Resident R1).

This was identified as past noncompliance. 28 Pa.

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

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

Code 201.29(a) Resident Rights.28 Pa.

Code 211.10 (c )(d) Resident care policies.28 Pa.

Code 211.12 (d)(1)(2)(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 ROSE MEADOWS HEALTH & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

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.