Wecare At Mt Lebanon Rehabilitation And Nrsg Ctr
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
[electronic charting system].Review of a facility submitted Report Form for Investigation of Alleged Abuse, Neglect, Misappropriation of Property dated 10/9/25, included the information, Neglect substantiated due to CNA (nurse aide) not following the plan of care. CNA immediately educated to find all transfer statuses in PCC under the Kardex and to follow the plan of care.On 10/9/25, the facility initiated a plan of correction that included:-Residents' representative aware. -Census sheets on the units updated to remove transfer statuses.-Therapy evaluated resident and noted that Broda chair has a metal bar footrest and padding was applied. -Physician notified and POLST (Physician Orders for Life-Sustaining Treatment, set of medical orders signed by both the patient and their healthcare provider, which allows emergency medical personnel to follow the patient's specific preferences) will continue comfort measures only in house and MD to conduct a medication review for pain meds/comfort. -Whole house audit of residents to ensure accuracy of transfer status. -Whole house education to obtain transfer status in PCC by reviewing the Kardex and following each resident's plan of care.-All incidents are reviewed by the IDCP team and QAPI committee.During observations of the census sheets for use by staff confirmed that the transfer status was not included. During interviews completed on 11/6/25, six staff interviewed confirmed they had received education on the appropriate way checking a resident ' s transfer status and demonstrated how to navigate to the appropriate area in the electronic medical record system. Facility in compliance as of 11/6/25.During
an interview on 11/6/25, at approximately 5:00 p.m. the Nursing Home Administrator and the Director of Nursing confirmed the facility failed to provide adequate supervision during transfers that resulted in the actual harm of an ankle fracture one of three residents. This was identified as past-noncompliance.
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WECARE AT MT LEBANON REHABILITATION AND NRSG CTR in PITTSBURGH, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 WECARE AT MT LEBANON REHABILITATION AND NRSG CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.