Wecare At Rolling Meadows Rehab And Nursing Ce

Based on review of job descriptions, and staff interviews, it was determined that the facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian.

Findings include:

Review of the job description for Registered Dietician (RD) indicated the primary purpose in this position is to plan, organize, coordinate, and evaluate the nutritional components of dietary services for the facility.

The essential job function includes the following: -Counsels residents, their responsible parties and facility staff on sound nutritional practices to promote food health. -Oversees the duties and functions of the Dietary Manager and other staff as instructed by the facility.

Review of the job description for Food Service Director indicated the primary purpose in this position is to plan, organize, develop, and direct the overall operation of the Food Services department.

During an interview on 9/9/25, at 9:40 a.m. [NAME] Employee E16 confirmed there was not a Dietary Manager at the facility. A new dietary manager was hired and starting orientation on 9/9/25.

They stated there has not been a dietary manager in the kitchen for two weeks.

During an interview on 9/9/25, at 9:49 the new Dietary Manager Employee E17 stated she started the Dietary Manager position on 9/9/25.

She stated that she currently did not have her CDM (Certified Dietary Manager) and was not currently enrolled in the program.

She had her ServSafe certification.During an interview on 9/9/25, at 10:50 a.m. the Nursing Home Administrator confirmed there was not a full-time dietitian employed at the facility and that the facility did not employ a qualified dietary manager in the absence of a full-time dietitian.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Wecare at Rolling Meadows Rehab and Nursing Ce

107 Curry Road Waynesburg, PA 15370

SUMMARY STATEMENT OF DEFICIENCIES

Based on observations, and staff interviews, it was determined that the facility failed to provide sufficient dietary staff to perform essential kitchen duties.Based on observation and staff interviews, it was determined that the facility failed to have sufficient dietary staff to perform essential kitchen duties.Findings include:Review of facility dietary department policy Master Staffing Plan reviewed 1/20/25, indicated the dietary department is adequately staffed to provide safe, high quality food service to residents.

Staffing levels will be developed by the administrator and the department management team.

During an interview on 9/9/25, at 9:40 a.m. [NAME] Employee E16 stated sometimes the facility only has two or three staff members in the kitchen to serve 110 residents (census on 9/9/25).

They stated sometimes someone from housekeeping comes and helps them in the kitchen.

They stated lunch tray line was supposed to start at 11:15 a.m.During an observation on 9/9/25, at 9:42 a.m. three employees were noted to be working the day shift on 9/9/25. [NAME] Employee E16, Dietary Aid Employee E18, and Dietary Aid Employee E19.Review of the posted tray delivery times indicated that the main dining room is to be served first at 11:30 a.m., for lunch meal.During an observation on 9/11/25, at 11:15 a.m. lunch tray line was delayed due to a breakfast cart that was not cleaned out of soiled resident breakfast trays that morning.

Dietary Aid Employee E18 was in the process of emptying the soiled breakfast cart.

Tray line began at 11:52 a.m.

The trays for the residents in the dining room left the kitchen at 12:08 p.m.

During an observation on 9/11/25, from 11:30 a.m., through 12:17 p.m., of the main dining room identified 12 residents sitting waiting for their lunch meals.

During an interview on 9/11/25, at 11:40 a.m., Licensed Practical Nurse (LPN) Employee E3 and Nurse Aide (NA) Employee E4 stated that the food carts are often late, and residents do not get everything they are supposed to on their trays.During an observation on 9/11/25, at 11:45 a.m., LPN Employee E3 went to get cookies for five of the 12 residents as they had been given insulin and the dietary department staff indicated that the trays would be delivered late.

During an interview on 9/11/25, at 11:47 a.m., LPN Employee E3 stated that if the dietary department is serving late, they should let staff know to be able to hold insulin for residents going to the dining room so there is not a problem. LPN Employee E3 stated often there is only a spoon for residents to eat their breakfast in the morning as there is not enough silverware.During an observation on 9/11/25, at 12:17 p.m., the dining room cart was delivered, 45 minutes late.

The staff delivering the cart was identified as Environmental Services Employee E8, who stated the kitchen does not have enough staff so I came to help.

During an interview on 9/11/25, at 11:50 a.m., the Nursing Home Administrator confirmed that the meals are late due to low staffing in the kitchen.28 Pa.

Code 201.18(e)(6) Management.28 Pa.

Code 201.20(b) Staff Development.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Wecare at Rolling Meadows Rehab and Nursing Ce

107 Curry Road Waynesburg, PA 15370

SUMMARY STATEMENT OF DEFICIENCIES

Based on a review of facility policy, resident interviews, resident council meeting, resident choice menu selections, and meal observations, it was determined that the facility failed to provide resident selected menu items for 12 of 12 residents (Resident R6, R8, R24, R43, R57, R101, R2, R500, R501, R502, R503 and R504).Findings include:

Review of the facility policy Resident Food Preferences, dated 1/21/25, indicated that individual food preferences will be assessed upon admission and communicated to the interdisciplinary team.

Modifications to diet will only be ordered with the resident's or representative's consent.

During an interview on 9/9/25, at 10:08 a.m., with Residents R6, R24 and R101, indicated that the dietary department does not serve all items on ticket and cannot get an alternate if requested.During an interview on 9/9/25, at 10:15 a.m., Resident R57 stated the facility serves a lot of rice and eggs.

Cannot get alternate if requested.During the resident council meeting on 9/10/25, at 11:15 a.m., the consensus of the group indicated that last night French fries were to be served, and some received mashed potatoes instead. If you're supposed to have 12 items on your tray, you may get six.

For breakfast you may get a hard piece of unbuttered toast and a hardboiled egg.

During an interview on 9/11/25, at 11:40 a.m., Licensed Practical Nurse (LPN) Employee E3 and Nurse Aide (NA) Employee E4 stated that the food carts are often late, and residents do not get everything they are supposed to on their trays.During an observation on 9/11/25, at 12:17 p.m., Resident R43 was to receive a carton of 2% milk and a can of diet cola, these items were not on her tray.

Resident R43 stated this always happens.

During an observation on 9/11/25, at 12:21 p.m., Resident R8 was to receive a packet of Ms.

Dash and a diet ginger ale, these items were not on her tray. I am always missing things on my tray.

During an interview on 9/11/25, at 2:26 p.m., the Nursing Home Administrator confirmed that the facility failed to provide resident selected menu items for 12 of 12 residents (Resident R6, R8, R24, R43, R57, R101, R2, R500, R501, R502, R503 and R504). 28 Pa.

Code 201.18(e)(6) Management.28 Pa Code: 211.6(a) Dietary service.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Wecare at Rolling Meadows Rehab and Nursing Ce

107 Curry Road Waynesburg, PA 15370

SUMMARY STATEMENT OF DEFICIENCIES

During a wound observation on 9/10/25, at 10:00 a.m.

Licensed Practical Nurse (LPN) Employee E2 failed to don a gown prior to the dressing change as required by EBP.

During an interview on 9/10/25, at 10:45 a.m., the Director of Nursing confirmed that the facility failed to implement EBP's for Resident R69 as required. 28 Pa.

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

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

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

Code: 211.12 (d)(1)(2)(5) Nursing services.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Wecare at Rolling Meadows Rehab and Nursing Ce

107 Curry Road Waynesburg, PA 15370

SUMMARY STATEMENT OF DEFICIENCIES

Based on a review of select facility policy and staff interview, it was determined the facility failed to designate a qualified individual(s) onsite, who is responsible for implementing programs and activities to prevent and control infections.

Findings include:

During an interview on 9/9/25, at 9:08 a.m., the Director of Nursing (DON) stated that the facility just hired the Infection Control Nurse and that she is not trained and that the DON is acting as the Infection Control Nurse at this time, as she has the training.

The DON confirmed that the facility failed to designate a qualified individual(s) onsite, who is responsible for implementing programs and activities to prevent and control infections. 28 Pa.

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

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

Code: 201.19(3) Personnel records.28 Pa.

Code: 211.12(d)(1)(2)(3)(5) Nursing services.

Facility ID: