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Deficiency Records for Squirrel Hill Wellness and Rehabilitation Center
View the most recent health deficiencies and inspection results for Squirrel Hill Wellness and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Squirrel Hill Wellness and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-04-21 | 2026-05-06 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2026-04-08 | 2026-04-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-04-08 | 2026-04-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-08 | 2026-04-29 | Y |
| Keep all essential equipment working safely. | Health | 2026-04-08 | 2026-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-01-08 | 2026-02-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-08 | 2026-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-01-08 | 2026-02-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-08 | 2026-02-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-01-08 | 2026-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-12-05 | 2025-12-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-05 | 2025-12-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-12-05 | 2025-12-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-05 | 2025-12-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-20 | 2025-06-13 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-02-14 | 2025-03-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-02-14 | 2025-03-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-02-14 | 2025-03-28 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-02-14 | 2025-03-28 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-14 | 2025-03-28 | N |
| Respond appropriately to all alleged violations. | Health | 2025-02-14 | 2025-03-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-02-14 | 2025-03-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-14 | 2025-03-28 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-02-14 | 2025-03-28 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-02-14 | 2025-03-28 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-02-14 | 2025-03-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-14 | 2025-03-28 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-02-14 | 2025-03-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-02-14 | 2025-03-28 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-02-14 | 2025-03-28 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-02-14 | 2025-03-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-02-14 | 2025-03-28 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2025-02-14 | 2025-03-28 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-02-14 | 2025-03-28 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-02-14 | 2025-03-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-02-14 | 2025-03-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-14 | 2025-03-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-02-14 | 2025-03-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-02-14 | 2025-03-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-02-14 | 2025-03-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-14 | 2025-03-28 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-02-14 | 2025-03-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-02-14 | 2025-03-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Develop a communication plan. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-14 | 2025-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-19 | 2025-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-24 | 2024-10-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-23 | 2024-05-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-07 | 2024-05-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-07 | 2024-05-17 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-05-07 | 2024-05-17 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-02-12 | 2024-04-04 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-02-12 | 2024-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-12 | 2024-04-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-12 | 2024-04-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-12 | 2024-04-04 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-02-12 | 2024-04-04 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-02-12 | 2024-04-04 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-02-12 | 2024-04-04 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-02-12 | 2024-04-04 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-02-12 | 2024-04-04 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-02-12 | 2024-04-04 | N |
| Provide training in compliance and ethics. | Health | 2024-02-12 | 2024-04-04 | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-12 | 2024-04-04 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-02-12 | 2024-04-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-12 | 2024-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-12 | 2024-04-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-02-12 | 2024-04-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-12 | 2024-04-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-12 | 2024-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-12 | 2024-04-04 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-02-12 | 2024-04-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-02-12 | 2024-04-04 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-02-12 | 2024-04-04 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-02-12 | 2024-04-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-12 | 2024-04-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-02-12 | 2024-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-12 | 2024-04-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-12 | 2024-04-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-02-12 | 2024-04-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-12 | 2024-04-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-02-12 | 2024-04-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-02-12 | 2024-04-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-12 | 2024-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-12 | 2024-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-12 | 2024-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-12 | 2024-03-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-15 | 2023-11-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-11-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-12 | 2023-11-29 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-07-20 | 2023-08-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-20 | 2023-08-30 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-07-20 | 2023-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-30 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-03 | 2023-07-07 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-03-06 | 2023-04-19 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-06 | 2023-04-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-06 | 2023-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-06 | 2023-04-19 | N |
| Keep all essential equipment working safely. | Health | 2023-03-06 | 2023-04-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-06 | 2023-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-06 | 2023-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-06 | 2023-04-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-06 | 2023-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-06 | 2023-04-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-03-06 | 2023-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-06 | 2023-04-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-06 | 2023-04-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-06 | 2023-04-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-06 | 2023-04-19 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-03-06 | 2023-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-06 | 2023-04-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-06 | 2023-04-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-06 | 2023-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-06 | 2023-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-06 | 2023-04-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-06 | 2023-04-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-06 | 2023-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-07 | Not Fixed | Y |