Deficiency Records for Pittsburgh Skilled Nursing and Rehabilitation Ctr
Updated as of April 01, 2024
A list of the most recent deficiencies for Pittsburgh Skilled Nursing and Rehabilitation Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| 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 | 2024-01-03 | 2024-02-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-03 | 2024-02-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-13 | 2023-12-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-21 | 2023-10-17 | 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 | 2023-07-21 | 2023-09-15 | 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 | 2023-08-02 | 2023-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-02 | 2023-08-25 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-02 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-08-25 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-26 | 2023-07-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-26 | 2023-07-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-26 | 2023-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-26 | 2023-07-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-26 | 2023-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-07-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-26 | 2023-07-20 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-05-26 | 2023-07-20 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-05-26 | 2023-07-20 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2023-05-26 | 2023-07-20 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-05-26 | 2023-07-20 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-05-26 | 2023-07-20 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide training in compliance and ethics. | Health | 2023-05-26 | 2023-07-20 | 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 | 2023-05-26 | 2023-07-20 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-26 | 2023-07-20 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-03-23 | 2023-04-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-23 | 2023-04-12 | 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 | 2023-03-23 | 2023-04-12 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-28 | 2023-04-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-28 | 2023-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-04-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-02-28 | 2023-04-12 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-30 | 2022-09-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-17 | 2022-07-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-17 | 2022-07-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-17 | 2022-07-26 | 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 | 2022-06-17 | 2022-07-26 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-17 | 2022-07-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-17 | 2022-07-26 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-05-27 | 2022-06-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-05 | 2022-05-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-20 | 2021-08-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-15 | 2021-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-15 | 2021-02-26 | N |
| Use approved construction type or materials. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
