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Deficiency Records for Wecare at Mt Lebanon Rehabilitation and Nrsg Ctr

View the most recent health deficiencies and inspection results for Wecare at Mt Lebanon Rehabilitation and Nrsg Ctr. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Wecare at Mt Lebanon Rehabilitation and Nrsg Ctr. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure each resident receives an accurate assessment. Health 2025-09-18 2025-10-29 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2025-09-18 2025-10-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-09-18 2025-10-29 N
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 2025-09-18 2025-10-29 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 2025-09-18 2025-10-29 N
Ensure that residents are free from significant medication errors. Health 2025-09-18 2025-10-29 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-09-18 2025-10-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-09-18 2025-10-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-09-18 2025-10-29 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-09-18 2025-10-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-09-18 2025-10-29 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-09-18 2025-10-29 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 2025-09-18 2025-10-29 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 2025-09-18 2025-10-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-09-18 2025-10-29 N
Provide information about how to apply for and use Medicare and Medicaid benefits. Health 2025-09-18 2025-10-29 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 2025-09-18 2025-10-29 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2025-09-18 2025-10-29 N
Provide and implement an infection prevention and control program. Health 2025-09-18 2025-10-29 N
Keep all essential equipment working safely. Health 2025-09-18 2025-10-29 N
Respond appropriately to all alleged violations. Health 2025-07-15 2025-08-14 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 2025-07-15 2025-08-14 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2025-04-18 2025-05-21 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2025-04-18 2025-05-21 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2025-04-18 2025-05-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-10 2025-01-17 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-12-10 2025-01-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-20 2024-11-15 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2024-09-20 2024-11-15 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 2024-09-20 2024-11-15 N
Provide training in compliance and ethics. Health 2024-09-20 2024-11-15 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2024-09-20 2024-11-15 N
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2024-09-20 2024-11-15 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2024-09-20 2024-11-15 N
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2024-09-20 2024-11-15 N
Provide and implement an infection prevention and control program. Health 2024-09-20 2024-11-15 N
Observe each nurse aide's job performance and give regular training. Health 2024-09-20 2024-11-15 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 2024-09-20 2024-11-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-09-20 2024-11-15 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-09-20 2024-11-15 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 2024-09-20 2024-11-15 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 2024-10-31 2024-11-14 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-08-01 2024-08-22 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2024-01-30 2024-03-04 Y
Provide a neutral and fair arbitration process and agree to arbitrator and venue. Health 2023-12-11 2024-01-11 Y
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2023-12-11 2024-01-11 Y
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 2023-12-11 2024-01-11 Y
Ensure each resident receives an accurate assessment. Health 2023-12-11 2024-01-11 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-11 2024-01-11 Y
Give residents a notice of rights, rules, services and charges. Health 2023-12-11 2024-01-11 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-12-11 2024-01-11 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 2023-10-20 2023-12-05 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-10-20 2023-12-05 N
Provide and implement an infection prevention and control program. Health 2023-10-20 2023-12-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-20 2023-12-05 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-10-20 2023-12-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-20 2023-12-05 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 2023-10-20 2023-12-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-20 2023-12-05 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 2023-10-20 2023-12-05 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 2023-10-20 2023-12-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-18 2023-07-31 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-18 2023-07-31 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 2023-06-01 2023-07-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-01 2023-07-10 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-06-01 2023-07-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-11-21 Not Fixed Y

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