Inspection·March 25, 2024

F 0660 Plan the resident's discharge to meet the resident's goals and needs. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a review of clinical records and resident and staff interview it was determined that the facility failed to involve the resident in the development of the discharge plan for two out of five closed resident records (Closed Resident Record CR1 and CR4). Residents Affected - Few Findings include: The facility Preparing a resident for transfer or discharge policy last reviewed 12/15/23, indicated that residents will be prepared in advance for discharge. A post-discharge plan is developed for each resident prior to his or her transfer or discharge. This plan will be reviewed with the resident. The facility Discharge summary and plan last reviewed 12/15/23, indicated that the resident or resident representative will be involved in the post-discharge planning process and informed of the final discharge plan. Review of Closed Resident Record CR1's admission record indicated he was originally admitted on [DATE], with diagnoses that included diabetes (a metabolic disorder impacting organ function related to glucose levels in the human body), gastrointestinal hemorrhage (bleeding in the intestinal tract that may be life threatening), hypertension (a condition impacting blood circulation through the heart related to poor pressure) and hypothyroidism (decrease in production of thyroid hormone). Review of Closed Resident Record CR1's MDS assessment (Minimum Data Set assessment: MDS -a periodic assessment of resident care needs) dated 2/19/24, indicated these diagnoses were the most recent upon review. Review of Closed Resident Record CR1's care plan dated 2/26/24, indicated to discharge to the most appropriate level of care, evaluate potential for discharge. Review of Closed Resident Record CR1's physician orders dated 2/29/24, indicated to discharge Closed Resident Record CR1 to personal care with hospital bed and wheelchair. Review of Closed Resident Record CR1's clinical record indicated on 3/4/24, he was discharged to personal care with his belongings. Closed Resident Record CR1 signed his discharge summary on 3/4/24 along with his disposition of property. Review of Closed Resident Record CR1's clinical record did not indicate a review of the discharge plan with Closed Resident Record CR1 prior to discharge and did not include documentation of Closed (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 4 Event ID: 395013 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395013 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/25/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Eldercrest Rehabilitation & Healthcare Center 2600 West Run Road Munhall, PA 15120 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)