Inspection·March 26, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, closed resident clinical records, facility documents, staff interviews, it was determined that the facility failed to report an allegation of sexual abuse for one of five sampled residents (Closed Resident Record CR1). Findings include: The facility Abuse investigation and reporting policy last reviewed on 8/1/24, indicated that all reports of resident abuse, neglect , exploitation, and misappropriation of resident property shall be promptly reported to the local, state and federal agencies and thoroughly investigated by facility management. If an incident or suspected incident of resident abuse is reported, Administration will assign the investigation to an appropriate individual. The Administrator will provide any supporting documentation, will keep the resident or resident representative informed, and will ensure any further abuse is prevented. The assigned investigator will record the results of the investigation. An alleged violation of abuse will be reported. Review of Closed Resident Record CR1's admission record indicated she was admitted on [DATE]. Review of Closed Resident Record CR1's MDS assessment (Minimum Data Set assessment: MDS -a periodic assessment of resident care needs) dated 12/3/24, indicated that she had diagnoses that included an injury to the right achilles tendon, diabetes (a metabolic disorder impacting organ function related to glucose levels in the human body), hypothyroidism (decrease in production of thyroid hormone), and congestive heart failure (a progressive heart disease affecting pumping action of the heart muscles impacting circulation, swelling and shortness of breath). These were the most recent diagnoses upon review. Review of Closed Resident Record CR1's care plan dated 1/6/25, indicated to observed for changes in mood. Review of Closed Resident Record CR1's CRNP clinical progress note dated 1/9/25, indicated the following: earlier this week, another male resident with dementia reportedly entered her room and fondled her breast. She was very upset and she denied physical injury, or breast pain. Incident being investigated by Administration. Review of Closed Resident Record CR1's clinical nurse progress notes, social services notes, or additional physician documents did not include any evidence of an abuse investigation or abuse report. (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: 395266 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 395266 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Beaver Valley Rehabilitation and Healthcare Center 257 Georgetown Road Beaver Falls, PA 15010 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)