Inspection·September 12, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete 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. Based on review of facility documentation, clinical records, staff interviews and resident interviews it was determined the facility failed to submit, document and/or follow-up on concerns/grievances presented by staff and residents (staff and residents wished to remain anonymous).Finding include:Review of Federal Regulation 483.10(i)(1) The resident has the right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal. Such grievances include those with respect to care and treatments which has been furnished as well as that which has not been furnished, the behavior of staff and of other residents, and other concerns regarding their LTC facility stay.Review of facility policy, Skilled Nursing Facility Grievance Policy dated 1/27/25, revealed the facility is committed to maintaining transparent, fair, and accessible grievance process. Every grievance will be addressed promptly and appropriately, in accordance with federal and state regulations. Residents and their representative must be assured that: They can submit grievances orally or in writing; Their concerns will be investigated and responded to promptly; They will not face discrimination, reprisal, or retaliation; They will receive written notice of grievance outcomes within required timeframes.Review of the last six months of grievances revealed only three grievances filed. One grievance from March was from a visitor that sent negative feedback for a smell and T.V. and controller not working. In April a Grievance form was completed that should have been an incident report with an investigation done due to resident not receiving medication or vitals as ordered. The last Grievances were from July regarding a resident accusing another resident of physical harm (running over toes and ankle with wheelchair) which led to an investigation. The second grievance was a son that called in asking for records to be sent to an attorney, the attorney had not sent in a request and would need to do so. These grievances were resolved.Interview on 8/21/25, at 10:30 a.m. with Resident R8 and R9 revealed that they had filed both verbal and written grievances about another resident (male) being aggressive towards female residents and no actions were taken, did not receive a written confirmation that anything was being done and were threatened by staff to stop filing grievances and to quit complaining. Resident R8 and R9 revealed that at one point there were no forms at the grievance boxes to fill out, thus the grievances could not remain anonymous because they had to be submitted verbally.Interview on 8/21/25, at 10:43 a.m. with Employee E4 and E5 revealed that they had attempted to file grievances about a resident and were told that if they continued there would be consequences to them, that they would lose their jobs. Employee E4 and E5 stated that they started to refuse to file grievances for residents because they were afraid, they would be accused of complaining too much.During an interview on 8/22/25, at 2:50 p.m. the Nursing Home Administrator and Director of Nursing confirmed that the facility failed to address concerns from staff and residents.28 Pa. Code 201.29(a) Resident Rights. Event ID: Facility ID: 395289 If continuation sheet Page 2 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a review of facility provided policies and documentation, clinical records, and resident, family, and staff interviews, it was determined that the facility failed to protect residents from resident-to-resident sexual abuse. This failure resulted in a resident with a known history of sexually inappropriate behavior touching non-consenting residents, which created an Immediate Jeopardy situation for five of 67 residents (Resident R2, R3, R4, R5, R6). Findings include:Review of facility Abuse and Neglect Policy reviewed 1/27/25, Abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. Abuse also includes the deprivation by an individual, including a caretaker of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being. Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled through the use of technology. Neglect as defined as, means the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress. Sexual Abuse is defined as a non-consensual sexual contact of any type with a resident. Willful, as defined as, and as used in the definition of abuse, means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm.Review of the Resident Assessment Instrument 3.0 User's Manual effective October 2024, indicated that a Brief Interview for Mental Status (BIMS), is a screening test that aides in detecting cognitive impairment). The BIMS total score suggests the following distributions:13-15: cognitively intact8-12: moderately impaired0-7: severe impairmentReview of the clinical record indicated Resident R1 was initially admitted to the facility on [DATE], and readmitted on [DATE].Review of Minimum Data Set (MDS - periodic review of resident needs) dated 6/3/25, included diagnoses of dementia (a group of symptoms that affects memory, thinking and interferes with daily life), history of a stroke, and a seizure disorder. Question C0500 BIMS Summary Score revealed Resident R1's score to be 1.Review of Resident R1's plan of care initiated on 7/10/24, indicated that Resident R1 was a registered sexual offender. The goal of this care plan was Will not exhibit inappropriate sexual behaviors towards others. Interventions listed were:-Counseling as indicated.-Life review with resident to identify triggers and coping. -Monitor resident's whereabouts, resident does have female friend, make sure residents are in common area.-Observe for wandering into other residents' rooms. Offer snacks to minimize wandering in search of food.-Provide consistent message from all IDT.-Psychology consult.-Report with Megan's Law (laws that mandate the creation of public registries of convicted sex offenders) as required.-Report inappropriate behavior towards others immediately to administration.Review of Resident R1's plan of care for Potential to be sexually inappropriate revealed it was not initiated until 7/30/25. The goal of this care plan was Resident will not harm self or others through the review date. Interventions listed were:-Administer medications as ordered. Monitor/document for side effects and effectiveness. -Analyze times of day, places, circumstances, triggers, and what de-escalates behavior and document. No documentation that this was completed.-Monitor/document/report as needed any signs/symptoms of resident posing danger to self and others. -Psychiatric/psychogeriatric consult as indicated.-When resident becomes sexually inappropriate: Intervene before behavior escalates; Guide away from source of distress; Engage calmly in conversation; If response is aggressive/ inappropriate, staff to ensure safety and walk calmly away, and approach later.Review of a physician order dated 8/18/25, indicated for Resident R1 to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 3 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some receive Fluoxetine (Prozac, an anti-depressant medication) 20 milligrams (mg) daily, for depression/sexually disinhibited behavior.During an interview on 8/29/25, at approximately 11:00 a.m. the Director of Nursing confirmed the medication adjustment was based on notification to the provider of increased sexual behaviors.Review of the clinical record indicated Resident R2 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of Alzheimer's disease (a type of brain disorder that causes problems with memory, thinking and behavior), anxiety, and depression. Question C0500 BIMS Summary Score revealed Resident R2's score to be 3.Review of Resident R2's plan of care initiated 5/20/25, indicated Resident R2 was at risk of mood instability related to anxiety and bipolar disorder (mood disorder characterized by extreme shifts in mood, energy, and activity levels).During an observation on 8/21/25, at 10:40 a.m. Resident R1 was seen staring fixated at Resident R2. The surveyor observed Resident R2 roll her wheelchair backwards away from Resident R1. Resident R1 followed Resident R2 in his wheelchair. Activities Director Employee E1 separated Resident R1 and Resident R2, placing Resident R2 on the opposite side of the activity.During an interview on 8/21/25, at 11:12 a.m. Activities Director Employee E2 stated she had not seen Resident R1 be sexually inappropriate, stated he does not understand personal space. Confirmed that she has heard from other staff that being sexually inappropriate can be an issue for him.During an interview on 8/21/25, at 2:08 p.m. Certified Registered Nurse Practitioner (CRNP) (8/18/25 note) stated she has not witnessed him being sexually inappropriate, but two staff members approached her on 8/18/25, and verbalized to her he has been touching residents inappropriately. One resident with permission from family, but he was touching more per staff. During an observation on 8/21/25, at 2:15 p.m. three police cars were observed arriving at the facility.Review of a progress note written by the Director of Nursing dated 8/21/25, at 2:00 p.m. indicated, reported to this writer that resident was observed in an unoccupied room rubbing the leg of another resident (Resident R2). Resident R1 was immediately removed and placed on 1:1. Review of a progress note written by the Nursing Home Administrator dated 8/21/25, at 3:37 p.m. indicated, This writer and Director of Nursing placed call to [Resident R1's] contact. Updated [contact] on allegation of Resident R1 inappropriately touching a female resident and actions taken, including police notification and potential to have to refer [Resident R1] to an alternate facility. Stated we would keep her updated, she expressed understanding.Review of facility submitted information dated 8/21/25, indicated Resident R2, severe cognitive impairment, BIMS of 3, with a history of wandering, was found in an unoccupied room, with her pants down around her ankles, no brief, exposed from the hips down to her ankles where she had socks and shoes on preventing her shorts from coming off of her legs. Resident R2 was observed laying in the fetal position on her left side facing the wall. Resident R1 was observed at the bedside of where Resident R2 was laying, fully clothed (investigations revealed Resident R2 was not fully clothed). An adjacent resident was yelling up the hallway as staff were coming down the hallway to intervene. When staff entered the room, they noted that Resident R1 was close enough to reach out and touch resident, but verbal interviews and statements indicate there was no witnessed touching. Resident that was adjacent to the room was also interviewed and indicated he saw Resident R1 smacking Resident R2 on the bare buttocks. Timeline suggests they were in the room alone for 45 seconds to one minute per ongoing investigation. Staff intervened and removed Resident R1 from the room. Director of Nursing attempted to interview Resident R2, but due to cognitive status she is not interviewable. Nursing Home Administrator called 911 and [Police Department] presented to the facility. [Police Department] notified their detective department and had them also present to the facility. Recommendation made to send Resident R2 to the emergency room for a sexual assault consultation/rape kit. Residents husband was informed and presented to the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 4 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some facility. Resident was sent to [Hospital] and remains out of the facility at time of this report. All alert and oriented female residents will be interviewed, non-alert/oriented female residents will have a full body audit completed. Resident R1 placed on 1:1 with a staff member to ensure safety of all residents. All staff are educated on abuse upon hire, annually, and as needed.During an interview on 8/21/25, at 3:25 p.m. with Resident R2's husband revealed that he was not aware of what had occurred until he arrived at the facility. He stated, She is so scared of everything, doesn't like loud noises and things like that, she becomes afraid if someone pops the top on a can of soda. Is she going to be okay? He was observed consoling her and stroking her hand as she was on the stretcher.Review of the clinical record indicated that Resident R8 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of polyneuropathy (condition were multiple nerves are damaged, causing pain, decreased sensation, and weakness) and high blood pressure. Question C0500 BIMS Summary Score revealed Resident R8's score to be 15.During an interview on 8/22/25, at 9:48 a.m. with Resident R8, he stated that he observed Resident R2 in a room with her pants down and no brief on with Resident R1 standing next to Resident R2 who was in bed. He yelled for assistance and was on his way to get his phone to call the police, he told someone to call them and is unsure of who made the call. He stated, This is disgusting that it has been going on, just bullshit, if that was my mother or grandmother, not sure what I would have done.During a follow-up interview on 8/29/25, at 2:35 p.m., Resident R8 confirmed he saw the incident. When asked what part of the body he observed Resident R1 touching, he stated, I saw ass. Resident R8 stated that he observed Resident R2 flailing her hand toward Resident R1, She definitely didn' t want it. Resident R8 stated, He's been doing it a long time. Resident R8 stated (as an example) he was out smoking and a peer resident stated, Where's [Resident R1]? and the response from another resident was, He's in someone's room molesting them.Review of hospital paperwork dated 8/22/25, indicated that Resident R2 was seen on 8/21/25, in the emergency room for sexual assault.Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of heart failure (a progressive heart disease that affects pumping action of the heart muscles) and physical debility. Question C0500 BIMS Summary Score revealed Resident R3's score to be 15.Review of an electronic communication dated 8/12/25, at 6:18 p.m., provided to both the facility administration and the state survey agency indicated, It has come to our family's attention in the last 2 weeks that my grandmother has been harassed (and touched at least twice) by a male resident at your facility for months.During an interview on 8/21/25, Resident R3's granddaughter provided the name of the male resident spoken of in the electronic communication as Resident R1. Review of the clinical record indicated Resident R4 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of diabetes (a metabolic disorder in which the body has high sugar levels for prolonged periods of time), depression, and quadriplegia (paralysis of all four limbs). Question C0500 BIMS Summary Score revealed Resident R4's score to be 10.During a family interview on 8/21/25, at 7:56 p.m. Resident R4's son confirmed that she has complained to family that a male resident wheels into her room while she is sleeping and touches her. My mom, she cannot defend herself. It's not okay, but I understand he has issues.Review of the clinical record indicated Resident R5 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of dementia, anxiety, and depression. Question C0500 BIMS Summary Score revealed Resident R5's score to be 00, which indicated that Resident R5 is so severely cognitively impaired to not be able to complete the interview.During an interview on 8/21/25, at 3:25 p.m. Resident R8 stated that Resident R1 has been observed by himself and by other residents touching Resident R5 in the hallway. Resident R8 stated that Resident R1 has stuck his fingers in her (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 5 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some mouth and then touched her groin; he has also been observed grabbing her breasts.Review of Resident R5's clinical record failed to reveal documentation that this concern (also stated by Employee E6) was reviewed by clinicians or any actions taken related to the above observation. Review of the clinical record indicated Resident R6 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of Huntington's Disease (a condition that leads to progressive degeneration of nerve cells in the brain) and peripheral vascular disease (PVD - circulatory condition in which narrowed blood vessels reduce blood flow to the limbs). Question C0500 BIMS Summary Score revealed Resident R6's score to be 10.During an interview on 8/21/25, at approximately 2:20 p.m. Nurse Aide Employee E2 stated that she had to keep redirecting Resident R1, that he had been trying to get to Resident R5 and R6.Review of confidential staff interviews completed on 8/21/25, and 9/9/25, revealed the following: Confidential Employee E3: Never personally witnessed, has heard from other staff that he (Resident R1) is sexually inappropriate. Has observed Resident R1 touching others, more of a patting sense. Confidential Employee E4: Stated they have seen Resident R1 sexually inappropriate. Kissing, touching. Tried to separate them and bring him back to his unit. Has seen it recently with Resident R7 and here more recently with Resident R2. I've told em. Everybody knows it. Its everyday like, Oh I have had to get Resident R1 away from Resident R2. Oh, I just had to get Resident R1 away from whoever. Confirmed he wanders into other rooms, Oh yeah, he's everywhere. Real bad. Confidential Employee E5: I heard that he went into R2's room. Confidential Employee E6: Confirmed they have seen Resident R1 be inappropriate with residents. A lot in the dining room. When we separate them, he follows us, and gets very combative. Resident R5 was asleep in the dining room and Resident R1 put his fingers in her mouth. We were told its not inappropriate behavior. It really upset me. I was very uncomfortable. We were told, Do you kiss in your own home? but yes, with consent. Confidential Employee E7: He was kissing Resident R7. I told them but they say its ok. Confidential Employee E8: He always tries to get with women. Confidential Employee E9: One of our residents was her boyfriend, that was her boyfriend. Confirmed that they had heard that Resident R1 was sexually inappropriate, but not witnessed, I heard he was a pedophile. Confidential Employee E10: Touches other residents on the face. I take him away. Confirmed that she has never seen any sexual behavior, only seen him touch someone (arm) but have heard from other staff about Resident R1's behavior. Confidential Employee E11: I have seen him sitting close to other residents. I've never had to take separate them. Other staff have spoken about his being sexually inappropriate. Confidential Employee E12: I've heard of him touching other residents, I've never seen it. Confirmed they had heard from both residents and staff that Resident R1 is sexually inappropriate. I feel like if this had been handled when this started, today (referring to incident with Resident R2) would never have happened. When asked about reporting, The entire building knew. There was a lady who cannot communicate who he was touching inappropriately, [Resident R6] was her name. Confidential Employee E13: Confirmed they had seen Resident R1 be sexually inappropriate with both staff and residents. I fought with him, he literally tried to molest me. It took over an hour to get him out of the bathroom. When asked what residents, stated, Resident R7 mostly. He will go after more, any woman actually. Confirmed Resident R1 wanders into others rooms, walks around unclothed. He's a very sexual man. Confidential Employee E14: Mostly with Resident R7. He wanders a lot. I redirect him. Employee confirmed that other residents have complained about Resident R7's behavior, she allows him to put his hands on her leg and to rub her arms.- Confidential Employee E18: I've heard that he is inappropriate with residents but have never seen it myself. Confirmed that they heard it from staff and residents that it was Resident R1 that is sexually inappropriate.- Confidential Employee E20: Confirmed that they have seen Resident R1 be sexually (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 6 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some inappropriate with other residents, stated This has been going on over a month, goes around touching women, putting his hand up their pants, sticking his fingers in their mouth, grabbing breasts, just continues to get worse. I also heard he tried to grab one of the Activity Aides between her legs. When I reported his increased behavior to the DON, she stated that they are older people and are allowed to touch.Confidential Employee E21: I have heard that he has displayed inappropriate behavior but I have not experienced any situations to report about. - Confidential Employee E26: I have only overheard the other staff talking about it but have never physically seen it. Staff complain that he has been doing this for a while. The only thing I know is there is no consent for him to do or not to do these actions with other residents.Confidential Employee E27: I know this has been going on for longer than 6 months and now Resident R1 has to be a 1:1 which is creating other issues. I do know there were no orders after the incident and then a couple days later orders appeared but they were placed by a corporate person. - Confidential Employee E32: I would say that it occurs Resident R1's behaviors occur frequently and he is not easily redirected. I brought it to the attention of the DON that his behaviors were getting worse and her reply was Some of these ladies enjoy it, should we be stopping their pleasure, I was so angry, and then she told me We should not be bringing his past and applying it now. I always redirect him and am thanked by the ladies that he is bothering. I visited Resident R2 at her new facility and the staff there thought she was bothersome because she is always yelling You will not sex me.- Confidential Employee E33: Confirmed that Resident R1 has been sexually inappropriate, states he is very-touchy, feely, at times can be redirected but others he becomes aggressive -and starts swearing and swinging out at staff. I would say his behavior is like a baby throwing a temper-tantrum because you took his toy away from him. I know a lot of issues occur in the Dining Room where he was free to move around. Management has been aware since February 2025.Confidential Employee E34: Confirmed that Resident R1 has been sexually inappropriate. Incident occurred the other day when his aide had to leave, he was supposed to be watched by the DON until the next aide came in but was left alone, he sat next to a female resident and started to hold her hand (not Resident R7) and we felt things might escalate so we went to redirect and move him and he grabbed her chair and wouldn't let go becoming more aggressive. Resident R1's behaviors have been reported to the current DON and the one before this, we keep getting told we are investigating but nothing is done.- Confidential Employee E35: I really don't deal with Resident R1 that much. I know he is touchy with one resident but they are allowed (Resident R7). I also know that he is a 1:1.- Confidential Employee E36: I have personally never had to redirect Resident R1. We recently had to complete Abuse training because of the incident.Confidential Employee E37: Confirmed that she has had to redirect Resident R1 a couple times and it is not easy, just don't understand why we are keeping him.- Confidential Employee E38: Stated, I saw him in the Dining Room with a resident being inappropriate. I reported it to nursing staff and the DON.- Confidential Employee E39: Confirmed that she has only seen Resident R1 display sexual behavior once and staff corrected his behavior, the behavior was brought to their attention by other residents.- Confidential Employee E40: Stated that she observed Resident R1 fondle a female resident's breast, she was in a wheelchair, unable to defend herself. Confirmed that the female resident was not Resident R7. Employee E40 stated she reported the incident to the Director of Nursing, and was told not to worry about it. I don't want to get anyone in trouble, but it (referring to the incident involving Resident R2 on 8/22/25) never should have happened. I still picture her. It's awful.On 8/22/25, at 11:56 a.m. the Nursing Home Administrator was made aware that an Immediate Jeopardy situation existed for five of 67 residents, and the Immediate Jeopardy template was provided to facility administration.This Immediate Jeopardy existed beginning (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 7 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete 2/4/2025.On 8/22/25, at 2:38 p.m. an acceptable Corrective Action Plan was received which included the following interventions:Immediate action(s) taken for the resident(s) found to have been affected include: Resident R1 was placed on 1:1 8/22/25 and will remain on 1:1. Facility will ensure 1:1 is in place at all times by scheduling specific staff to perform this 1:1 duty each day on all three shifts.Residents R3, R4, R5, and R6 will remain safe from resident initiated sexual abuse through the facility providing 1:1 to Resident R1.Resident R1 and R2 were immediately separated on 8/21/25.Resident R2 was assessed for injuries and no injuries noted on 8/21/25. Resident R2 was sent to the hospital for further evaluation on 8/21/25 and remains at hospital.Identification of other residents having the potential to be affected was accomplished by:Current female residents who were cognitively intact were interviewed on 8/21/25. Current female residents who were cognitively impaired had a skin assessment completed on 8/21/25.No issues identified from interviews or skin assessments.Actions taken/systems put into place to reduce the risk of future occurrence include:Education will be completed by all staff on Abuse/Neglect and Reporting of Incident and Accidents by the Director of Nursing or designee by 8/22/25.How the corrective action(s) will be monitored to ensure the practice will not recur: Resident R1 will remain on 1:1. Resident R1 will be evaluated by psychiatry services on 8/22/25 in conjunction with the facility medical director.While Resident R1 remains in the facility audits will be completed on female residents who are cognitively intact daily x 5 days a week for two weeks, weekly for two weeks and then monthly for two months to ensure residents safety. These audits will be completed by Social Services or designee. While Resident R1 remains in the facility audits will be completed on female residents who are cognitively impaired daily x 5 days a week for two weeks, weekly for two weeks and then monthly for two months to ensure residents safety.An Ad Hoc Quality Assurance and Process Improvement Meeting was held by the Administrator on 8/21/25.Affected residents will be seen by facility contracted psychiatry/psychology provided if they request to do so to address their emotional trauma.This plan of correction will be monitored at the Quality Assurance and Process Improvement meeting until such time consistent substantial compliance has been met. During staff interviews conducted on 8/22/25, between 12:00 p.m. and 3:30 p.m. 12 staff members confirmed they received education on abuse prevention.The Immediate Jeopardy was lifted on 8/22/25, at 3:52 p.m., when the action plan implementation was verified.During an interview on 8/22/25, at approximately 4:00 p.m. the Nursing Home Administrator confirmed that the facility failed, to protect residents from resident-to-resident sexual abuse for five of 67 residents. This failure resulted in a resident with a known history of sexually inappropriate behavior touching a non-consenting resident, which created an Immediate Jeopardy situation for five of 67 residents. 28 Pa. Code 201.18(e)(1) Management28 Pa. Code 201.20(a)(b) Staff development28 Pa. Code 201.29(a)(c)(d) Resident rights Event ID: Facility ID: 395289 If continuation sheet Page 8 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm Finding include:Review of the facility policy Abuse and Neglect-Clinical Protocol dated 1/27/25, previously reviewed 10/23/24, indicated abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. Abuse also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain or maintain physical, mental and psychosocial well-being. Instances of abuse of all residents, irrespective of any mental or physical conditions, cause physical harm, pain, or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled through the use of technology.Review of the facility policy Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating dated 1/27/25, previously reviewed 10/23/24, indicates all reports of resident abuse (including injuries of unknown origin), neglect, exploitation, or theft misappropriation of resident property are reported to local, state, and federal agencies (as required by current regulations) and thoroughly investigated by facility management. Findings of all investigations are documented and reported.Review of the facility policy Resident Right Guidelines for All Nursing Procedures dated 1/27/25, previously reviewed 10/23/24, indicates to provide general guidelines for residents while caring for the resident. Staff must have appropriate in-service training on resident rights, including preventing, recognizing and reporting resident abuse, resident dignity and respect, and resident access to information.Skilled Nursing Facility Grievance Policy dated 1/27/25, previously reviewed 10/23/24, indicates all residents, resident representatives, and responsible parties in the Skilled Nursing Facility (SNF) have the right to voice concerns, file grievances, and receive prompt, thorough, and impartial response without the fear of retaliation, as required under CMS SOM Appendix PP, F585 and Pennsylvania Department of Health (DOH) regulations. The facility is committed to maintaining a transparent, fair. and accessible grievance process. Every grievance will be addressed promptly and appropriately, in accordance with federal and state regulations. Residents and their representatives must be assured that: they can submit grievances orally or in writing, their concerns will be investigated and responded to promptly, they will not face discrimination, reprisal, or retaliation, they will receive written notice of grievance outcomes within required timeframes. Non-retaliation clause states that residents and staff are protected from retaliation related to filing or assisting in grievances. Any allegation of retaliation will be investigated and addressed immediately.During an interview on 8/21/25, at 10:38 a.m. Licensed Practical Nurse (LPN) Employee E16 stated she has seen a male resident that wonders and has heard that he touches female resident, she was told to not talk about it. During an interview on 8/21/25, at 10:34 LPN Employee E8 stated that she has seen the male resident with a female resident and knows that they have a history, she can't say that she has seen him wandering but knows that he has a history of it. She was also instructed not to talk about it.During an interview on 8/21/25, at 10:30 a.m. LPN Employee E6 stated that she has seen the male resident wandering and has had to redirect him away from female residents. She revealed that she has reported it to management and was instructed to keep quiet about it, was threatened with repercussions if she discussed it with anyone.During an interview on 8/21/25, at 10:30 a.m. Certified Nursing Assistant (CNA) Employee E5 revealed that she has seen this male resident wandering all over and has had to redirect him, she has spoken to families that ask if he was in their family members room and was told to deny it, she herself has been told not to talk about it and knows other staff have also been told not to talk about it or talk to family members or risk being terminated. Staff were told not to file any grievancesDuring an interview on 8/22/25, at 2:50 p.m. the Nursing Home Administrator (NHA) and the Director of Nursing (DON) confirmed that the Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 9 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete facility failed to protect female residents from the male resident wandering into their rooms with no grievances or investigations available to confirm that the facility was aware of the situation or that they were doing anything regarding his behavior. The NHA and DON also stated they failed to make the staff feel safe from retaliation of being threatened with termination if they spoke with family, filing a grievance or talking amongst themselves regarding the male resident.28 Pa. Code 201.14(a): Responsibility of licensee.28 Pa. Code 201.18(b)(1)(e)(1): Management.28 Pa Code: 201.20 (b): Staff development. Event ID: Facility ID: 395289 If continuation sheet Page 10 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0609 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some 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 state laws, facility policy and documents, clinical records, and staff interview, it was determined that the facility failed to implement policies and procedures to report allegations of abuse for four of 67 residents (Resident R2, R3, R5, and R6). This failure resulted in a resident with a known history of sexually inappropriate behavior touching non-consenting residents, which created an Immediate Jeopardy situation. Findings include:Review of the Older Adult Protective Services Act of 11/6/87, amended by Act 1997-13, Chapter 7, Section 701, requires any employee or administrator of a facility who suspects abuse is mandated to report the abuse. All reports of abuse should be reported to the local area agency on aging and licensing agencies. If the suspected abuse is sexual abuse, serious bodily injury, or suspicious death, the law requires additional reporting to the Department of Aging and local law enforcement.Review of facility policy Abuse, Neglect, Exploitation or Misappropriation Reporting and Investigating dated 1/27/25, indicated The administrator or the individual making the allegation immediately reports his or her suspicion to the following persons or agencies:The state licensing/certification agency responsible for surveying/licensing the facility. The local/state ombudsman. The resident's representative.Adult protective services (where state law provides jurisdiction in long-term care).Law enforcement officials. The residents attending physician. The facility medical director.Immediately is defined as:Within two hours of an allegation involving abuse or result in serious bodily injury; or Within 24 hours of an allegation that does not involve abuse or result in serious bodily injury. Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE].Review of Resident R3's Minimum Data Set (MDS - periodic review of resident needs) dated 6/3/25, included diagnoses of dementia (a group of symptoms that affect memory, thinking, and interferes with daily life), history of a stroke, and a seizure disorder. Question C0500 BIMS Summary Score revealed Resident R3's score to be 1. Review of an electronic communication dated 8/12/25, at 6:18 p.m. provided to both the facility administration and the state survey agency indicated, It has come to our family's attention in the last 2 weeks that my grandmother has been harassed (and touched at least twice) by a male resident at your facility for months. During an interview on 8/21/25, at 8:45 p.m. Resident R3's granddaughter confirmed that the electronic communication provided to the facility was the same electronic communication provided to the state survey agency and provided the name of the male resident spoken of in the electronic communication as Resident R1.Review of documentation submitted by the facility to the State Survey Agency failed to include a report of possible abuse to Resident R3.During an interview on 8/21/25, at approximately 3:40 p.m. the Director of Nursing confirmed that a report was not made to the State Survey Agency related to the allegation of possible abuse reported by Resident R3's family member on 8/12/25.Review of the clinical record indicated Resident R2 was admitted to the facility on [DATE].Review of Resident R2's MDS dated [DATE], included diagnoses of Alzheimer's disease (a type of brain disorder that causes problems with memory, thinking and behavior), anxiety, and depression. Question C0500 BIMS Summary Score revealed Resident R2 ' s score to be 3.During an interview completed during the survey, Employee E4 stated they have seen Resident R1 being sexually inappropriate. Kissing, touching. Tried to separate them and bring him back to his unit. Has seen Resident R1 recently with Resident R7 and here more recently with Resident R2. I've told 'em. Everybody knows it. It's everyday like, Oh I have had to get Resident R1 away from Resident R2. Oh, I just had to get Resident R1 away from whoever. Confirmed he wanders into other rooms, Oh yeah, he's everywhere. Real bad.Review of documentation submitted by the facility to the State Survey Agency failed to include a report of possible abuse to Resident (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 11 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0609 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some R2.Review of the clinical record indicated Resident R5 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of dementia, anxiety, and depression. Question C0500 BIMS Summary Score revealed Resident R5 ' s score to be 00, which indicated that Resident R5 is so severely cognitively impaired to not be able to complete the interview.During an interview completed during the survey, Employee E6 stated they have seen Resident R1 be inappropriate with residents. A lot in the dining room. When we separate them, he follows us and gets very combative. [Resident R5] was asleep in the dining room and [Resident R1] put his fingers in her mouth. We were told it's not inappropriate behavior. It really upset me. I was very uncomfortable. We were told, 'Do you kiss in your own home?' but yes, with consent.Review of documentation submitted by the facility to the State Survey Agency failed to include a report of possible abuse to Resident R5.Review of the clinical record indicated Resident R6 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of Huntington's Disease (a condition that leads to progressive degeneration of nerve cells in the brain) and peripheral vascular disease (PVD, circulatory condition in which narrowed blood vessels reduce blood flow to the limbs). Question C0500 BIMS Summary Score revealed Resident R6 ' s score to be 10.During an interview completed during the survey, Employee E12 stated, I've heard of him touching other residents, I've never seen it. Employee E12 confirmed they had heard from both residents and staff that Resident R1 is sexually inappropriate. I feel like if this had been handled when this started, today (referring to incident with Resident R2) would never have happened. When asked about reporting, Employee E12 stated, The entire building knew. There was a lady who cannot communicate who he was touching inappropriately, [Resident R6] was her name.Review of documentation submitted by the facility to the State Survey Agency failed to include a report of possible abuse to Resident R6.During an interview completed during the survey, Employee E20 stated that Resident R1's behaviors have been going on for over a month, that he goes around touching women, up their pants, fingers in their mouth, and grabbing their breasts. Employee E20 stated that the incidents were reported verbally. Through other staff members, was told that, They are older people and allowed to touch. During an interview completed during the survey, Employee E32 stated they told the Director of Nursing that Resident R1's behaviors were increasing, that he seems to target women that cannot defend themselves, and that other residents are attempting to stop Resident R1's behaviors. Employee E32 stated the Director of Nursing said, Some of these ladies enjoy it, should we be stopping their pleasure? Employee E32 stated, I was so angry, was told we should not be taking his past and applying it to now. I redirected him and the ladies thanked me. Told my colleagues to keep an eye on him. During an interview completed during the survey, Employee E33 stated, Yeah, touchy-feely. Employee E33 stated Resident R1's behaviors have not been addressed. Employee E33 stated NA Employee E17 had reported Resident R1's behaviors to administration, with the response that the Director of Nursing told her it was wrong and get rid of it. Employee E33 stated that facility management has been aware of Resident R1's behaviors since February (2025).During an interview completed on 9/9/25, Employee E34 stated, Yesterday (9/8/25) he was holding a resident's hand and they (staff) felt it could lead to other things, tried to move him and he grabbed the chair and then became aggressive. Employee E34 stated that Resident R1's behavior has been reported to both the current Director of Nursing and the previous Director of Nursing. During an interview Employee E38: Stated, I saw him in the Dining Room with a resident being inappropriate. I reported it to nursing staff and the DON.During an interview Employee E40: Stated that she observed Resident R1 fondle a female resident's breast, she was in a wheelchair, unable to defend herself. Confirmed that the female resident was not Resident R7, with whom Resident R1 has a relationship granted by family. Employee E40 stated she reported the incident to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 12 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0609 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete the Director of Nursing, and was told not to worry about it. I don't want to get anyone in trouble, but it (referring to the incident involving Resident R2 on 8/22/25) never should have happened. I still picture her. It's awful.On 8/22/25, at 11:56 a.m. the Nursing Home Administrator was made aware that an Immediate Jeopardy situation existed for four of 67 residents, and the Immediate Jeopardy template was provided to facility administration.This Immediate Jeopardy situation began 2/4/25.On 8/22/25, at 2:38 p.m. an acceptable Corrective Action Plan was received which included the following interventions:Immediate action(s) taken for the resident(s) found to have been affected include: Resident R1 was placed on 1:1 8/22/25 and will remain on 1:1. Facility will ensure 1:1 is in place at all times by scheduling specific staff to perform this 1:1 duty each day on all three shifts.Residents R3, R5, and R6 will remain safe from resident initiated sexual abuse through the facility providing 1:1 to Resident R1. Resident R1 and R2 were immediately separated on 8/21/25.Resident R2 was assessed for injuries and no injuries noted on 8/21/25. Resident R2 was sent to the hospital for further evaluation on 8/21/25 and remains at hospital.Identification of other residents having the potential to be affected was accomplished by:Current female residents who were cognitively intact were interviewed on 8/21/25. Current female residents who were cognitively impaired had a skin assessment completed on 8/21/25.No issues identified from interviews or skin assessments.Actions taken/systems put into place to reduce the risk of future occurrence include:Education will be completed by all staff on Abuse/Neglect and Reporting of Incident and Accidents by the Director of Nursing or designee by 8/22/25.How the corrective action(s) will be monitored to ensure the practice will not recur: Resident R1 will remain on 1:1. Resident R1 will be evaluated by psychiatry services on 8/22/25 in conjunction with the facility medical director.While Resident R1 remains in the facility audits will be completed on female residents who are cognitively intact daily x 5 days a week for two weeks, weekly for two weeks and then monthly for two months to ensure residents safety. These audits will be completed by Social Services or designee. While Resident R1 remains in the facility adults will be completed on female residents who are cognitively impaired daily x 5 days a week for two weeks, weekly for two weeks and then monthly for two months to ensure residents safety.An Ad Hoc Quality Assurance and Process Improvement Meeting was held by the Administrator on 8/21/25.Affected residents will be seen by facility contracted psychiatry/psychology provided if they request to do so to address their emotional trauma.This plan of correction will be monitored at the Quality Assurance and Process Improvement meeting until such time consistent substantial compliance has been met. During staff interviews conducted on 8/22/25, between 12:00 p.m. and 3:30 p.m. 12 staff members confirmed they received education on abuse prevention.The Immediate Jeopardy was lifted on 8/22/25, at 3:52 p.m., when the action plan implementation was verified.During an interview on 8/22/25, at approximately 4:00 p.m. the Nursing Home Administrator and the Director of Nursing confirmed that the facility failed to implement policies and procedures to report allegations of abuse. 28 Pa. Code: 201.14(a) Responsibility of licensee.28 Pa. Code: 211.10(d) Resident care policies.28 Pa. Code: 201.18 (b) (1) (e) (1) Management.28 Pa. Code: 211.12 (d) (1) (2) (5) Nursing services. Event ID: Facility ID: 395289 If continuation sheet Page 13 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy and documents, clinical records, and staff interview, it was determined that the facility failed to implement policies and procedures to investigate allegations of abuse for four of 61 residents (Resident R2, R3, R5, and R6). This failure resulted in a resident with a known history of sexually inappropriate behavior touching non-consenting residents.Findings include:Review of facility policy Abuse, Neglect, Exploitation or Misappropriation dated 1/27/25, indicated All allegations are thoroughly investigated.Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE].Review of the Minimum Data Set (MDS - periodic assessment of resident care needs) dated 7/7/25, included diagnoses of heart failure (a progressive heart disease that affects pumping action of the heart muscles) and physical debility. Review of Section C: Cognitive Patterns indicated Resident R3 was cognitively intact.Review of an electronic communication dated 8/12/25, provided to both the facility administration and the state survey agency indicated: It has come to our family's attention in the last 2 weeks that my grandmother has been harassed (and touched at least twice) by a male resident at your facility for months.During an interview on 8/21/25, at 8:45 p.m. Resident R3's granddaughter confirmed that the electronic communication provided to the facility was the same electronic communication provided to the state survey agency.Review of facility-provided investigation documents revealed an interview with Resident R3, but no interviews and/or observations with other residents to learn if a peer resident entering rooms and touching them was a concern to other facility residents. Review of Resident R3's clinical record indicated that from 8/1/25, through 8/18/25, Resident R3 had care documented as having been provided by eleven nurse aides (NA Employees E4, E15, E16, E17, E18, E19, E20, E21, E22, E23, and E24). Review of the facility-provided investigation documents revealed that only four of the eleven nurse aides who cared for Resident R3 from 8/1/25, through 8/18/25, were interviewed (NA Employees E21, E22, E23, and E24).Review of Resident R3's clinical record indicated that from 8/1/25, through 8/18/25, Resident R3 had care documented as having been provided by nine registered nurses (RNs) or licensed practical nurses (LPNs) (RN Employees E3, E14, E25, E26, E27, LPN Employees E28, E29, E30, and E31). Review of the facility-provided investigation documents revealed that only three of the nine RNs and LPNs who cared for Resident R3 from 8/1/25, through 8/18/25, were interviewed (RN Employees E4, E14, and E25).During an interview completed during the survey, Employee E4 stated they have seen Resident R1 being sexually inappropriate. Kissing, touching. Tried to separate them and bring him back to his unit. Has seen it recently with Resident R7 and here more recently with Resident R2. I've told 'em. Everybody knows it. It's everyday like, 'Oh I have had to get Resident R1 away from Resident R2. Oh, I just had to get Resident R1 away from whoever.' Confirmed he wanders into other rooms, Oh yeah, he's everywhere. Real bad.Review of the facility-provided incident list from March 2025, through August 22, 2025, failed to include documentation of an incident or investigation related to possible abuse of Resident R2.During an interview completed during the survey, Employee E6 stated they have seen Resident R1 be inappropriate with residents. A lot in the dining room. When we separate them, he follows us and gets very combative. [Resident R5] was asleep in the dining room and [Resident R1] put his fingers in her mouth. We were told it's not inappropriate behavior. It really upset me. I was very uncomfortable. We were told, 'Do you kiss in your own home?' but yes, with consent.Review of the facility-provided incident list from March 2025, through August 2025, failed to include documentation of an incident or investigation related to possible abuse of Resident R5.During an interview completed during the survey, Employee E12 stated, I've heard of him touching other residents, I've never seen it. Employee E12 confirmed they had heard from both residents and staff that Resident Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 14 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete R1 is sexually inappropriate. I feel like if this had been handled when this started, today (referring to incident with Resident R2) would never have happened. When asked about reporting, Employee E12 stated, The entire building knew. There was a lady who cannot communicate who he was touching inappropriately, [Resident R6] was her name.Review of the facility-provided incident from March 2025, through August 2025, list failed to include documentation of an incident or investigation related to possible abuse of Resident R6.During an interview completed during the survey, Employee E20 stated that Resident R1's behaviors have been going on for over a month, that he goes around touching women, up their pants, fingers in their mouth, and grabbing their breasts. Employee E20 stated that the incidents were reported verbally. Through other staff members, was told that, They are older people and allowed to touch. Review of the facility-provided incident list from March 2025, through August 2025, failed to include documentation of an incident or investigation related to Employee E20's report of Resident R1's inappropriate sexual behavior. During an interview completed during the survey, Employee E32 stated they told the Director of Nursing that Resident R1's behaviors were increasing, that he seems to target women that cannot defend themselves, and that other residents are attempting to stop Resident R1's behaviors. Employee E32 stated the Director of Nursing said, Some of these ladies enjoy it, should we be stopping their pleasure? Employee E32 stated, I was so angry, was told we should not be taking his past and applying it to now. I redirected him and the ladies thanked me. Told my colleagues to keep an eye on him. Review of the facility-provided incident list from March 2025, through August 2025, failed to include documentation of an incident or investigation related to Employee E32's report of Resident R1's inappropriate sexual behavior.During an interview completed during the survey, Employee E33 stated, Yeah, touchy-feely. Employee E33 stated Resident R1's behaviors have not been addressed. Employee E33 stated Employee E17 had reported Resident R1's behaviors to administration, with the response that the Director of Nursing told her it was wrong and get rid of it. Employee E33 stated that facility management has been aware of Resident R1's behavior since February (2025).Review of the facility-provided incident list from March 2025, through August 2025, failed to include documentation of an incident or investigation related to Employee E17's report of Resident R1's inappropriate sexual behavior. During an interview completed on 9/9/25, Employee E34 stated, Yesterday (9/8/25) he was holding a resident's hand and they (staff) felt it could lead to other things, tried to move him and he grabbed the chair and them became aggressive. Employee E34 stated that Resident R1's behavior has been reported to both the current Director of Nursing and the previous Director of Nursing. Review of the facility-provided incident list from March 2025, through August 2025, failed to include documentation of an incident or investigation related to Employee E34's confirmation of previous report of Resident R1's inappropriate sexual behavior. During an interview on 08/22/25, at approximately 4:00 p. m. the Nursing Home Administrator and the Director of Nursing confirmed the facility failed to implement policies and procedures to report allegations of abuse for four of 61 residents. This failure resulted in a resident with a known history of sexually inappropriate behavior touching non-consenting residents. 28 Pa. Code: 201.14(a) Responsibility of licensee.28 Pa. Code: 211.10(d) Resident care policies.28 Pa. Code: 201.18 (b) (1) (e) (1) Management.28 Pa. Code: 211.12 (d) (1) (2) (5) Nursing services. Event ID: Facility ID: 395289 If continuation sheet Page 15 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of Resident Assessment Instrument (RAI) User's Manual, facility policy, clinical records, and staff interviews, it was determined that the facility failed to develop comprehensive care plans to meet resident care needs for residents to be in a relationship for four of 67 residents (Residents R1, R7, R21, and R35).Finding include:Review of the facility policy Care Planning/ Interdisciplinary Care Planning Team dated 1/27/25, previously reviewed 10/23/24, indicated the Care Planning/Interdisciplinary Team shall serve as the authority for overseeing resident care services. The committee shall function as an advisory committee to the Quality Assessment and Assurance Committee. A comprehensive, person-centered care plan for each resident that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessments.Review of Resident R1's admission record indicated he was admitted to the facility on [DATE] and readmitted [DATE].Review of the Minimum Data Set (periodic assessment of resident care needs) dated 6/3/25, included diagnoses of dementia (a group of thinking and social symptoms that interferes with daily functioning), high blood pressure, dysphagia (difficulty swallowing), and muscle weakness. Question C0500 BIMS Summary Score revealed Resident R1's score to be 1, severe impairment.Review of Resident R1's care plan dated 6/9/25 did not reveal a plan of care developed for a consensual romantic relationship with Resident R7. Within Resident R1's plan of care for Registered Sex Offender included the intervention initiated 3/6/25, of Resident does have a female friend, make sure residents are in common area.Review of Resident R1's Progress Notes revealed no documentation made to the guardian that he wished to be in a relationship with Resident R7.Review of Resident R7's admission record indicated that she was admitted on [DATE].Review of the MDS dated [DATE], included diagnoses Alzheimer's (a progressive disease that destroys memory and other important mental function), high blood pressure, muscle weakness, and dysphagia. Question C0500 BIMS Summary Score revealed Resident R7's score to be 3, severe impairment.Review of Resident R7's care plan dated 5/26/25, does not reveal that she was care planned to be in a consensual romantic relationship with Resident R1.Review of Resident R7's progress notes revealed that her guardian was contacted on 8/4/25, Writer spoke with son and son made me aware that his mom is dating Resident R1 and that he does not have a problem with them holding hands and kissing. Everyone needs some affection and at this point in her life it doesn't bother me at all, and it doesn't bother her either. This writer informed son that we had to ensure that he was made aware. Son thanked writer for call.Review of Resident R21's admission record indicated that she was initially admitted on [DATE] and readmitted on [DATE].Review of the MDS dated [DATE], included diagnoses of Parkinsonism (group of neurological disorders characterized by tremors, stiffness, slowness of movement, and difficulty maintaining balance), bipolar disorder (mental illness that causes unusual shifts in a person's mood, energy, activity levels, and concentration), and a seizure disorder. Question C0500 BIMS Summary Score revealed Resident R21's score to be 8, moderately impaired.Review of Resident R21's care plan initiated 12/13/21, does not reveal that she was care planned to be in a consensual romantic relationship with Resident R35.Review of a nurse practitioner progress note created on 8/21/25, at 4:14 p.m. indicated, Patient is involved in consensual romantic relationship with another resident which seems to improve her countenance; she has capacity as does the other resident.Review of Resident R35's admission record indicated that he was initially admitted on [DATE] and readmitted on [DATE].Review of the MDS dated [DATE], included diagnoses of heart failure (a progressive heart disease that affects pumping action of the heart muscles), arthritis (inflammation of one or more joints, causing pain and stiffness), and (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 16 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete lung cancer. Question C0500 BIMS Summary Score revealed Resident R35's score to be 14, cognitively intact.Review of Resident R35's care plan initiated 7/2/25, does not reveal that he was care planned to be in a consensual romantic relationship with Resident R21.During an interview on 8/29/25, Resident R21 referred to Resident R35 as my man. Resident R35 stated that Resident R21 is going to be my wife.During an interview on 8/29/25, at approximately 4:00 p.m. the Nursing Home Administrator and the Director of Nursing confirmed the facility failed to develop and implement comprehensive care plans to meet resident care needs for four of 67 residents.28 Pa. Code 211.11(d) Resident Care Plan Event ID: Facility ID: 395289 If continuation sheet Page 17 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a review of facility policy, clinical records, observations, and resident and staff interview, it was determined that the facility failed to provide necessary supervision of a resident with known sexually inappropriate behaviors. This failure resulted in an immediate jeopardy situation for five of 67 residents (Resident R2, R3, R4, R5, R6, ).Findings include:Review of the facility, Resident Supervision Policy & Procedures effective 2/1/25, indicated, It is the policy of this facility to ensure that all residents receive appropriate levels of supervision based on their individual needs, as identified through comprehensive and ongoing assessment. The goal of this policy is to promote resident safety, maintain dignity, and prevent accidents, neglect, or adverse events. Review of the facility, Behavior Management Policy revised 2/2/25, indicated, Patients exhibiting behavioral symptoms will be individually evaluated. The interdisciplinary team will identify underlying medical, physical, functional, psychosocial, emotional, psychiatric, or environmental causes that contribute to the resident's behavior(s). Review of the Resident Assessment Instrument 3.0 User's Manual, effective October 2024, indicated that a Brief Interview for Mental Status (BIMS) is a screening test that aides in detecting cognitive impairment. The BIMS total score suggests the following distributions:13-15: cognitively intact8-12: moderately impaired0-7: severe impairmentReview of the clinical record indicated Resident R1 was initially admitted to the facility on [DATE], and readmitted on [DATE].Review of Minimum Data Set (MDS, periodic review of resident needs) dated 2/12/23, included diagnoses of dementia (a group of symptoms that affects memory, thinking and interferes with daily life), history of a stroke, and a seizure disorder. Question C0500 BIMS Summary Score revealed Resident R1's score to be 1 severe impairment.Review of Resident R1's plan of care initiated on 7/10/24, indicated Resident R1 was a registered sexual offender. The goal of the care plan was Will not exhibit inappropriate sexual behaviors towards others. Interventions listed included: Counseling as indicated. Life review with resident to identify triggers and coping. No documentation Monitor resident ' s whereabouts, resident does have female friend, make sure residents are in common area. Observe for wandering into other residents ' rooms. Offer snacks to minimize wandering in search of food. Provide consistent message from all IDT. Psychology consult. Report with Megan's Law (laws that mandate the creation of public registries of convicted sex offenders) as required. Report inappropriate behavior towards others immediately to administration. Review of Resident R1's plan of care for Potential to be sexually inappropriate revealed it was not initiated until 7/30/25. The goal of the care plan was Resident will not harm self or others through the review date. Interventions listed were: Administer medications as ordered. Monitor/document for side effects and effectiveness. (Medications administered, no documentation of effectiveness). Analyze times of day, places, circumstances, triggers, and what de-escalates behavior and document. No documentation that this was completed. Monitor/document/report as needed any signs/symptoms of resident posing danger to self and others. Minimal documentation completed. Psychiatric/psychogeriatric consult as indicated. When resident becomes sexually inappropriate: Intervene before behavior escalates; Guide away from source of distress; Engage calmly in conversation; If response is aggressive/inappropriate, staff to ensure safety and walk calmly away, and approach later. Review of Resident R1's physician's orders dated 4/1/25, included behavior monitoring related to psychotropic medication use. Review of Resident R1's Treatment Administration Record (TAR) for April 2025, through August 2025, failed to include the option for monitoring for sexually inappropriate behavior. Listed behaviors to monitor for included unstable mood, signs and symptoms of changes, tearfulness, adjustment difficulty, withdrawal. Review of as needed nurse aide behavior (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 18 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some monitoring revealed that the options for types of behavior that occurred were: Frequent Crying, Repeats Movement, Yelling/Screaming, Kicking/Hitting, Pushing, Grabbing, Pinching/Scratching/Spitting, Biting, Wandering, Abusive Language, Threatening Behavior, Sexually Inappropriate, Rejection of Care, None of the above observed. Review of the behavior monitoring documentation completed from 3/1/25, through 8/22/25, revealed the following: 3/22/25: Repeated movements, wandering.6/15/25: None of the above observed.8/19/25: None of the above observed.Review of Resident R1's psychiatry evaluation completed on 3/8/25, indicated, Requested by DON (Director of Nursing) to assess the patient's level of awareness, as he has been inappropriate with female peer in the facility and has a h/o (history of) these behaviors.Review of Resident R1's psychiatry evaluation completed on 8/12/25, indicated, Per the Director of Nursing, the patient has displayed sexually disinhibited behavior, specifically attempting to kiss staff. On interview, he endorsed depressed mood.Review of Resident R1's psychiatry evaluation completed on 8/22/25, indicated, He is consulted due to an incident on 8/21/25, where he was observed in an unoccupied room with a female resident where he was allegedly reported to be rubbing her leg. [Resident R1] does not recall the incident when asked. He does not want to hurt anybody when asked. He states he likes women, not men. When asked if he was touching another resident, he did state, I don't touch anyone. [Resident R1] per staff reports has a history of sexual misconduct. Within the report, collaboration with the DON was documented, Director of Nursing 8/22/25, reports [Resident R1] remains 1:1 (one-on-one monitoring by staff), he has a history of sexual misconduct, he has a history as a sex offender. Poor impulse control with incidents. No specific triggers when incidents occur. Seems to gravitate towards females. Review of facility submitted information dated 3/4/25, indicated, Housekeeper observed residents, [Resident R7] and [Resident R1], kiss in the hallway. Residents were separated. Neither of them can recall.Review of a physician order dated 3/26/25, through 8/18/15, indicated for Resident R1 to received fluoxetine (Prozac, a medication to treat depression) 10 mg daily, for depression. Review of a progress note dated 8/4/25, at 2:11 p.m. indicated, This writer spoke with [Resident R7 ' s] son, and son made me aware that his mom is dating [Resident R1] and that he does not have a problem with them holding hands and kissing. Everyone needs some affection and at this point in her life it doesn't bother me at all, and it doesn't bother her either. This writer informed son that we had to ensure that he was made aware. Son thanked writer for call.Review of a physician order dated 8/18/25, indicated for Resident R1 to receive fluoxetine 20 mg daily, for depression/sexually disinhibited behavior. During an observation on 8/21/25, at 10:40 a.m. Resident R1 was seen intently staring while grinning at Resident R2. The surveyor observed Resident R2 roll her wheelchair backwards away from Resident R1. Resident R1 followed Resident R2 in his wheelchair. Activities Director Employee E1 separated Resident R1 and Resident R2, placing Resident R2 on the opposite side of the activity.During an interview on 8/21/25, at 11:12 a.m. Activities Director Employee E2 stated she has not seen R1 sexually inappropriate, stated he does not understand personal space. Confirmed that she has heard from other staff that being sexually inappropriate can be an issue for him.During an interview on 8/21/25, at 2:08 p.m. certified registered nurse practitioner (CRNP) (8/18/25 note) stated she has not witnessed him being sexually inappropriate, but two staff members approached her on 8/18/25, and verbalized to her he has been touching residents inappropriately. One resident with permission from family, but he was touching more per staff.During an observation on 8/21/25, at 2:15 p.m. three police cars were observed arriving at the facility. Review of a progress note dated 8/21/25, at 2:00 p.m. indicated, Reported to this writer that resident was observed in an unoccupied room rubbing the leg of another resident. Resident was immediately removed and placed on 1:1.Review of a progress note written by the Nursing Home Administrator dated 8/21/25, at (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 19 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some 3:37 p.m. indicated, This writer and Director of Nursing placed call to [Resident R1's] contact. Updated [contact] on allegation of Resident R1 inappropriately touching a female resident and actions taken, including police notification and potential to have to refer Resident R1 to an alternate facility. Stated we would keep her updated, she expressed understanding. Review of information submitted by the facility on 8/22/25, dated 8/21/25, indicated Resident R2, severe cognitive impairment, BIMS of 3, with a history of wandering, was found in an unoccupied room, with her pants down around her ankles, no brief, exposed from the hips down to her ankles where she had socks and shoes on preventing her shorts from coming off of her legs. Resident R2 was observed laying in the fetal position on her left side facing the wall. Resident R1 was observed at the bedside of where Resident R2 was laying, fully clothed. An adjacent resident was yelling up the hallway as staff were coming down the hallway to intervene. When staff entered the room, they noted that Resident R1 was close enough to reach out and touch resident, but verbal interviews and statements and indicate there was no witnessed touching. Resident that was adjacent to the room was also interviewed and indicated he saw Resident R1 smacking Resident R2 on the bare buttocks. Timeline suggests they were in the room alone for 45 seconds to one minute per ongoing investigation. Staff intervened and removed Resident R1 from the room. Director of Nursing attempted to interview Resident R2, but due to cognitive status she is not interviewable. Nursing Home Administrator called 911 and [Police Department] presented to the facility. [Police Department] notified their detective department and had them also present to the facility. Recommendation made to send Resident R2 to the emergency room for a sexual assault consultation/rape kit. Resident ' s husband was informed and presented to the facility. Resident was sent to [Hospital] and remains out of the facility at time of this report. All alert and oriented female residents will be interviewed, non-alert/oriented female residents will have a full body audit completed. Resident R1 placed on 1:1 with a staff member to ensure safety of all residents. All staff are education on abuse upon hire, annually, and as needed.During an interview on 8/21/25, at 3:25 p.m. with Resident R2 ' s husband revealed that he was not aware of what had occurred until he arrived at the facility. He stated, She is so scared of everything, doesn't like loud noises and things like that, she becomes afraid if someone pops the top on a can of soda. Is she going to be okay? He was observed consoling her and stroking her hand as she was on the stretcher.During an interview on 8/22/25, at 9:48 a.m. with Resident R8, he stated that he observed Resident R2 in a room with her pants down and no brief on with Resident R1 standing next to Resident R2 who was in bed. He yelled for assistance and was on his way to get his phone to call the police, he told someone to call them and is unsure of who made the call. He stated, This is disgusting that it has been going on, just bullshit, if that was my mother or grandmother, not sure what I would have done. During a follow-up interview on 8/29/25, at 2:35 p.m. Resident R8 confirmed he saw the incident. When asked what part of the body he observed Resident R1 touching, he stated, I saw ass. Resident R8 stated that he observed Resident R2 flailing her hand toward Resident R1, stated, She definitely didn't want it. Resident R8 stated, He's been doing it a long time. Resident R8 stated he was out smoking and a peer resident stated, Where's [Resident R1]? and the response from another resident was, He's in someone's room molesting them. Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of heart failure (progressive heart disease that affects pumping action of the heart muscles) and physical debility. Question C0500 BIMS Summary Score revealed Resident R3's score to be 15. Review of an electronic communication dated 8/12/25, at 6:18 p.m. provided to both the facility administration and the state survey agency indicated, It has come to our family's attention in the last 2 weeks that my grandmother has been harassed (and touched at least (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 20 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some twice) by a male resident at your facility for months. During an interview on 8/21/25, Resident R3's granddaughter provided the name of the male resident spoken of in the electronic communication, Resident R1. Review of the clinical record indicated Resident R4 was admitted to the facility on [DATE]. Review of the MDS dated [DATE], included diagnoses of diabetes (a metabolic disorder in which the body has high sugar levels for prolonged periods of time), depression, and quadriplegia (paralysis of all four limbs). Question C0500 BIMS Summary Score revealed Resident R4's score to be 10. During a family interview on 8/21/25, at 7:56 p.m. Resident R4's son confirmed that she has complained to family that a male resident wheels into her room while she is sleeping and touches her. My mom, she cannot defend herself. It's not okay, but I understand he has issues. Review of the clinical record indicated Resident R5 was admitted to the facility on [DATE].Review of the MDS dated [DATE], included diagnoses of dementia, anxiety, and depression. Question C0500 BIMS Summary Score revealed Resident R5's score to be 00, which indicated that Resident R5 is so severely cognitively impaired to not be able to complete the interview. During an interview on 8/21/25, at 3:25 p.m. Resident R8 stated that Resident R1 has been observed by himself and other residents touching Resident R5 in the hallway. Resident R8 stated that Resident R1 has stuck his fingers in her mouth and then touched her groin; he has also been observed grabbing her breasts. Review of the clinical record indicated Resident R6 was admitted to the facility on [DATE]. Review of the MDS dated [DATE], included diagnoses of Huntington's Disease (a condition that leads to progressive degeneration of nerve cells in the brain) and peripheral vascular disease (PVD, circulatory condition in which narrowed blood vessels reduce blood flow to the limbs). Question C0500 BIMS Summary Score revealed Resident R5 s score to be 10. During an interview on 8/21/25, at approximately 2:20 p.m. Nurse Aide Employee E2 stated that she had to keep redirecting Resident R1, that he had been trying to get to Resident R5 and R6. Review of confidential staff interviews completed during the survey revealed the following: Confidential Employee E3: Never personally witnessed, has heard from other staff that he (Resident R1) is sexually inappropriate. Has observed Resident R1 touching others, more it a patting sense. Confidential Employee E4: Stated they have seen Resident R1 sexually inappropriate. Kissing, touching. Tried to separate them and bring him back to his unit. Has seen it recently with Resident R7 and here more recently with Resident R2. I've told 'em. Everybody knows it. It's everyday like, Oh I have had to get Resident R1 away from Resident R2. Oh, I just had to get Resident R1 away from whoever. Confirmed he wanders into other rooms, Oh yeah, he's everywhere. Real bad. Confidential Employee E5: I heard that he went into R2's room. Confidential Employee E6: Confirmed they have seen Resident R1 be inappropriate with residents. A lot in the dining room. When we separate them, he follows us, and gets very combative. Resident R5 was asleep in the dining room and Resident R1 put his fingers in her mouth. We were told it's not inappropriate behavior. It really upset me. I was very uncomfortable. We were told, Do you kiss in your own home? but yes, with consent. Confidential Employee E7: He was kissing Resident R7. I told them but they say it's ok. Confidential Employee E8: He always tries to get with women Confidential Employee E9: One of our residents was her boyfriend, that was her boyfriend. Confirmed that they had heard that Resident R1 was sexually inappropriate, but not witnessed, I heard he was a pedophile. Confidential Employee E10: Touches other residents on the face. I take him away. Confidential Employee E11: I have seen him sitting close to other residents. I've never had to separate them. Other staff have spoken about his being sexually inappropriate. Confidential Employee E12: I've heard of him touching other residents, I ' ve never seen it. Confirmed they had heard from both residents and staff that Resident R1 is sexually inappropriate. I feel like if this had been handled when this started, today (referencing incident with Resident R2) would never have happened. When asked about (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 21 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some reporting, The entire building knew. There was a lady who cannot communicate who he was touching inappropriately, [Resident R6] was her name. Confidential Employee E13: Confirmed they had seen Resident R1 be sexually inappropriate with both staff and residents. I fought with him, he literally tried to molest me. It took over an hour to get him out of the bathroom. When asked what residents, stated, Resident R7 mostly. He will go after more, any woman actually. Confirmed Resident R1 wanders into other's rooms, walks around unclothed. He's a very sexual man. Confidential Employee E14: Mostly with Resident R7. He wanders a lot. I redirect him. Employee confirmed that other residents have complained about Resident R7's behavior. Confidential Employee E18: I have not personally witnessed any behavior but have heard that it has been reported to management. Confidential Employee E20: Resident R1's behavior has been going on over a month, he goes around touching women, putting his hand up their pants, putting his fingers in their mouth, grabbing breasts. I have reported these incidents verbally but never filled out paperwork, did not know I was allowed. When I did report, I was told by the DON, They are older people and are allowed to touch. Confidential Employee E26: I have only overheard the other staff talk about Resident R1 but have never physically seen him do anything. As far as I know these incidents have been reported. Confidential Employee E32: I have brought the incidents with Resident R1 to the attention of the DON that his behaviors were getting worse, targets ladies that can't defend themselves, other residents try stopping it. The DON stated, Some of these ladies enjoy it, should we be stopping their pleasure. Told my other colleagues to keep an eye on him. The DON has stopped me from working there. Confidential Employee E33: Resident R1 is very touchy, feely, at times can be redirected but seems more aggressive acts like a baby, throwing a temper tantrum because you took away what he wants. I know an aide filed a report but the DON told her it was wrong and got rid of it. The situation is just very discouraging, was never told to file a report. I know management has known about it since February 4, 2025. Confidential Employee E34: There was a recent issue where his aide had to leave while he is being a 1:1, he was free to go into the Dining Room where he sat next to a lady (not Resident R7) and was holding her hand, we didn't want anything to escalate and tried to redirect but he became aggressive and held onto her chair. I know his issues have been reported to the current DON and the previous DON.During an interview on 8/29/25, at approximately 10:50 a.m. the Nursing Home Administrator and the Director of Nursing confirmed that the following care plan interventions had not been completed by the facility in any meaningful way: Life review with resident to identify triggers and coping. No documentation of completion. Observe for wandering into other residents' rooms. Offer snacks to minimize wandering in search of food. No documentation of wandering in behavior charting, which contrasted with multiple staff and resident interviews that described wandering behavior. Provide consistent message from all IDT. Facility administration unable to describe what the intervention would consist of. Report inappropriate behavior towards others immediately to administration. All staff interviewed stated they did not report it as everyone knows. Monitor resident's whereabouts, resident does have female friend. Make sure residents are in common areas. Multiple documented and verbal reports of resident being inappropriate with peers indicated a lack of monitoring of resident's whereabouts. Administer medications as ordered. Monitor/document for side effects and effectiveness. Initial order 3/8/25, with no lack of effectiveness documented to inform provider of the possible need of a medication adjustment. Analyze times of day, places, circumstances, triggers, and what de-escalates behavior and document. No documentation that this was completed. Monitor/document/report as needed any signs/symptoms of resident posing danger to self and others. Minimal documentation completed. On 8/29/25, at 11:40 a.m. the Nursing Home Administrator and the Director of Nursing were made aware that an Immediate Jeopardy situation existed for five (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 22 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some of 67 residents, and the Immediate Jeopardy template was provided to facility administration. This Immediate Jepordy situation existed beginning 2/4/25.On 8/29/25, at 2:00 p.m. an acceptable Corrective Action Plan was received which included the following interventions: Immediate action(s) taken for the resident(s) found to have been affected include: Resident R1 was placed on 1:1 supervision on 8/21/2025 and continues to remain 1:1 supervision at this time. Resident R1 care plan will be updated on 08/29/2025 to individualized interventions regarding supervision based on his sex offender status. Resident R1 behavior is being monitored by the 1:1 supervisor.Facility will identify and address any allegations of inappropriate touching/behaviors via facility policy and investigative process. Follow-up and follow-through of interventions will be monitored by the Director of Nursing and Nursing Home Administrator.Any affected residents identified, reporting will be completed, notifications will be made, and support will be offered to residents and family.Staff and or consultants' failure to report any allegations timely will be addressed through the disciplinary process up to and including termination of employment or contracted services. Identification of other residents having the potential to be affected was accomplished by: An audit on all female residents from March 2025 to current will be completed by the Director of Nursing, or designee, to identify any documented inappropriate touching or sexually inappropriate behaviors. If any are found, we will follow facility policy and protocol of investigation, notification, and reporting.Current female residents who were cognitively intact are being interviewed five days per week, initiated on 08/21/2025. Current female residents who were cognitively impaired are having a complete skin assessment five days per week, initiated on 08/21/2025.No issues identified from interviews or skin assessments as of this date 08/29/2025.With resident remaining on 1:1 supervision, female residents are being kept safe from Resident R1 inappropriate touching/sexual behaviors.Actions taken/systems put into place to reduce the risk of future occurrence include: Education was completed with all staff on Abuse/Neglect, Reporting of Incident and Accidents by, and providing direct supervision with Resident R1 by the Director of Nursing on 08/21/2025.Education of all new hires will include supervision of handling residents with history of sexual aggression and behaviors. This will be updated into the new hire packet on 08/29/2025.Mandatory education will be sent to all staff on 08/29/2025 to inform staff of updates to Resident R1 care plan interventions to successfully redirect sexual aggression and behaviors. How the corrective action(s) will be monitored to ensure the practice will not recur: Resident R1 will remain on 1:1. Resident R1 is being followed by facility contracted psychiatric provider in conjunction with the facility medical director.Referrals are being made to alternate care facilities that can better meet Resident R1's needs.While Resident R1 remains in the facility audits will be completed on female residents who are cognitively intact daily x 5 days a week for two weeks, weekly for two weeks and then monthly for two months to ensure residents safety.While Resident R1 remains in the facility audits will be completed on female residents who are cognitively impaired daily x 5 days a week for two weeks, weekly for two weeks and then monthly for two months to ensure residents safety.An Ad Hoc Quality Assurance and Process Improvement Meeting was held by the Administrator or designee on 8/29/25 to address supervision of handling residents with sexual aggression and behaviors, including adding of this education to new hire orientation. This plan of correction will be monitored through facility Quality Assurance and Process Improvement meeting until such time consistent substantial compliance has been met. During staff interviews conducted on 8/29/25, between 2:00 p.m. and 3:30 p.m. ten staff members confirmed they received education on supervision of residents with known sexual behaviors and responding to residents' sexually inappropriate behavior. Review of clinical records completed on 8/29/25, confirmed care plan updates in place. Review of facility documentation completed on (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 23 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety 8/29/25, confirmed either interviews or audits were completed on all female residents.The Immediate Jeopardy was lifted on 8/29/25, at 3:50 p.m., when the action plan implementation was verified. During an interview on 8/29/25, at approximately 4:00 p.m. the Nursing Home Administrator confirmed that the facility failed to provide necessary supervision of a resident with known sexually inappropriate behaviors. This failure resulted in an immediate jeopardy situation for five of 67 residents. 28 Pa. Code 201.18(b)(1)(3) Management28 Pa. Code 211.10(d) Resident care policies28 Pa. Code 211.12(d)(1)(3)(5) Nursing services Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 24 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record and facility document review and staff interview, it was determined that the facility failed to provide the necessary services to meet the psychosocial needs resulting in the commitment of resident-to-resident sexual abuse for one of two residents with unmonitored hypersexual behaviors (Resident R1). Findings include:Review of the facility, Behavior Management Policy revised 1/27/25, indicated, Patients exhibiting behavioral symptoms will be individually evaluated. The interdisciplinary team will identify underlying medical, physical, functional, psychosocial, emotional, psychiatric, or environmental causes that contribute to the resident's behavior(s).Review of the Resident Assessment Instrument 3.0 User's Manual, effective October 2024, indicated that a Brief Interview for Mental Status (BIMS) is a screening test that aides in detecting cognitive impairment. The BIMS total score suggests the following distributions: 13-15: cognitively intact8-12: moderately impaired0-7: severe impairmentReview of the clinical record indicated Resident R1 was initially admitted to the facility on [DATE] and readmitted on [DATE].Review of Minimum Data Set (MDS, periodic review of resident needs) dated 2/12/23, included diagnoses of dementia (a group of symptoms that affects memory, thinking and interferes with daily life), history of a stroke, and a seizure disorder. Question C0500 BIMS Summary Score revealed Resident R1's score to be 1, severe impairment.Review of Resident R1s plan of care initiated on 7/10/24, indicated that Resident R1 was a registered sexual offender. Review of Resident R1s plan of care for Potential to be sexually inappropriate revealed it was not initiated until 7/30/25. Review of Resident R1s physicians orders dated 4/1/25, included behavior monitoring related to psychotropic medication use. Review of Resident R1s treatment administration record (TAR) for April 2025, through August 2025, failed to include the option for monitoring for sexually inappropriate behavior. Listed behaviors to monitor for included unstable mood, signs and symptoms of changes, tearfulness, adjustment difficulty, withdrawal.Review of facility submitted information dated 3/4/25, indicated, Housekeeper observed residents, [Resident R7] and [Resident R1], kiss in the hallway. Residents were separated. Neither of them can recall.Review of Resident R1s psychiatry evaluation completed on 3/8/25, indicated, Requested by DON (Director of Nursing) to assess the patient's level of awareness, as he has been inappropriate with female peer in the facility and has a h/o (history of) these behaviors.Review of a physician order dated 3/26/25, through 8/18/15, indicated for Resident R1 to received fluoxetine (Prozac, a medication to treat depression) 10 mg daily, for depression.Review of as needed nurse aide behavior monitoring revealed that the options for types of behavior that occurred were: Frequent Crying, Repeats Movement, Yelling/Screaming, Kicking/Hitting, Pushing, Grabbing, Pinching/Scratching/Spitting, Biting, Wandering, Abusive Language, Threatening Behavior, Sexually Inappropriate, Rejection of Care, None of the above observed.Review of this behavior monitoring completed from 3/1/25, through 8/22/25, revealed the following:3/22/25: Repeated movements, wandering.6/15/25: None of the above observed.8/19/25: None of the above observed. Review of a progress note dated 8/4/25, at 2:11 p.m. indicated, This writer spoke with [Resident R7s] son, and son made me aware that his mom is dating [Resident R1] and that he does not have a problem with them holding hands and kissing. Everyone needs some affection and at this point in her life it doesn't bother me at all, and it doesn't bother her either. This writer informed son that we had to ensure that he was made aware. Son thanked writer for call.Review of a physician order dated 8/18/25, indicated for Resident R1 to receive fluoxetine 20 mg daily, for depression/sexually disinhibited behavior.Review of a progress note dated 8/21/25, at 2:00 p.m. indicated, reported to this writer that resident was observed in an un-occupied room rubbing the leg of another resident. Resident was immediately removed Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 25 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0744 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few and placed on 1:1.Review of a progress note dated 8/21/25, at 3:37 p.m. indicated, this writer and Director of Nursing placed call to [Resident R1s] contact. Updated [contact] on allegation of Resident R1 inappropriately touching a female resident and actions taken, including police notification and potential to have to refer Resident R1 to an alternate facility. Stated we would keep her updated, she expressed understanding.Review of confidential staff interviews completed on 8/21/25, and 8/22/25, revealed the following: Confidential Employee E3: Never personally witnessed, has heard from other staff that he (Resident R1) is sexually inappropriate. Has observed Resident R1 touching others, more it a patting sense. Confidential Employee E4: Stated they have seen Resident R1 sexually inappropriate. Kissing, touching. Tried to separate them and bring him back to his unit. Has seen it recently with Resident R7 and here more recently with Resident R2. I've told em. Everybody knows it. Its everyday like, Oh I have had to get Resident R1 away from Resident R2. Oh, I just had to get Resident R1 away from whoever. Confirmed he wanders into other rooms, Oh yeah, he's everywhere. Real bad. Confidential Employee E5: I heard that he went into R2s room. Confidential Employee E6: Confirmed they have seen Resident R1 be inappropriate with residents. A lot in the dining room. When we separate them, he follows us, and gets very combative. Resident R5 was asleep in the dining room and Resident R1 put his fingers in her mouth. We were told its not inappropriate behavior. It really upset me. I was very uncomfortable. We were told, Do you kiss in your own home? but yes, with consent. Confidential Employee E7: He was kissing Resident R7. I told them but they say its ok. Confidential Employee E8: He always tries to get with women. Confidential Employee E9: One of our residents was her boyfriend, that was her boyfriend. Confirmed that they had heard that Resident R1 was sexually inappropriate, but not witnessed, I heard he was a pedophile. Confidential Employee E10: Touches other residents on the face. I take him away. Confidential Employee E11: I have seen him sitting close to other residents. Ive never had to take separate them. Other staff have spoken about his being sexually inappropriate. Confidential Employee E12: Ive heard of him touching other residents, Ive never seen it. Confirmed they had heard from both residents and staff that Resident R1 is sexually inappropriate. I feel like if this had been handled when this started, today (referencing incident with Resident R2) would never have happened. When asked about reporting, The entire building knew. There was a lady who cannot communicate who he was touching inappropriately, [Resident R6] was her name. Confidential Employee E13: Confirmed they had seen Resident R1 be sexually inappropriate with both staff and residents. I fought with him, he literally tried to molest me. It took over an hour to get him out of the bathroom. When asked what residents, stated, Resident R7 mostly. He will go after more, any woman actually. Confirmed Resident R1 wanders into others rooms, walks around unclothed. Hes a very sexual man. Confidential Employee E14: Mostly with Resident R7. He wanders a lot. I redirect him. Employee confirmed that other residents have complained about Resident R7s behavior.During an interview on 8/22/25, at 3:45 p.m. the Nursing Home Administrator confirmed that Resident R1 displayed inappropriate sexual behaviors as early as 3/4/25, that a care plan and interventions were not developed until 7/30/25, that he was in a known relationship with Resident R7 that was not care planned, no documentation exists in Resident R1s clinical record for notification/acceptance of this relationship with Resident R1s emergency contact, no documentation exists in Resident R7s clinical record for notification/acceptance of this relationship with Resident R7s responsible party until 8/4/25, when relationship behaviors were documented on 3/4/25, that licensed nurse monitoring for behaviors only included those related to psychotropic medication use, that as needed nurse aide behavior monitoring only occurred three times in an approximate six month period, with no documentation of the inappropriate sexual behaviors verbalized by staff. During an interview on 8/22/25, at 4:00 p.m. the Nursing Home (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 26 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0744 Level of Harm - Minimal harm or potential for actual harm Administrator confirmed that the facility failed to provide the necessary services to meet the psychosocial needs resulting in the commitment of resident-to-resident sexual abuse for one of two residents with unmonitored hypersexual behaviors.28 Pa. Code 211.11(d) Resident care plan28 Pa. Code 211.12(d)(3)(5) Nursing services28 Pa. Code 211.16(a)Social services Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 27 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. Level of Harm - Minimal harm or potential for actual harm Based on review of job descriptions, clinical records and staff interviews, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed to protect residents from resident-to-resident sexual abuse. This failure resulted in a resident with a known history of sexually inappropriate behavior touching a non-consenting resident, which created an Immediate Jeopardy for five of 67 residents (Resident R2, R3, R4, R5, R6).Findings include:Review of the facility-provided Nursing Home Administrator (NHA) job description indicated, The primary purpose of the job position is to manage the Facility in accordance with current applicable federal, state, and local standards, guidelines, and regulations that govern long-term care facilities. To follow all facility policies and apply them uniformly to all employees. To ensure the highest degree of quality care is provided to our residents at all times.Review of the facility-provided Director of Nursing (DON) job description indicated, To plan, organize, develop and direct the overall operation of the Nursing Service Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility, and as may be directed by the Administrator and the Medical Director, to ensure that the highest degree of quality care is maintained at all times.Based on findings identified in this report, the facility failed to prevent the failed protect residents from resident-to-resident sexual abuse. The NHA and the DON failed to fulfill their essential job duties to ensure the federal and state guidelines and regulations were followed.During an interview on 8/21/25, at approximately 3:45 p.m. the NHA and DON confirmed that they failed to effectively manage the facility to protect residents from resident-to-resident sexual abuse, which created an Immediate Jeopardy for five of 67 residents.28 Pa. Code 201.14(a) Responsibility of licensee.28 Pa. Code 201.18(b)(1)(3)(e)(1) Management.28 Pa. Code 211.12(d)(1)(2)(3)(5) Nursing services. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 28 of 29 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 395289 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at South Hills Rehabilitation and Nrsg Ctr 201 Village Drive Canonsburg, PA 15317 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)

F 0865 Have a plan that describes the process for conducting QAPI and QAA activities. Level of Harm - Minimal harm or potential for actual harm Based on review of facility documentation, cited deficiencies from previous surveys, review of plan of correction documentation, and staff interview, it was determined that the facility's Quality Assurance and Performance Improvement (QAPI) program failed to correct previously cited deficiencies. This has the potential to affect 5 of 67 residents.Finding include:Review of the facility policy Quality Assurance and Performance Improvement (QAPI) Program dated 1/27/25, indicated objectives of the QAPI program include providing a means to measure current and potential indicators for outcomes of care and quality of life; establish and implement performance improvement projects to correct identified negative or problematic indicators; reinforce and build upon effective systems and processes related to the delivery of quality care and services; and establish systems through which to monitor and evaluate corrective actions.Review of the facility's deficiencies and plan of corrections for the State Survey and Certification (Department of Health) survey ending 2/3/25, revealed the facility developed a plan of correction that included quality assurance systems to ensure that the facility-maintained compliance with cited nursing home regulations.Review of the plan of correction for survey ending 2/3/25, revealed the following:-Charts will be updated to reflect current status, guardians will be updated regarded any suspected abuse.-House review has been completed to ensure no other residents have been identified as abused, neglected or exploited.-All staff will be in-serviced via [outside consulting company] for freedom from abuse/neglect with focus on sexual abuse.-24-hour report, progress notes, grievance reports will be reviewed at morning clinical meeting to ensure investigation is completed for any incidents, accidents or grievances if warranted.-Director of Nursing/designee will educate all staff on facilities policy and procedure of abuse/neglect.-Director of Nursing/designee will monitor 24-hour report, progress notes for any instances that fall into this category at clinical meeting.-Director of Nursing/designee will audit weekly x2, monthly x2 progress notes and 24-hour report.-Results of in-service, monitoring and audits will be submitted to the Quality Assurance Improvement Committee.The results of the current survey, ending 9/12/25, identified a repeated deficiency related to sexual abuse for five of five residents.During the survey process the following was revealed:-Resident R2 was found in a bed with her pants around her ankles, brief off and perpetrator standing over her, had been observed with his hand on her hip.-Resident R3's guardian filing a complaint with CMS regarding the perpetrator coming into her room, touching her and knocking things off her wall and table. Guardian was interviewed in the evening during the survey process.-Resident R4's guardian was interviewed and stated that the resident had told him that the perpetrator comes into the resident's room and has touched her.-Resident R5 was observed by other residents in the hallway and dining room with perpetrator sticking his fingers in her mouth, grabbing her breasts and touching her groin.-Staff stated Resident R1 had attempted to get to Resident R5 and R6.During an interview on 8/21/25 at approximately 3:30 p.m. the Nursing Home Administrator and Director of Nursing confirmed the facility failed to maintain an effective Quality Assurance Committee to ensure that the concerns related to sexual abuse were identified, with potential to affect 5 of 67 residents.42 CFR 483.75 (a)(2)(h)(i) QAPI Program/Plan, Disclosure/Good Faith Attempt.28 Pa. Code 201.18(e)(1) Management.28 Pa. Code 201.18(e)(2)(3)(4) Management. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395289 If continuation sheet Page 29 of 29