F 0725
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in
charge on each shift.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of facility policy, resident observations, and resident and staff interviews, it was determined that the
facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the
highest practicable physical, mental, and psychosocial well-being of 10 of 15 residents (Residents R1, R2,
R3, R4, R5, R6, R7, R8, R9, and R10) and for four of five staff members (Employee E1, E2, E3, and
E4).Findings Include: Review of the facility policy, Answering the Call Light dated 8/27/25, indicated, The
purpose of this procedure is to ensure timely responses to the resident's requests and needs. Review of the
facility policy, Activities of Daily Living, (ADL), Supporting dated 6/1/25, indicated, Residents who are
unable to carry out activities of daily living independently will receive the services necessary to maintain
good nutrition, grooming, and personal and oral hygiene. During an observation on 2/17/26, at
approximately 10:56 a.m. Resident R1 was noted to have a large amount of brown substance underneath
his very long, curled over fingernails. Review of Resident R1's point of care documentation from 1/18/26,
through 2/17/26, revealed Resident R1's scheduled shower days were Wednesdays and Saturdays, on
evening shift. 1/21/26: Documented as Shower1/24/26: Documented as Not Applicable1/28/26:
Documented as Not Applicable1/31/26: Documented as Not Applicable2/04/26: Documented as Not
Applicable2/07/26: Documented as Not Applicable2/11/26: Documented as Refused2/14/26: Documented
as Bed bath Review of facility census information confirmed Resident R1 was not out of the facility on any
dates from 1/18/26, through 2/17/26. During an observation on 2/17/26, at approximately 10:57 a.m.
Resident R2 was noted to have a large amount of dandruff and dry skin crusted on his hair. Review of
Resident R2's point of care documentation from 1/18/26, through 2/17/26, revealed Resident R2 did not
have documented scheduled shower days. 1/20/26: Documented as Bed/Towel Bath2/07/26: Documented
as Bed/Towel Bath2/10/26: Documented as Not Applicable2/11/26: Documented as Not Applicable2/14/26:
Documented as Bed/Towel Bath Review of facility census information confirmed Resident R2 was not out of
the facility on any dates from 1/18/26, through 2/17/26. During an interview on 2/17/26, at approximately
11:00 a.m. Resident R3 stated that call light response times can be excessive, and it depends on what staff
is working. During an interview on 2/17/26, at approximately 11:00 a.m. Resident R4 stated that they are so
short-staffed. During an interview on 2/17/26, at approximately 11:10 a.m. Resident R5 stated that they are
very understaffed. It stresses the aides out and it's not food for the patients. During an interview and
observation on 2/17/26, at approximately 11:15 a.m. Resident R6 stated that call light response times can
be excessive. Resident R6 was noted to have a large amount of brown substance underneath his
fingernails. During an interview on 2/17/26, at approximately 11:18 a.m. Resident R7 stated that could
always use more help. During an interview on 2/17/26, at approximately 11:18 a.m. Resident R7 stated that
could always use more help. During an interview on 2/17/26, at approximately 12:41 p.m. Resident R8,
when asked if the facility maintained enough staff to care for residents, stated Sometimes.
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
395289
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
02/17/2026
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 0725
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
When asked about call light response times, Resident R8 stated Depends. During an interview on 2/17/26,
at approximately 12:45 p.m. Resident R9, when asked if the facility maintained enough staff to care for
residents, stated No and further stated that there is a delay in getting people dressed and out of bed in the
morning. When asked about call light response times, Resident R8 stated Call lights are long, because
there isn't enough staff. During an observation on 2/17/26, at approximately 12:50 p.m. Resident R10 was
noted to have a large amount of brown substance underneath his fingernails. When asked if he wanted his
facial hair shaved, Resident R10 nodded his head affirmatively. Review of Resident R10's point of care
documentation from 1/18/26, through 2/17/26, revealed Resident R10's scheduled shower days were
Wednesdays and Saturdays, on evening shift. 1/21/26: Documented as Not Applicable1/24/26: Documented
as Bed/Towel Bath1/28/26: Documented as Not Available (resident was hospitalized [DATE]: Documented
as Not Available (resident was hospitalized [DATE]: Documented as Not Applicable2/07/26: No
documentation2/11/26: Documented as Bed/Towel Bath2/14/26: No documentation Review of facility
census information confirmed Resident R10 was in the facility from 1/18/26, through 1/27/26, and from
2/3/26, through 2/17/26. During staff interviews completed during the survey, the following was stated in
response to questions about facility staffing: Employee E1, Do you want me to tell the truth, do you want me
to lose my job? They are killing us. They are killing us. Employee E2, Crappy. Changes day-to-day. You
never know what's going to go on. Employee E3, It's horrible. Employee E4, They just had a call off. We
work short on daylight and then have to pick up on evenings and our days off. During an electronic
interview on 2/17/26, at approximately 1:30 p.m. the Nursing Home Administrator and the Director of
Nursing confirmed that the facility failed to have sufficient nursing staff to provide nursing and related
services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for ten
of fifteen residents. 28 Pa. Code: 201.14(a) Responsibility of licensee. 28 Pa. Code 201.18(e)(6)
Management. 28 Pa. Code: 201.20(a) Staff development. 28 Pa. Code: 211.12(a)(c)(d)(1)(2)(3)(4) Nursing
services.
Event ID:
Facility ID:
395289
If continuation sheet
Page 2 of 2