Inspection·October 29, 2024

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, clinical record reviews and staff interviews, it was determined that the facility failed to initiate a thorough investigation for incident or accidents for one of three residents (Residents R1). Residents Affected - Few Findings include: The facility Accident and Incidents-Investing and Reporting policy dated 1/1/24, indicated all accidents and incidents occuring on the premises must be investigated and reported. Review of clinical record indicated Resident R1 was admitted [DATE], with diagnoses which included diabetes mellitus, rheumatoid arthritis and major depressive disorder. A review of Resident R1's Minimum Data Set (MDS-a periodic assessment of resident care needs), dated 8/11/24, indicated diagnoses remained current. Review of facility provided documents submitted 10/14/24, Resident R1 accidently spilled coffee on his abdomen that was microwaved by another resident. Review of Resident R1's dated 10/14/24 at 10:53 p.m. revealed nurse aide informed nurse that resident had a burn to his abdomen, he stated he accidently poured hot coffee on himself. Resident R1 denies pain, top layer of skin red, no swelling. Review of Resident R1's investigation report dated 10/14/24, failed to include signed and dated witness statements from the resident and all staff members who had contact with the resident during the period of the alleged incident. During an interview on 10/29/24, at 1:45 p.m. Director of Nursing (DON) confirmed the facility did not conduct a through investigation on Resident R1 as required. 28 Pa. Code: 201.14(a) Responsibility of licensee 28 Pa. Code: 201.18(b)(1)(3) Management 28 Pa. Code: 211. 10(d) Resident care policies 28 Pa. Code: 211.12(d)(3) Nursing services 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 3 Event ID: 395295 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 395295 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/29/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at Murrysville Rehab and Nursing Center 3300 Logan Ferry Road Murrysville, PA 15668 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)