Inspection visit
Inspection
39 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 39 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or
her rights.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of facility policy, resident records, observation, and staff interview it was determined that the facility
failed to uphold the privacy and dignity of two of four residents reviewed utilizing an indwelling urinary
catheter (foley - a thin rubber tube inserted either through the urethra or suprapubic [abdomen] to allow for
bladder drainage) for two of four residents (Residents R12 and R187).
Findings include:
Review of the facility policy Resident Rights last reviewed 2/12/25, indicated that employees shall treat
residents with kindness, respect, and dignity. Resident rights include the right to a dignified existence.
Review of the clinical record indicated Resident R12 was admitted to the facility on [DATE], and readmitted
on [DATE].
Review of Resident R12's Minimum Data Set (MDS - a periodic assessment of care needs) dated 2/24/25,
indicated diagnoses of high blood pressure, hyperlipidemia (high levels of fat in the blood), and neurogenic
bladder (bladder problems due to disease or injury of the nervous system involved in the control of
urination).
Review of a physician order dated 3/2/25, indicated Resident R12 had a suprapubic catheter, size 18
French, 10 cc (cubic centimeters) balloon change every 30 days for neuromuscular dysfunction.
During an observation on 3/24/25, at 10:53 a.m. Resident R12's catheter collection bag was observed
hanging on her bed without a privacy cover present. Urine was visible in the collection bag.
During an interview on 3/24/25, at 11:03 a.m. Licensed Practical Nurse (LPN) Employee E1 confirmed
Resident R12's catheter collection bag did not have a privacy cover on it and that the facility failed to
ensure care was provided in a manner in which maintained Resident R12's dignity.
Review of the clinical record revealed Resident R187 was admitted to the facility on [DATE].
Review of Resident 187's MDS dated [DATE], indicated diagnoses of high blood pressure, urinary tract
infection (infection in any part of the kidneys, bladder or urethra), and cancer.
During an observation on 3/24/25, at 12:27 p.m. Resident R187 was observed utilizing an indwelling
catheter without a privacy cover on the urine collection bag. The urinary bag was observed on the
(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 50
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
03/28/2025
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)
F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
floor beside the resident's bed without a dignity bag covering the urine collection bag. Urine was visible in
the bag.
During an interview on 3/24/25, at 12:27 p.m. Licensed Practical Nurse Employee E10 confirmed that
Resident R187 did not have a dignity bag covering the urine collection bag of the catheter, and that the
facility failed to uphold his privacy and dignity.
28 Pa Code: 201.29 (a) Resident rights.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 2 of 50
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
03/28/2025
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)
F 0575
Level of Harm - Minimal harm
or potential for actual harm
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy
groups and a statement that the resident may file a complaint with the State Survey Agency.
Based on observations, and staff interview it was determined that the facility failed to have complete
contact information for State Long-Term Care Ombudsman program posted at the facility.
Residents Affected - Few
Findings include:
During an observation, in the front lobby area, there was a poster with Ombudsman contact information
which only consisted of the county of the Ombudsman and the phone number, and did not have
Ombudsman name, address, or email address listed.
During an interview on 3/28/25, at 10:29 a.m. the Nursing Home Administrator confirmed that the facility
failed to post the Ombudsman's name, address, and email address as required.
28 Pa. Code: 201.14(a)Responsibility of licensee.
28 Pa. Code: 201.18(b)(3) Management.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 3 of 50
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
03/28/2025
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)
F 0585
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of facility policy, resident grievances for 90 days, clinical records, and resident and staff interviews, it
was determined that the facility failed to effectively resolve, in a timely manner, a grievance in relation to
concerns documented via Grievance procedure and complete the reports in their entirety for one of five
grievances reviewed (R58), failed to provide grievance forms, and failed to post an updated policy and
procedure that included the current grievance officer name in an accessible location (Front lobby area).
Findings include:
Review of facility policy, Resident Rights dated 2/12/25, indicated that the facility will treat all residents with
kindness, respect and dignity. Residents have the right to voice grievances to the facility, or other agency
that hears grievances, without discrimination or reprisal and without fear of discrimination or reprisal.
Residents have the right to have the facility respond to his or her grievance.
Review of facility policy, Grievance Policy and Procedures dated 2/12/25, indicated that the facility will
record and resolve all grievances. The Grievance Officer shall be responsible for facilitating, tracking
resolutions, and reporting to the Quality Assurance committee. Grievance form ' s location is at front
reception desk. Facility members or grievance officer receiving the grievance form shall assign a
responsible party to investigate and complete a resolution within five days dated on form.
Review of Resident R58's clinical record indicated the resident was admitted [DATE].
Review of Resident R58's Minimum Data Set (MDS- a periodic assessment of resident care needs) dated
2/1/25, indicated he had diagnoses that included depression, chronic pain syndrome, and diabetes (a
metabolic disorder in which the body has high sugar levels for prolonged periods of time).
During a review of Complaint/Grievance form dated 2/20/25, indicated that the residents phone was
missing. Resident R58 is alert and oriented and stated the last time he saw his phone was beside him
laying on the bed.
During a review of Complaint/Grievance form dated 2/20/25, corrective action taken/to be taken is blank.
During an observation, Resident R58 does not have an easy assessable drawer that can be secured within
reach to keep his belongings.
During an interview on 3/24/25, at 10:44 a.m. Resident R58 stated that the facility talked to him and will not
replace his personal item, but is not satisfied with the outcome.
During an interview on 3/27/25, at 1:03 p.m. the Nursing Home Administrator stated, Just so you know, we
are still investigating this concern. No updated solutions were identified on the grievance form. The facility
was unable to produce documented evidence of Resident R58's was educated on lost personal items upon
admission and failed to produce a copy of his inventory sheet.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 4 of 50
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
03/28/2025
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)
F 0585
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
During an interview on 3/28/25, at 10:45 a.m. the Nursing Home Administrator (NHA) confirmed that the
facility failed to resolve a dispute via grievance process in a timely manner.
During an observation on 3/28/25, at 10:25 a.m. of the facility's posted grievance policy failed to indicate the
current grievance officers name and failed to have grievance forms available to residents or representatives
located by the front lobby.
During an interview on 3/28/25, at 10:30 a.m. Social Worker Employee E13 confirmed that the grievance
officer needed updated, and that there were no grievance forms located by the front lobby.
During a group interview conducted on 3/25/25, at 1:00 p.m. indicated residents stated, there is no new
business in Feb & March because it's the same issues.
During an interview on 3/28/25, at 11:03 a.m. the NHA confirmed that the facility failed to effectively resolve,
in a timely manner, a grievance in relation to concerns documented via Grievance procedure and complete
the reports in their entirety for one of five grievances reviewed (R58), and failed to provide grievance forms
and provide an updated policy and procedure that included the current grievance officer name in an
accessible location.(Front lobby area
28 Pa. Code: 201.18(b)(3) Management
28 Pa. Code: 211.12(d)(1)(5) Nursing services
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 5 of 50
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
03/28/2025
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)
F 0600
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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
review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to
ensure that residents were free from neglect for one of three residents reviewed (Resident R46).
Finding include:
Review of facility policy Abuse and Neglect - Clinical Protocol dated 2/12/25, indicated neglect 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.
Review of the clinical record indicated Resident R46 was admitted to the facility on [DATE].
Review of Resident R46's Minimum Data Set (MDS - a periodic assessment of resident care needs) dated
2/7/25, indicated diagnoses of high blood pressure, depression, and repeated falls.
Review of a physician order dated 3/18/25, indicated to apply Triple Antibiotic External Ointment to skin tear
to right elbow every day shift for impaired skin integrity for 7 days. Cleanse skin tear with NSS (normal
sterile saline), pay dry and apply TAO (Triple Antibiotic Ointment) and cover with border dressing (a
self-adhering dressing).
During an observation on 3/24/25, at 9:10 a.m. a dressing was observed on Resident R46's right elbow and
was dated 3/22.
During an interview on 3/24/25, at 9:18 a.m. Licensed Practical Nurse (LPN) Employee E1 confirmed the
date on Resident R46's right elbow dressing was 3/22.
During an interview on 3/27/25, at 11:06 a.m. the Director of Nursing (DON) stated, The nurse admitted she
didn't do the dressing on 3/23/25, she said she forgot.
During an interview on 3/26/25, at 11:06 a.m. the DON confirmed that the facility failed to ensure Resident
R46 was free from neglect as required.
28. Pa Code 201.14(a) Responsibility of licensee.
28. Pa Code 201.18(b)(1)(e )(1) Management.
28. Pa. Code 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 6 of 50
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
03/28/2025
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)
F 0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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 policies and clinical records, observations and staff interviews it was determined that the
facility failed to identify a bolster (a long, thick cushion) as a possible restraint, failed to assess the
functional status of the individual resident to determine if the use of a bolster is a restraint, and failed to
obtain physician's order for the use of a bolster for one of two residents (Resident R70.)
Residents Affected - Few
Findings include:
The facility policy Use of Restraints last reviewed 2/12/25, indicated that restraints shall only be used for the
safety and well-being of the resident(s) and only after other alternatives have been tried unsuccessfully.
When the use of restraints is indicated, the least restrictive alternative will be used for the least amount of
time necessary, and the ongoing reevaluation for the need for restraint will be documented.
Physical Restraints are defined as any manual method or physical or mechanical device, material, or
equipment attached or adjacent to the resident's body that the individual cannot remove easily, which
restricts freedom of movement or restricts normal access to one's body.
Prior to placing a resident in restraints, there shall be a pre-restraining assessment and review to determine
the need for restraints. The assessment shall be used to determine possible underlying causes of the
problematic medical symptom and to determine if there are less restrictive interventions (programs,
devices, referrals, etc.) that may improve the symptoms.
Restraints shall only be used upon the written order of a physician and after obtaining consent from the
resident and/or representative. Restrained individuals shall be reviewed regularly (at least quarterly) to
determine whether they are candidates for restraint reduction, less restrictive methods of restraints, or total
restraint elimination.
Review of the clinical record indicated Resident R70 was admitted to the facility on [DATE].
Review of Resident R70's Minimum Data Set (MDS - a periodic assessment of care needs) dated 3/23/25,
indicated diagnoses of Post Traumatic Stress Disorder (PTSD- a disorder that develops when a person has
experienced or witnessed a scary, shocking, terrifying, or dangerous event), high blood pressure, and
stroke.
During an observation on 3/24/25, at 12:24 p.m. Resident R70 was observed lying in bed with bolsters
between his body and both sides of the bed.
Review of Resident R70's clinical record failed to identify any assessments, orders, or ongoing evaluations
for use of bolsters.
During an interview on 3/28/25, at 11:12 a.m. the Director of Nursing confirmed the facility failed to assess
Resident R70 for a restraint, failed to have any ongoing evaluation of a possible restraint, and failed to
obtain a physician's order for use of bolsters.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 7 of 50
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
03/28/2025
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)
F 0604
28 Pa. Code: 211.8(d)(e) Use of restraints.
Level of Harm - Minimal harm
or potential for actual harm
28 Pa. Code: 201.18(b)(1)(e)(1) Management.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 8 of 50
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
03/28/2025
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)
F 0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 documents, facility policy, clinical records, and staff interviews, it was determined that the
facility failed to implement written policies and procedures to ensure complete and thorough investigations
of allegations of abuse and neglect for four of five residents (Resident R14, R44, R46, and R286).
Residents Affected - Some
Findings include:
Review of facility policy Abuse and Neglect - Clinical Protocol dated 2/12/25, indicated neglect 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.
Review of the clinical record indicated Resident R14 was admitted to the facility on [DATE].
Review of Resident R14's Minimum Data Set (MDS - a periodic assessment of care needs) dated 3/19/25,
indicated diagnoses of high blood pressure, depression, and cerebral palsy (group of disorders that affect a
person's ability to move and maintain balance and posture).
During a review of facility provided documents, labeled Complaint/Grievance Form, on 3/27/25, at 9:02 a.m.
indicated that Resident R14 stated his aide had an attitude and refused to change his brief on 9/22/24.
Corrective actions taken included Nursing Assistant (NA) was added to the facilities Do Not Return list.
During an interview on 3/27/25, at 10:55 a.m. the Director of Nursing (DON) confirmed that this was an
allegation of neglect and confirmed that the facility failed to implement written policies and procedures to
ensure a complete and thorough investigation of an allegation of neglect for Resident R14.
Review of the clinical record indicated Resident R44 was admitted to the facility on [DATE].
Review of Resident R44's MDS dated [DATE], indicated diagnoses of depression, diabetes (a metabolic
disorder in which the body has high sugar levels for prolonged periods of time), and irritable bowel
syndrome.
During a review of facility provided documents, labeled Complaint/Grievance Form on 3/27/25, at 9:15 a.m.
indicated that Resident R44 reported that a NA was yelling and screaming at her when she needs her
bedpan emptied and that the NA threw a clean brief at her on 11/22/24, when she asked for a brief to be
put on her.
During an interview on 3/27/25, at 10:51 a.m. the DON confirmed that this was an allegation of abuse and
confirmed that the facility failed to implement written policies and procedures to ensure a complete and
thorough investigation of an allegation of abuse for Resident R44.
Review of the clinical record indicated Resident R46 was admitted to the facility on [DATE].
Review of Resident R46's MDS dated [DATE], indicated diagnoses of high blood pressure, depression, and
repeated falls.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 9 of 50
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
03/28/2025
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)
F 0607
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Review of a physician order dated 3/18/25, indicated to apply Triple Antibiotic External Ointment to skin tear
to right elbow every day shift for impaired skin integrity for 7 days. Cleanse skin tear with NSS (normal
sterile saline), pay dry and apply TAO (Triple Antibiotic Ointment) and cover with border dressing (a
self-adhering dressing).
During an observation on 3/24/25, at 9:10 a.m. a dressing was observed on Resident R46's right elbow and
was dated 3/22.
During an interview on 3/24/25, at 9:18 a.m. Licensed Practical Nurse (LPN) Employee E1 confirmed the
date on Resident R46's right elbow dressing was 3/22.
During an interview on 3/27/25, at 11:06 a.m. the Director of Nursing (DON) stated, The nurse admitted she
didn't do the dressing on 3/23/25, she said she forgot. The nurse was written up but I'm not sure if
statements were obtained, I didn't realize that was neglect.
During an interview on 3/26/25, at 11:06 a.m. the DON confirmed that the facility failed to implement written
policies and procedures to ensure a complete and thorough investigation of an allegation of neglect for
Resident R46.
Review of clinical record indicated Resident R286 was admitted to the facility on [DATE], and was
discharged on 10/31/24.
Review of Resident R286 MDS dated [DATE], indicated diagnoses of heart failure, high blood pressure, and
diabetes.
During a review of facility provided documents, labeled Complaint/Grievance Form on 3/27/25, at 9:30 a.m.
indicated that Resident R286 reported that she is very upset because she asked her NA to get her out of
bed and was never assisted on 9/21/24. Resident was in bed for the daylight shift and the evening shift
assisted her out of bed. Corrective actions taken was education was provided and a verbal warning was
given.
During an interview on 3/27/25, at 10:53 the DON confirmed that this was an allegation of neglect and
confirmed that the facility failed to implement written policies and procedures to ensure a complete and
thorough investigation of an allegation of neglect for Resident R286.
28. Pa Code 201.14(a) Responsibility of licensee.
28. Pa Code 201.18(b)(1)(e)(1) Management.
28. Pa. Code 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 10 of 50
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
03/28/2025
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)
F 0609
Level of Harm - Minimal harm
or potential for actual harm
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 facility policy, clinical record review, reports submitted to the State, and staff interview, it was
determined that the facility failed to report allegations of abuse and neglect in the required time frame for
four of five residents (Resident R14, R44, R46, and R286).
Findings include:
Review of facility policy Abuse and Neglect - Clinical Protocol dated 2/12/25, indicated neglect 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.
Review of the clinical record indicated Resident R14 was admitted to the facility on [DATE].
Review of Resident R14's Minimum Data Set (MDS - a periodic assessment of care needs) dated 3/19/25,
indicated diagnoses of high blood pressure, depression, and cerebral palsy (group of disorders that affect a
person's ability to move and maintain balance and posture).
During a review of facility provided documents, labeled Complaint/Grievance Form, on 3/27/25, at 9:02 a.m.
indicated that Resident R14 stated his aide had an attitude and refused to change his brief on 9/22/24.
Corrective actions taken included Nursing Assistant (NA) was added to the facilities Do Not Return list.
During an interview on 3/27/25, at 10:55 a.m. the Director of Nursing (DON) confirmed that the facility failed
to report an allegation of neglect in the required timeframe for Resident R14.
Review of the clinical record indicated Resident R44 was admitted to the facility on [DATE].
Review of Resident R44's MDS dated [DATE], indicated diagnoses of depression, diabetes (a metabolic
disorder in which the body has high sugar levels for prolonged periods of time), and irritable bowel
syndrome.
During a review of facility provided documents, labeled Complaint/Grievance Form on 3/27/25, at 9:15 a.m.
indicated that Resident R44 reported that a NA was yelling and screaming at her when she needs her
bedpan emptied and that the NA threw a clean brief at her on 11/22/24, when she asked for a brief to be
put on her.
During an interview on 3/27/25, at 10:51 a.m. the DON confirmed that the facility failed to report an
allegation of neglect in the required timeframe for Resident R44.
Review of the clinical record indicated Resident R46 was admitted to the facility on [DATE].
Review of Resident R46's MDS dated [DATE], indicated diagnoses of high blood pressure, depression, and
repeated falls.
Review of a physician order dated 3/18/25, indicated to apply Triple Antibiotic External Ointment to skin tear
to right elbow every day shift for impaired skin integrity for 7 days. Cleanse skin tear
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 11 of 50
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
03/28/2025
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)
F 0609
Level of Harm - Minimal harm
or potential for actual harm
with NSS (normal sterile saline), pay dry and apply TAO (Triple Antibiotic Ointment) and cover with border
dressing (a self-adhering dressing).
During an observation on 3/24/25, at 9:10 a.m. a dressing was observed on Resident R46's right elbow and
was dated 3/22.
Residents Affected - Some
During an interview on 3/24/25, at 9:18 a.m. Licensed Practical Nurse (LPN) Employee E1 confirmed the
date on Resident R46's right elbow dressing was 3/22.
During an interview on 3/27/25, at 11:06 a.m. the Director of Nursing (DON) stated, The nurse admitted she
didn't do the dressing on 3/23/25, she said she forgot. The nurse was written up but I'm not sure if
statements were obtained, I didn't realize that was neglect. It wasn't reported.
During an interview on 3/26/25, at 11:06 a.m. the DON confirmed that the facility failed to report an
allegation of neglect in the required timeframe for Resident R46.
Review of clinical record indicated Resident R286 was admitted to the facility on [DATE], and was
discharged on 10/31/24.
Review of Resident R286 MDS dated [DATE], indicated diagnoses of heart failure, high blood pressure, and
diabetes.
During a review of facility provided documents, labeled Complaint/Grievance Form on 3/27/25, at 9:30 a.m.
indicated that Resident R286 reported that she is very upset because she asked her NA to get her out of
bed and was never assisted on 9/21/24. Resident was in bed for the daylight shift and the evening shift
assisted her out of bed. Corrective actions taken was education was provided and a verbal warning was
given.
During an interview on 3/27/25, at 10:53 the DON confirmed that the facility failed to report an allegation of
neglect in the required timeframe for Resident R286.
28 Pa. Code 201.14(a)(c) Responsibility of licensee.
28 Pa. Code 201.18(b)(1)(3)(e)(1) Management.
28 Pa. Code 201.20(b) Staff development.
28 Pa. Code 211.10(c)(d) Resident care policies.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 12 of 50
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
03/28/2025
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)
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 documents, facility policy, clinical records, and staff interview, it was determined that the
facility failed to conduct thorough investigations of allegations of abuse neglect for four of five residents
(Resident R14, R44, R46, and R286).
Residents Affected - Some
Findings include:
Review of facility policy Abuse and Neglect - Clinical Protocol dated 2/12/25, indicated neglect 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.
Review of the clinical record indicated Resident R14 was admitted to the facility on [DATE].
Review of Resident R14's Minimum Data Set (MDS - a periodic assessment of care needs) dated 3/19/25,
indicated diagnoses of high blood pressure, depression, and cerebral palsy (group of disorders that affect a
person's ability to move and maintain balance and posture).
During a review of facility provided documents, labeled Complaint/Grievance Form, on 3/27/25, at 9:02 a.m.
indicated that Resident R14 stated his aide had an attitude and refused to change his brief on 9/22/24.
Corrective actions taken included Nursing Assistant (NA) was added to the facilities Do Not Return list.
During an interview on 3/27/25, at 10:55 a.m. the Director of Nursing (DON) confirmed that this was an
allegation of neglect and confirmed that the facility failed to conduct a thorough investigation of an
allegation of neglect for Resident R14.
Review of the clinical record indicated Resident R44 was admitted to the facility on [DATE].
Review of Resident R44's MDS dated [DATE], indicated diagnoses of depression, diabetes (a metabolic
disorder in which the body has high sugar levels for prolonged periods of time), and irritable bowel
syndrome.
During a review of facility provided documents, labeled Complaint/Grievance Form on 3/27/25, at 9:15 a.m.
indicated that Resident R44 reported that a NA was yelling and screaming at her when she needs her
bedpan emptied and that the NA threw a clean brief at her on 11/22/24, when she asked for a brief to be
put on her.
During an interview on 3/27/25, at 10:51 a.m. the DON confirmed that this was an allegation of abuse and
confirmed that the facility failed to conduct a thorough investigation of an allegation of neglect for Resident
R44.
Review of the clinical record indicated Resident R46 was admitted to the facility on [DATE].
Review of Resident R46's MDS dated [DATE], indicated diagnoses of high blood pressure, depression, and
repeated falls.
Review of a physician order dated 3/18/25, indicated to apply Triple Antibiotic External Ointment
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 13 of 50
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
03/28/2025
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)
F 0610
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
to skin tear to right elbow every day shift for impaired skin integrity for 7 days. Cleanse skin tear with NSS
(normal sterile saline), pay dry and apply TAO (Triple Antibiotic Ointment) and cover with border dressing (a
self-adhering dressing).
During an observation on 3/24/25, at 9:10 a.m. a dressing was observed on Resident R46's right elbow and
was dated 3/22.
During an interview on 3/24/25, at 9:18 a.m. Licensed Practical Nurse (LPN) Employee E1 confirmed the
date on Resident R46's right elbow dressing was 3/22.
During an interview on 3/27/25, at 11:06 a.m. the Director of Nursing (DON) stated, The nurse admitted she
didn't do the dressing on 3/23/25, she said she forgot. The nurse was written up but I'm not sure if
statements were obtained, I didn't realize that was neglect.
During an interview on 3/26/25, at 11:06 a.m. the DON confirmed that the facility failed to conduct a
thorough investigation of an allegation of neglect for Resident R46.
Review of clinical record indicated Resident R286 was admitted to the facility on [DATE], and was
discharged on 10/31/24.
Review of Resident R286 MDS dated [DATE], indicated diagnoses of heart failure, high blood pressure, and
diabetes.
During a review of facility provided documents, labeled Complaint/Grievance Form on 3/27/25, at 9:30 a.m.
indicated that Resident R286 reported that she is very upset because she asked her NA to get her out of
bed and was never assisted on 9/21/24. Resident was in bed for the daylight shift and the evening shift
assisted her out of bed. Corrective actions taken was education was provided and a verbal warning was
given.
During an interview on 3/27/25, at 10:53 the DON confirmed that this was an allegation of neglect and
confirmed that the facility failed to conduct a thorough investigation of an allegation of neglect for Resident
R286.
28 Pa. Code 201.14(a)(c) Responsibility of licensee.
28 Pa Code: 201.18 (b)(1)(e)(1)(2) Management.
28 Pa. Code 211.10(c)(d) Resident care policies.
28 Pa Code: 211.12 (c)(d)(1)(3)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 14 of 50
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
03/28/2025
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)
F 0622
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Not transfer or discharge a resident without an adequate reason; and must provide documentation and
convey specific information when a resident is transferred or discharged.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to
make certain that the necessary resident information was communicated to the receiving health care
provider for three of three residents sampled with facility-initiated transfers (Residents R22, R45, and R58).
Findings include:
Review of facility policy Transfer or Discharge Documentation dated 2/12/25, indicated should a resident be
transferred or discharged for any reason, the following information will be communicated to the receiving
facility or provider:
- The basis for the transfer or discharge
- Contact information of the practitioner responsible for the care of the resident
- Resident representative information including contact information
- Advance directive information
- All special instructions or precautions for ongoing care, as appropriate
- All other necessary information including a copy of the residents discharge summary, and any other
documentation, as applicable, to ensure a safe and effective transition of care
Review of the clinical record indicated Resident R22 was admitted to the facility on [DATE].
Review of Resident R22's Minimum Data Set (MDS - a periodic assessment of care needs) dated 3/11/25,
indicated diagnoses of heart failure, high blood pressure, and diabetes (a metabolic disorder in which the
body has high sugar levels for prolonged periods of time).
Review of the clinical record indicated Resident R22 was transferred to the hospital on 3/6/25.
Review of Resident R22's clinical record revealed no documented evidence that the facility had
communicated specific information to the receiving health care provider for the residents transferred and
expected to return, which included the resident's care plan goals, advanced directive information, specific
instructions for ongoing care, resident representative information, and all information necessary to meet the
resident's specific needs at the receiving facility.
Review of the clinical record indicated Resident R45 was admitted to the facility on [DATE].
Review of Resident R45's MDS dated [DATE], indicated diagnoses of high blood pressure, dysphagia
(difficulty swallowing), and anemia (too little iron in the blood).
Review of the clinical record indicated Resident R45 was transferred to the hospital on 7/3/24.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 15 of 50
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
03/28/2025
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)
F 0622
Level of Harm - Minimal harm
or potential for actual harm
Review of Resident R45's clinical record revealed no documented evidence that the facility had
communicated specific information to the receiving health care provider for the residents transferred and
expected to return, which included the resident's care plan goals, advanced directive information, specific
instructions for ongoing care, resident representative information, and all information necessary to meet the
resident's specific needs at the receiving facility.
Residents Affected - Some
Review of the clinical record indicated Resident R58 was admitted to the facility on [DATE].
Review of Resident R58's MDS dated [DATE], indicated diagnoses of diabetes, depression, and chronic
pain syndrome.
Review of the clinical record indicated Resident R58 was transferred to the hospital on 6/28/24.
Review of Resident R58's clinical record revealed no documented evidence that the facility had
communicated specific information to the receiving health care provider for the residents transferred and
expected to return, which included the resident's care plan goals, advanced directive information, specific
instructions for ongoing care, resident representative information, and all information necessary to meet the
resident's specific needs at the receiving facility.
During an interview on 3/27/25, at 2:40 p.m. the Director of Nursing confirmed that the facility failed to make
certain that the necessary resident information was communicated to the receiving health care provider for
three of three residents as required.
28 Pa. Code: 201.29 (a)(c. 3)(2) Resident rights.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 16 of 50
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
03/28/2025
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)
F 0636
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every
12 months.
Based on review of the Resident Assessment Instrument User's Manual, clinical records, and staff
interview, it was determined that the facility failed to make certain that comprehensive Minimum Data Set
assessments were completed in the required time frame for three of three residents reviewed (Residents
R45, R48, and R54).
Findings include:
Review of the Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, which
provides instructions and guidelines for completing required Minimum Data Set (MDS) assessments
(mandated assessments of a resident's abilities and care needs), dated October 2024, indicated that an
admission MDS assessment was to be completed no later than 14 calendar days following admission
(admission date plus 13 calendar days), and an annual MDS assessment was to be completed no later
than the Assessment Reference Date (ARD) plus 14 calendar days.
Resident R45 had an annual ARD of 8/10/24, and was due to be completed 8/24/24. The MDS was signed
as completed on 9/10/24, 17 days after the due date.
Resident R48 had an annual ARD of 8/24/24, and was due to be completed 9/7/24. The MDS was signed
as completed on 9/11/24, four days after the due date.
Resident R54 had an annual ARD of 8/9/24, and was due to be completed 8/23/24. The MDS was signed
as completed 9/10/24, 18 days after the due date.
During an interview on 3/28/25, at 9:52 a.m. Registered Nurse Assessment Coordinator (RNAC) Employee
E12 stated, Our RNAC walked out in August, so we were behind on completing assessments at that time.
During an interview on 3/28/25, at 9:52 a.m. RNAC Employee E12 confirmed that the facility failed to make
certain that comprehensive Minimum Data Set assessments were completed in the required time frame as
required.
28 Pa. Code 211.5(f) Medical records.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 17 of 50
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
03/28/2025
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)
F 0638
Assure that each resident’s assessment is updated at least once every 3 months.
Level of Harm - Minimal harm
or potential for actual harm
Based on review of the Resident Assessment Instrument User's Manual, clinical records, and staff
interview, it was determined that the facility failed to make certain that quarterly Minimum Data Set
assessments were completed within the required time frame for four of four residents (Residents R2, R8,
R23, and R41).
Residents Affected - Some
Findings include:
Review of the Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, which
provides instructions and guidelines for completing required Minimum Data Set (MDS) assessments
(mandated assessments of a resident's abilities and care needs), dated October 2024, indicated that
quarterly MDS assessments were to be completed no later than 14 calendar days after the Assessment
Reference Date (ARD).
Resident R2 had a quarterly ARD of 8/2/24, and was due to be completed 8/16/24. The MDS was signed
as completed on 9/4/24, 19 days after the due date.
Resident R8 had a quarterly ARD of 8/16/24, and was due to be completed 8/30/24. The MDS was signed
as completed on 9/8/24, nine days after the due date.
Resident R23 had a quarterly ARD of 8/8/24, and was due to be completed 8/22/24. The MDS was signed
as completed 9/5/24, 14 days after the due date.
Resident R41 had a quarterly ARD of 8/2/24, and was due to be completed 8/16/24. The MDS was signed
as completed 9/8/24, 23 days after the due date.
During an interview on 3/28/25, at 9:52 a.m. Registered Nurse Assessment Coordinator (RNAC) Employee
E12 stated, Our RNAC walked out in August, so we were behind on completing assessments at that time.
During an interview on 3/28/25, at 9:52 a.m. RNAC Employee E12 confirmed that the facility failed to make
certain that quarterly Minimum Data Set assessments were completed in the required time frame as
required.
28 Pa. Code 211.5(f) Medical records.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 18 of 50
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
03/28/2025
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)
F 0641
Ensure each resident receives an accurate assessment.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a
review of Resident Assessment Instrument (RAI) User's Manual, clinical records, and staff interviews, it
was determined that the facility failed to ensure that Minimum Data Set (MDs - a periodic assessment of
care needs) assessments accurately reflected the resident's status for two of two residents (Residents R39
and R45).
Residents Affected - Few
Findings include:
The Resident Assessment Instrument (RAI) User's Manual, which gives instructions for completing
Minimum Data Set (MDS) assessments (mandated assessments of a resident's abilities and care needs),
dated October 2024, indicated the following instructions:
- K0300 Weight Loss: code 2, yes if the resident has experienced a weight loss of 5% or more in the past
30 days or 10% or more in the last 180 days, and the weight loss was note planned and prescribed by a
physician.
- K0710A Proportion of Total Calories the Resident Received through Parental or Tube Feeding: review
intake records within the last 7 days to determine actual intake through parental or tube feeding routes.
Select the best response: 1 for 25% or less, 2 for 26% to 50%, or 3 for 51% or more.
- K0710B Average Fluid Intake per Day by IV or Tube Feeding: review intake records from the last 7 days.
Code 1 for 500 cc (cubic centimeters)/day or less. Code 2 for 501 cc/day or more.
Review of Resident R39's clinical record indicated that he was admitted to the facility 8/1/24.
Review of Resident R39's Minimum Data Set (MDS - a periodic assessment of care needs) dated 12/24/24,
indicated diagnoses of high blood pressure, stroke (damage to the brain from interruption of its blood
supply) and dysphagia (difficulty swallowing). Section K0520B indicated that resident has a feeding tube.
Review of Resident R39's clinical record revealed a physician's order dated 10/2/24 to receive Osmolite 1.5
(a nutrition formula for use with a feeding tube) at 70 milliliters (ml) per hour for 18 hours per day, and an
order dated 10/6/24 for mechanical soft (an oral diet that is easy to chew) pleasure feeds (food given for the
resident's pleasure and comfort, rather than nutritional needs).
Review of Resident R39's October Medication Administration Record (MAR) indicated the resident received
enteral tube feeding as ordered.
Review of Resident R39's MDS dated [DATE], Section K - Swallowing/Nutritional Status, Question K0520 B
indicated the resident received feeding tube feeding while a resident during the look-back period. Question
K07102A Proportion of total calories the resident received through parenteral or tube feeding was
documented as 25% or less while a resident and during entire last 7 days.
Review of the clinical record indicated Resident R45 was admitted to the facility on [DATE].
Review of Resident R45's quarterly MDS dated [DATE], indicated diagnoses of high blood pressure,
dysphagia, and anemia (too little iron in the blood).
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 19 of 50
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
03/28/2025
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)
F 0641
Level of Harm - Minimal harm
or potential for actual harm
Review of a physician order dated 7/31/24, indicated to administer enteral feeding every evening and night
shift, Osmolite 1.5 at 70 mL cc/hour with 200 cc water flush every 6 hours. Up at 6 p.m. and down at 6 a.m.
Review of Resident R45's August MAR indicated the resident received enteral tube feeding and water
flushes as ordered.
Residents Affected - Few
Review of Resident R45's annual MDS dated [DATE], Section K - Swallowing/Nutritional Status, Question
K0520 B indicated the resident received feeding tube feeding while a resident during the look-back period.
Question K07102A Proportion of total calories the resident received through parenteral or tube feeding was
documented as a dash for while a resident and during entire last 7 days. Question K07102B Average fluid
intake per day by IV or tube feeding was documented as a dash for while a resident and during entire last 7
days.
During an interview on 3/28/25, at 10:40 a.m. RNAC Employee E12 confirmed that Resident R45's annual
MDS dated [DATE], was coded inaccurately for the resident's tube feeding and fluid intake.
Review of Resident R45's quarterly MDS dated [DATE], indicated the resident's weight was documented as
215 pounds.
Review of Resident R45's quarterly MDS dated [DATE], indicated the resident's weight was documented as
178 pounds. Section K - Swallowing/Nutritional Status, Question K0300: Weight Loss was coded 0 no or
unknown for a loss of 5% or more in the last month or a loss of 10% or more in the last 6 months.
Compared to Resident R45's documented weight on 5/15/24, of 215 pounds, this was a weight loss of
17.2% in 6 months.
During an interview on 3/28/25, at 10:40 a.m. RNAC Employee E12 confirmed that Resident R39's MDS
dated [DATE], and R45's MDS dated [DATE], was coded incorrectly and Resident R45's MDS should have
been coded to capture the resident's significant weight loss.
28 Pa. Code 201.14(a)(c) Responsibility of licensee.
28 Pa. Code 211.5(f) Medical records.
28 Pa. Code 211.12(c)(d)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 20 of 50
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
03/28/2025
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)
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 review, and staff interviews, it was determined that the facility failed to
make certain that residents were provided appropriate treatment and care for one of four residents
(Resident R12).
Residents Affected - Few
Findings include:
Review of facility policy Administering Medications dated 2/12/25, indicated medications are administered
in accordance with prescriber order, including any required time frame.
The Centers for Disease Control defines diabetes as: Diabetes Mellitus is a chronic (long-lasting) health
condition that affects how your body turns food into energy. Most of the food you eat is broken down into
sugar (also called glucose) and released into your bloodstream. When your blood sugar goes up, it signals
your pancreas to release insulin. Insulin acts like a key to let the blood sugar into your body's cells for use
as energy. If you have diabetes, your body either doesn't make enough insulin or can't use the insulin it
makes as well as it should. When there isn't enough insulin or cells stop responding to insulin, too much
blood sugar stays in your bloodstream. Over time, that can cause serious health problems, such as heart
disease, vision loss, and kidney disease. People with Diabetes Mellitus may be prescribed injectable insulin
to assist in maintaining acceptable levels of CBG's (capillary blood glucose). Hyperglycemia, or high blood
glucose, occurs when there is too much sugar in the blood. This happens when your body has too little
insulin. Hyperglycemia is blood glucose greater than 125 mg/dL (milligrams per deciliter) while fasting (not
eating for at least eight hours, or a blood glucose greater than 180 mg/dL one to two hours after eating. If
you have hyperglycemia and it's untreated for long periods of time, you can damage your nerves, blood
vessels, tissues and organs. Damage to blood vessels can increase your risk of heart attack and stroke,
and nerve damage may also lead to eye damage, kidney damage and non-healing wounds.
Review of the clinical record indicated Resident R12 was admitted to the facility on [DATE], and readmitted
on [DATE].
Review of Resident R12's Minimum Data Set (MDS - a periodic assessment of care needs) dated 2/24/25,
indicated diagnoses of high blood pressure, hyperlipidemia (high levels of fat in the blood), and neurogenic
bladder (bladder problems due to disease or injury of the nervous system involved in the control of
urination).
Review of a physician order dated 3/2/25, indicated Resident R12 had a suprapubic catheter (a thin, flexible
rubber or plastic tube inserted into the bladder through a small hole in the lower belly), size 18 French, 10
cc (cubic centimeters) ball change every 30 days for neuromuscular dysfunction.
Review of a physician order dated 2/19/25, indicated to irrigate with 60 cc of sterile water as needed for
obstruction. Allow irrigation fluid to flow freely back to suprapubic bag.
Review of a nursing progress note dated 3/16/25, stated, Resident complained of discomfort in vaginal area
with some burning. Peri (perineal) care provided. SP cath (suprapubic catheter) drained 20 cc on 11 p.m. 7 a.m. shift. Irrigated prn (as needed). Immediate return of yellow urine. SP cath care provided. Drained 650
cc.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 21 of 50
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
03/28/2025
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)
F 0684
Level of Harm - Minimal harm
or potential for actual harm
Review of a nursing progress note dated 12/1/24, stated, Irrigated foley without difficulty for return of sterile
water and urine.
During an observation on 3/24/25, at 10:53 a.m. revealed an open irrigation syringe on Resident R12's
dresser. The date written on the open packaging was 11/7/24.
Residents Affected - Few
During an interview on 3/24/25, at 11:03 a.m. Licensed Practical Nurse Employee E1 confirmed the written
date on the open irrigation syringe packaging was 11/7/24 and that the facility failed to provide appropriate
care and treatment.
Review of a physician order dated 2/19/25, indicated to administer Humalog (a type of insulin)
subcutaneously (beneath the skin into the fatty tissue layer) before meals, inject as per sliding scale:
- If 70 - 140 = 0 units, < 70 initiate hypoglycemic protocol;
- 141 - 180 = 1 unit;
- 181 - 220 = 2 units;
- 221 - 260 = 3 units;
- 261 - 300 = 4 units;
- 301 - 340 = 5 units;
- If > 340, give 6 units and call MD (physician)
Review of Resident R12's vitals records for March 2025, indicated the following blood glucose
measurements:
- 3/19/25 8:20 p.m. = 348 mg/dL
- 3/22/25 6:12 a.m. = 375 mg/dL
- 3/22/25 6:54 a.m. = 347 mg/dL
Review of Resident R12's progress notes from 3/1/25, through 3/25/25, failed to include documentation that
the physician was notified of the resident's increased blood glucose levels on the dates listed above.
During an interview on 3/28/25, at 10:43 a.m. the Director of Nursing confirmed that the facility failed to
document that the physician was notified of Resident R12's increased blood glucose levels and that the
facility failed to make certain that Resident R12 was provided appropriate treatment and care.
28 Pa. Code 201.18 (b)(1) Management.
28 Pa. Code 211.10 (c)(d) Resident Care policies.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 22 of 50
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
03/28/2025
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)
F 0684
28 Pa. Code 211.12 (d)(1)(2)(3)(5) Nursing services.
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 23 of 50
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
03/28/2025
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)
F 0689
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to
prevent accidents.
Based on observation, and staff interviews, it was determined that the facility failed to provide a resident
environment free of potential accidental hazards in four out of six resident care areas (Zone 1, Zone 2,
Zone 4, and Zone 5).
Findings include:
During an observation on 3/24/25, at 11:40 a.m. in Zone 5, Resident R31 was observed sitting in her
wheelchair without leg rests, and her feet resting on the floor, when Nurse Aide (NA) Employee E15 pushed
Resident R31 in her wheelchair towards the [NAME] Dining Room.
During an interview on 3/24/25, at 11:41 a.m. NA Employee E15 confirmed that Resident R31 did not have
leg rests on her wheelchair while she was being transported.
During an observation on 3/24/25, at 11:50 a.m. in Zone 1 Resident R11 was observed being pushed into
the Main Dining Room by an unidentified employee without leg rests on her wheelchair.
During an observation on 3/25/25, at 10:21 a.m. in Zone 1, Resident R16 was observed being pushed in
her wheelchair without leg rests by Housekeeping Employee E16 into the Main Dining Room.
During an interview on 3/25/25, at 10:21 a.m. Receptionist Employee E17 confirmed that Resident was
being pushed in wheelchair without leg rests.
During an observation on 3/25/25, at 10:43 a.m. in Zone 4 Resident R189 was observed being pushed in
her wheelchair without leg rests by NA Employee E18.
During an interview on 3/25/25, at 10:43 NA Employee E18 confirmed that Resident R189 did not have leg
rests on her wheelchair, and confirmed that a resident should have leg rests on their wheelchair if they
being pushed by an employee to avoid their legs being caught under the wheelchair during transport. NA
Employee E18 added, I was just pushing her now to weigh her.
During an interview on 3/26/25, at 8:54 a.m. Physical Therapist Employee E19 stated that all wheelchairs
are issued with leg rests, and that leg rests should be applied to a wheelchair prior to an employee pushing
the wheelchair as it poses a safety risk for lower body injury without the leg rests being utilized.
During an observation on 3/26/25, at 9:07 a.m. in Zone 2 NA Employee E9 was observed transporting
Resident R8 in a wheelchair without leg rests on her wheelchair. Resident R8 was observed with slippers
on and her feet were audibly and visually dragging on the floor as she was being pushed by NA Employee
E9.
During an interview on 3/26/25, at 9:07 a.m. NA Employee E9 stated, I've never seen her have leg rests on
her wheelchair. I would put the leg rests on to transport a resident if they have them.
During an interview on 3/26/25, at 9:08 a.m. NA Employee E9 stated that he would go to Resident R8's
room to see if leg rests for her wheelchair were in her room.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 24 of 50
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
03/28/2025
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)
F 0689
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
During an interview on 3/26/25, at 9:09 a.m. NA Employee E9 stated that he found Resident R8's leg rests
for her wheelchair and would place them on the wheelchair.
During an interview on 3/26/25, at 9:32 a.m. the Director of Nursing Confirmed that the facility failed to
provide a resident environment free of potential accidental hazards by not utilizing leg rests on wheelchairs
while being transported by staff.
28 Pa. Code: 201.14(a) Responsibility of licensee.
28 Pa. Code: 201.18 (b)(1)(e)(1) Management.
28 Pa. Code: 211.10(c)(d) Resident care policies.
28 Pa. Code: 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 25 of 50
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
03/28/2025
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)
F 0692
Provide enough food/fluids to maintain a resident's health.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based a
review of facility policy, clinical record review and staff interview, it was determined that the facility failed to
address the resident's specific nutritional interventions for two of two residents (Residents R39 and R45),
failed to complete a comprehensive nutritional assessment for two of two residents (Resident R39 and
R45), and failed to make certain that significant weight loss was addressed in a timely manner for two of
two residents (Resident R39 and R45).
Residents Affected - Few
Findings include:
Review of facility policy Nutritional Assessment, dated 2/12/25, indicated that the dietitian, in conjunction
with the nursing staff and healthcare practitioners, will conduct a nutritional assessment for each resident
upon admission and as indicated by a change in condition that places the resident at risk for impaired
nutrition. The nutritional assessment conducted by the dietitian shall identify at least the following
components:
- An estimate of calorie, protein, nutrient, and fluid needs
- Whether the resident's current intake is adequate to meet his or her nutritional needs
- Specific food formulations
1 month: 5% weight loss is significant; greater than 5% is severe.
3 months: 7.5% weight loss is significant; greater than 7.5% is severe.
6 months: 10% weight loss is significant; greater than 10% is severe.
Review of Resident R39's clinical record indicated that he was admitted to the facility 8/1/24.
Review of Resident R39's Minimum Data Set (MDS - a periodic assessment of care needs) dated 12/24/24,
indicated diagnoses of high blood pressure, stroke (damage to the brain from interruption of its blood
supply) and dysphagia (difficulty swallowing). Section K0520B indicated that resident has a feeding tube.
Review of Resident R39's clinical record revealed the following weight:
12/11/24 140.4 pounds (8.4% weight loss in three months, and 10.3% weight loss in six months)
11/1/24 146.4 pounds
10/3/24 151.2 pounds
9/2/24 153.2 pounds
8/7/24 157.4 pounds
7/2/24 157.6 pounds
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 26 of 50
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
03/28/2025
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)
F 0692
6/3/24 156.6 pounds
Level of Harm - Minimal harm
or potential for actual harm
Review of Resident R39's clinical record revealed a physician's order dated 7/18/24, to receive Osmolite
1.5 (a nutrition formula for use with a feeding tube) at 70 milliliters (ml) per hour for 18 hours per day. This
provided 1890 calories per day.
Residents Affected - Few
Review of Resident R39's clinical record revealed a physician's order dated 9/11/24 to receive Osmolite 1.5
at 70 ml per hour for 12 hours per day. This provided 1260 calories per day, which is a deficit of 630 calories
from the previous order.
Review of Resident R39's clinical record failed to reveal any documentation from Registered Dietitian (RD)
Employee E11 from the 9/4/24 through 1/14/25.
Review of Resident R39's clinical record revealed an MDS was completed on 10/15/24.
During an interview on 3/27/25, at 12:56 p.m. RD Employee E11 confirmed that Resident R39 had a
decrease in tube feeding formula on 9/11/24, and confirmed that the decrease in tube feeding was a loss of
630 calories per day that could cause weight loss. RD Employee E11 also confirmed that she did not have
documentation in the clinical record to support this change or evaluate whether it was appropriate for
Resident R39. RD Employee E11 also confirmed that she failed to conduct a quarterly assessment for the
MDS dated [DATE].
During an interview on 3/28/25, at 9:19 a.m. RD Employee E11 also confirmed that the facility failed to
address Resident R39's significant weight loss of 8.4% in three months, and 10.3% weight loss in six
months that occurred with December's weight on 12/11/24.
Review of the clinical record indicated Resident R45 was admitted to the facility on [DATE].
Review of Resident R45's MDS dated [DATE], indicated diagnoses of high blood pressure, dysphagia
(difficulty swallowing), and anemia (too little iron in the blood).
Review of a physician order dated 10/17/24, indicated to administer Osmolite 1.5 via PEG tube at 70 mL/hr
via pump to a total volume of 840 mL with 200 mL water flush every 6 hours. Up at 6 p.m. and down at 6
a.m.
Review of an order audit revealed that the above order was placed on hold 11/17/24, with the documented
rational, pressure in PEG tube pushing tube feed tubing connector out, won't stay inserted. Further review
revealed that the order was discontinued on 11/18/24, with the documented rational, discontinue, no longer
indicated.
Review of a nursing progress note dated 11/16/24, stated, Resident's tube feed hooked up and running as
scheduled, after an hour and a half tube feed dislodged and unable to get feeding tube line to stay
connected to tube feed catheter. Catheter flushed OK no resistance noted. Tube feeding catheter checked
for placement and was in place. Tube feed stopped for 2 hours then restarted again at 10:45 p.m. Tube feed
infusing without difficulty.
Review of Resident R45's clinical record failed to include documentation by RD Employee E11 to support
the discontinuation of Resident R45's tube feeding or evaluate whether it was appropriate for Resident R45.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 27 of 50
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
03/28/2025
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)
F 0692
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Review of Resident R45's clinical record indicated an annual MDS was completed on 8/10/24. Review of
Resident R45's clinical record failed to reveal that an annual assessment had been completed by RD
Employee E11 for the MDS dated [DATE].
Review of Resident R45's clinical record indicated a quarterly MDS was completed on 11/2/24. Review of
Resident R45's clinical record failed to reveal that a quarterly assessment had been completed by RD
Employee E11 for the MDS dated [DATE].
Review of Resident R45's clinical record revealed the following documented weights:
- 8/5/24: 212.8 pounds
- 9/3/24: 188.6 pounds, a 11.65% loss in one month
- 9/6/24: 188 pounds
Review of Resident R45's clinical record failed to include documentation that indicated the resident was
assessed by the Registered Dietitian in September 2024. The review of the clinical record failed to reveal
any documentation regarding the above weight changes or any nutritional recommendations.
During an interview on 3/28/25, at 8:56 a.m. RD Employee E11 confirmed that an annual assessment was
not completed for Resident R45 for the MDS dated [DATE], and that a quarterly assessment was not
completed for the MDS dated [DATE].
During an interview on 3/28/25, at 9:20 a.m. RD Employee E11 confirmed that Resident R45's significant
weight loss of 11.65% was not addressed with September's weight on 9/3/24. During this interview, RD
Employee E11 confirmed that the physician gave an order to stop Resident R45's tube feeding on 11/18/24,
and no documentation was available to support the discontinuation of the tube feeding.
28 Pa. Code: 201.18(b)(1) Management.
28 Pa. Code: 211.12(d)(1)(3)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 28 of 50
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
03/28/2025
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)
F 0699
Provide care or services that was trauma informed and/or culturally competent.
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, resident record review, and staff interviews, it was determined that the facility failed
to provide a trauma survivor with trauma informed care to eliminate or mitigate triggers that may cause
re-traumatization of the resident for one of two residents (Resident R70).
Residents Affected - Few
Findings include:
Review of facility policy Behavioral Assessment, Intervention and Monitoring dated 22/12/25, indicated that
the facility will provide, and residents will receive behavioral health services as needed to attain or maintain
the highest practicable physical, mental, and psychosocial well-being in accordance with comprehensive
assessment and plan of care. Behavioral symptoms will be identified using facility approved behavioral
screening tools and the comprehensive assessment.
Review of the clinical record indicated Resident R70 was admitted to the facility on [DATE].
Review of Resident R70's Minimum Data Set (MDS - a periodic assessment of care needs) dated 3/23/25,
indicated diagnoses of Post Traumatic Stress Disorder (PTSD- a disorder that develops when a person has
experienced or witnessed a scary, shocking, terrifying, or dangerous event), high blood pressure, and
stroke.
Review of Resident R70's care plan indicated that resident had PTSD but failed to identify what the triggers
were and how to avoid them.
During an interview on 3/26/25, at 12:21 p.m. Social Worker Employee E13 confirmed that the facility failed
to identify PTSD triggers for Resident R70 to eliminate or mitigate any triggers that may cause
re-traumatization for these residents.
28 Pa. Code: 201.14(a) Responsibility of licensee.
28 Pa. Code: 201.18(b)(1) Management.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 29 of 50
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
03/28/2025
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)
F 0700
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a
resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed
consent; and (4) Correctly install and maintain the bed rail.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, review of facility policy, clinical record review, and staff interview, it was determined that the
facility failed to conduct ongoing accurate assessments to ensure that bedrails were used to meet
residents' needs and the risks associated with bedrail usage for one of two residents (Resident R40).
Findings include:
Review of the clinical record indicated Resident R40 was admitted to the facility on [DATE].
Review of Resident R40's Minimum Data Set (MDS - a periodic assessment of care needs) dated 2/1/25,
indicated diagnoses of high blood pressure, anxiety, and chronic pain.
During an observation on 3/24/25, at 8:58 a.m. two top enabler bars were present on Resident R40's bed.
Review of Resident R40s clinical record on 3/26/25, failed to reveal an ongoing assessment for Resident
R40's enabler bar usage.
During an interview on 3/28/25, at 11:17 a.m. the Director of Nursing (DON) stated that it has now been
triggered for Resident R40 to have a quarterly assessment completed for enabler bars.
During an interview on 3/28/25, at 11:17 a.m. the DON confirmed that the facility failed to conduct ongoing
accurate assessments to ensure that bedrails were used to meet residents' needs and the risks associated
with bedrail usage as required.
28 Pa. Code: 201.14 (a) Responsibility of licensee.
28 Pa. Code: 201.18 (b)(1)(e)(1) Management.
28 Pa. Code 211.10 (c)(d) Resident care policies.
28 Pa. Code: 211.12 (d)(1)(3)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 30 of 50
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
03/28/2025
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)
F 0725
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in
charge on each shift.
Based on review of facility policy, resident and staff interviews, and group 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 ten out of ten residents during
group.
Findings Include:
Review of the facility policy Resident Rights dated 2/12/25, indicated all residents will be treated with
kindness, respect, and dignity. Residents have the right to a dignified existence,
Review of the facility Facility Assessment Tool dated 1/1/25, indicated the nursing facility will conduct,
document, and annually review a facility-wide assessment, which includes both their resident population
and the resources the facility needs to care for their residents. The purpose of the assessment is to
determine what resources are necessary to care for residents competently during both day-to-day
operations and emergencies. Use this assessment to make decisions about your direct care staff needs.
Facility needs are reviewed daily, and staffing patterns are based on those needs. The facility levels always
remain at a 3.2 or above.
During review of facility Payroll Based Journal (PBJ-a tool used to identify problems with staffing) on
3/21/25, at 1:15 p.m. revealed the following:
- Quarter Four 2024 (July 1 through September 30) - triggered for excessively low weekend staffing
- Quarter One 2025 (October 1 through December 31) - triggered for excessively low weekend staffing
During a group interview on 3/25/25, at 1:00 p.m. revealed the following concerns:
- Nursing Assistants (NA) not reacting to call bells timely
- Fluctuation in medication administration times because of only one nurse passing medications to a couple
hallways
- No back up for call offs
- Weekend staffing is poor
During an interview on 3/28/25, at 10:15 a.m. Licensed Practical Nurse Employee E21 stated that she has
been assigned to 35 residents. We have multiple blood sugars to obtain. It ' s hard to keep up with,
medications are not on time, it ' s overwhelming. Nurses were working as aides, but they stopped that. They
are running us ragged. We only had four NA ' s this weekend.
During an interview on 3/28/25. At 10:20 a.m. NA Employee E22 stated, We can ' t take care of resident ' s
100 percent. We are not able to shave them or shower them at times. We give bed baths to save time.
During an interview on 3/28/25, at 11:10 a.m. Nurse Assistant (NA) Employee E9 stated that there is
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 31 of 50
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
03/28/2025
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)
F 0725
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
not enough staff to take care of the residents, and that weekend staffing is the worse. NA Employee E9
stated, Not everyone is getting a shower when we are short staffed. Sometimes we have 18 residents and
sometimes residents don ' t get out of bed because we don ' t have time.
During an interview on 3/28/25, at 12:15 p.m. Nursing Home Administrator stated the facility utilizes very
little agency staff, only when there is an outbreak such as Covid-19, They come for a few days and then
they are done. NHA confirmed that the facility only has one signed contract with Agency staffing at this
time.
During an interview on 3/28/25, at 12:20 p.m. the Nursing Home Administrator 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 of ten out of ten residents during group.
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(c)(d)(1)(2)(3)(4) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 32 of 50
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
03/28/2025
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)
F 0756
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart,
following irregularity reporting guidelines in developed policies and procedures.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of the clinical records and staff interview, it was determined that the facility failed to provide
documentation that medication regimen reviews (MRR) were completed for four of six residents (Residents
R6, R22, R45, and R76).
Findings include:
Review of facility policy Drug Regimen Review dated 2/12/25, indicated Drug Regimen Reviews shall be
conducted by the consultant pharmacist at least monthly. Any irregularities noted by the pharmacist during
this review shall be documented on a separate, written report that is sent to the facility and list, at a
minimum, the resident's name, the relevant drug, and the irregularity the pharmacist identified.
Review of the clinical record revealed that Resident R6 was admitted to the facility on [DATE].
Review of Resident R6's MDS (Minimum Data Set, periodic assessment of resident care needs) dated
2/27/25, indicated diagnoses of high blood pressure, Alzheimer's disease (a type of brain disorder that
causes problems with memory, thinking and behavior), and depression.
Review of Resident R6's clinical record failed to reveal documentation that a MRR had been completed by
the consultant pharmacist for December 2024.
Review of the clinical record revealed that Resident R22 was admitted to the facility on [DATE].
Review of Resident R22's MDS dated [DATE], indicated diagnoses of heart failure, high blood pressure,
and diabetes (a metabolic disorder in which the body has high sugar levels for prolonged periods of time).
Review of Resident R22's clinical record failed to reveal documentation that a MRR had been completed by
the consultant pharmacist for April 2024, May 2024, June 2024, July 2024, October 2024, December 2024,
January 2025, and February 2025.
Review of the clinical record indicated Resident R45 was admitted to the facility on [DATE].
Review of Resident R45's MDS dated [DATE], indicated diagnoses of high blood pressure, dysphagia
(difficulty swallowing), and anemia (too little iron in the blood).
Review of Resident R45's clinical record failed to reveal documentation that a MRR had been completed by
the consultant pharmacist for December 2024.
During an interview on 3/26/25, at 1:36 p.m. the DON confirmed that the facility failed to provide
documentation that a medication regimen review was completed for Residents R6 and R45 in December
2024.
Review of clinical record indicated Resident R76 was admitted to the facility on [DATE].
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 33 of 50
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
03/28/2025
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)
F 0756
Level of Harm - Minimal harm
or potential for actual harm
Review of Resident R76's MDS dated [DATE], indicated diagnoses of depression, irritable bowel syndrome,
and hypothyroidism (a condition in which the thyroid gland doesn't produce enough thyroid hormone).
Review of Resident R76's clinical record failed to reveal documentation that a MRR had been completed by
the consultant pharmacist for January 2025, and February 2025.
Residents Affected - Some
During an interview on 3/28/25, at 9:10 a.m. the DON confirmed that the facility failed to provide
documentation that a medication regimen review was completed for Residents R22 and R76 during the
above months.
28 Pa Code: 201.14 (a) Responsibility of licensee.
28 Pa. Code 211.5(f) Medical records.
28 Pa. Code 211.12(c)(d)(1)(3)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 34 of 50
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
03/28/2025
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)
F 0758
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated,
prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic
medications are only used when the medication is necessary and PRN use is limited.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
facility policies, clinical record review, and staff interview, it was determined that the facility failed to make
certain resident medication regimens were free from potentially unnecessary medications for two of six
residents (Residents R6 and R45).
Findings include:
Review of facility policy Antipsychotic Medication Use dated 2/12/25, indicated antipsychotic medications
will be prescribed at the lowest possible dosage for the shortest period of time and are subject to gradual
dose reduction and re-review.
Review of facility policy Drug Regimen Review dated 2/12/25, indicated Drug Regimen Reviews shall be
conducted by the consultant pharmacist at least monthly. Any irregularities noted by the pharmacist during
this review shall be documented on a separate, written report that is sent to the facility and list, at a
minimum, the resident's name, the relevant drug, and the irregularity the pharmacist identified.
Review of the clinical record revealed that Resident R6 was admitted to the facility on [DATE].
Review of Resident 6's MDS (Minimum Data Set, periodic assessment of resident care needs) dated
2/27/25, indicated diagnoses of high blood pressure, Alzheimer ' s disease (a type of brain disorder that
causes problems with memory, thinking and behavior), and depression.
Review of Resident R6's physician orders indicated she was prescribed the following medications:
- Seroquel 25 mg daily related to depression
Review of Resident R6's clinical record failed to reveal documentation that a medication regimen review
had been completed by the consultant pharmacist for December 2024.
Review of the clinical record indicated Resident R45 was admitted to the facility on [DATE].
Review of Resident R45's MDS dated [DATE], indicated diagnoses of high blood pressure, dysphagia
(difficulty swallowing), and anemia (too little iron in the blood).
Review of Resident R45's physician orders indicated he was prescribed the following medications:
- Cymbalta 60 mg daily related to depression
- Mirtazapine 45 mg at bedtime for depression
Review of Resident R45's clinical record failed to reveal documentation that a medication regimen review
had been completed by the consultant pharmacist for December 2024.
During an interview on 3/26/25, at 1:36 p.m. the Director of Nursing confirmed that the facility
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 35 of 50
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
03/28/2025
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)
F 0758
Level of Harm - Minimal harm
or potential for actual harm
was unable to locate and provide documentation that medication regimen reviews were completed and that
the facility failed to make certain resident medication regimens were free from potentially unnecessary
medications as required for Residents R6 and R45.
28 Pa Code 211.5(f) Medical records.
Residents Affected - Few
28 Pa code 211.10(c) Resident care policies.
28 Pa. 211.12(c)(d)(1)(3)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 36 of 50
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
03/28/2025
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)
F 0800
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional
and special dietary needs.
Based on a review of facility policies, observations, and resident and staff interviews, it was determined that
the facility failed to provide therapeutic meal selections for residents with diabetes (a metabolic disorder in
which the body has high sugar levels for prolonged periods of time) and resident preferences for eight of
twelve months.
Findings include:
Review of facility policy Therapeutic Diets dated 2/12/25, indicated that therapeutic diets are prescribed by
the attending physician to support the resident's treatment and plan of care and in accordance with his or
her goals and preferences.
Review of facility Diet Manual indicated that the facility offers a Low- Concentrated Sweets (LCS) diet which
indicated that food containing high amounts of concentrated sugar, such as syrup, jelly, honey, desserts,
etc. are replaced with sugar free/reduced calorie products, served in a smaller portion or eliminated.
Review of the American Diabetes Association Understanding Carbs (carbohydrates-sugar molecules in
foods) indicated that residents with diabetes should try to eat less of these: refined, highly processed
carbohydrate foods and those with added sugar. These include sugary drinks like soda, sweet tea and juice,
refined grains like white bread, white rice and sugary cereal, and sweets and snack foods like cake,
cookies, candy, and chips. And that residents should eat more whole, minimally processed carbohydrate
foods, such as starchy carbohydrates, and fruits, whole intact grains like brown rice, whole wheat bread,
whole grain pasta and oatmeal.
During an interview on 3/24/25, at 8:31 a.m. Resident R52 stated that he has been newly diagnosed with
diabetes and that he has been monitoring his glucose levels with a wearable continuous glucose monitoring
device. He is able to check his blood glucose readings throughout the day via an application on his cellular
phone which reads information from a device attached to his arm. Resident R52 stated that he has noted
that his blood glucose readings increase after he consumes white bread, however the facility won't provide
him with wheat bread. He also stated that the facility does not offer any sugar free beverages other than
diet ginger ale, which he does not like. Resident R52 stated that the facility carries iced tea, lemonade, etc.,
but not in sugar free versions, and added All I can drink is water. Resident R52 has stated that he has
spoken to the dietitian about his requests for sugar free beverages and wheat bread, but that he was told
that these are not available due to the budget.
During an interview on 3/25/25, at 2:04 p.m. Registered Dietitian (RD) Employee E11 stated that the menu
is developed on the corporate level, out of state, and that the facility used to provide a Consistent Carb diet
(consuming a similar amount of carbohydrates at each meal to help regulate blood sugar levels). However,
this diet was discontinued, and a Low Concentrated Sweets diet was adopted when the facility was taken
over by new owners in August 2024. RD Employee E11 confirmed that the facility no longer has any sugar
free beverages other than diet ginger ale, and no longer has wheat bread, as they were cut for the budget,
after the company was sold. RD Employee E11 confirmed that sugar free beverages and wheat bread are
standards in diabetes management, and that the facility failed to provide therapeutic menu selections for a
diabetic diet and resident preference.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 37 of 50
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
03/28/2025
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)
F 0800
28 Pa. Code: 201.14(a) Responsibility of licensee.
Level of Harm - Minimal harm
or potential for actual harm
28 Pa. Code: 211.1 (c) Resident care policies.
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 38 of 50
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
03/28/2025
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)
F 0805
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual
needs.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
facility policy, observation, and staff interviews, it was determined that the facility failed to provide food in a
form to meet individuals' needs in one of six residents (Resident R44).
Findings include:
Review of the facility policy Resident Rights dated 2/12/25, indicated that residents have the right to be
notified of his or her medical condition and of any changes in his or her condition.
Review of the facility policy Nutritional Assessment dated 2/12/25, indicated an assessment including
current nutritional status and risk factors for impaired nutrition, shall be conducted for each resident.
Review of the clinical record revealed that Resident R44 was admitted to the facility on [DATE].
Review of Resident R44's MDS (Minimum Data Set, periodic assessment of resident care needs) dated
1/30/25, indicated diagnoses of depression, irritable bowel syndrome, and diabetes (a metabolic disorder in
which the body has high sugar levels for prolonged periods of time).
During a lunch observation and resident interview on 3/24/25, Resident R44 stated, Look at this meat, its
all ground up. I keep telling them that I am a regular diet, but I keep getting the wrong food.
During an observation of Resident R44's lunch meal ticket on 3/24/25, at 12:01 p.m. revealed a regular
mechanical soft diet. Lunch meat serving was in small ground up pieces.
During a review of Resident R44's physician orders revealed resident is ordered a regular texture diet with
thin liquid consistency.
During an interview on 3/24/25, at 12:05 p.m. Licensed Practical Nurse Employee E20 confirmed that
Resident R44 was not provided the correct consistency of food on her lunch tray.
During an interview on 3/24/25, at 2:54 p.m. the Director of Nursing confirmed that the facility failed to
provide food in a form to meet individuals' needs in one of six residents (Resident R44).
28 Pa. Code: 201.18(b)(3) Management
28 Pa.Code: 211.10(c) Resident Care Policies
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 39 of 50
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
03/28/2025
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)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve
food in accordance with professional standards.
Based on a review of facility policies, observations and staff interviews it was determined that the facility
failed to properly label and date food products in one of two nursing unit pantries (Rose Dining Room)
which created the potential for food borne illness.
Findings Include:
During an observation in the [NAME] Dining Room, resident refrigerator, on 3/28/25, at 10:25 a.m. the
following items were found with no label, name, or date; a glass bowl containing cucumber salad, a plastic
container of Chinese food, a plastic container with pumpkin pie, a plastic container of spaghetti and
meatballs that had a fuzzy, green substance on top, and a cardboard container of rice.
During an interview on 3/28/25, at 10:34 a.m. Registered Nurse Supervisor Employee E14 confirmed the
above observation, and that the facility failed to properly label and date food in one of two nursing unit
pantries (Rose Dining Room) which created the potential for food borne illness.
28 Pa. Code 201.14(a)Responsibility of licensee.
28 Pa. Code 201.18(b)(1) Management.
28 Pa. code 211.12 (d)(3) Nursing Services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 40 of 50
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
03/28/2025
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)
F 0880
Provide and implement an infection prevention and control program.
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 review, observations, and staff interview, it was determined that the
facility failed to prevent the potential spread of infection for two of two residents in isolation precautions
(Resident R25, and R66), and failed to maintain proper infection control practices related to care of
indwelling urinary catheters (tube inserted in the bladder to drain urine) for one of three residents (Resident
R187).
Residents Affected - Some
Findings include:
Review of facility policy Isolation - Categories of Transmission-Based Precautions dated 2/12/25, indicated
contact precautions are implemented for residents known or suspected to be infected with microorganisms
that can be transmitted by direct contact with the resident or indirect contact with environmental surfaces or
resident-care items in the resident's environment. Staff and visitors wear gloves (clean, non-sterile) and a
disposable gown upon entering the room. The gloves and gown are removed before leaving the room and
hand hygiene is performed before leaving the room.
Review of facility policy Enhanced Barrier Precautions (EBP) dated 2/12/25, indicated EBP are utilized to
prevent the spread of multi-drug resistant organisms. EBP employ targeted gown and glove use during high
contact resident care activities. Gloves and gowns are applied prior to performing the high contact resident
care activity.
Review of the facility policy Catheter Care, Urinary dated 2/12/25, indicated to ensure that catheter tubing
and drainage bag are kept off the floor.
Review of the clinical record indicated Resident R25 was admitted to the facility on [DATE].
Review of Resident R25's MDS (Minimum Data Set, periodic assessment of resident care needs) dated
2/25/25, indicated diagnoses of high blood pressure, colostomy (an opening in the abdominal wall to divert
stool from the colon directly to the outside of the body). MDS Section H-Bowel and Bladder H0100 was
coded C- colostomy.
Review of physician order dated 1/22/25, indicated EBP every shift.
Review of Resident R25's care plan dated 4/16/24, indicated Resident R25 has a colostomy. Empty
colostomy every shift and as needed.
During an observation on 3/24/25, at 11:50 a.m. Licensed Practical Nurse (LPN) Employee E20 was
emptying Resident R25's colostomy and failed to wear a gown to prevent the spread of organisms.
During an interview on 3/24/25, at 11:54 a.m. LPN Employee E20 confirmed that she failed to wear all the
required personal protection equipment (gown) while providing colostomy care for Resident R25.
Review of the clinical record indicated Resident R66 was admitted to the facility on [DATE].
Review of Resident R66's MDS dated [DATE], indicated diagnoses of high blood pressure, anxiety, and
chronic pain.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 41 of 50
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
03/28/2025
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)
F 0880
Level of Harm - Minimal harm
or potential for actual harm
Review of a physician order dated 11/13/24, indicated contact isolation for ESBL (Extended-spectrum
beta-lactamases) and MRSA (methicillin-resistant Staphylococcus aureus) in the urine.
During an observation on 3/26/25, at 8:55 a.m. a sign was noted outside of Resident R66's room indicating
that the resident was in Contact Isolation.
Residents Affected - Some
During an observation on 3/26/25, at 9:20 a.m. LPN Employee E10 entered Resident R66's room to
administer medication without putting on a disposable gown.
During an interview on 3/26/25, at 9:25 a.m. LPN Employee E10 confirmed that she did not put on a
disposable gown before entering Resident R66's room to administer medication and that facility failed to
prevent the potential spread of infection.
Review of the clinical record revealed Resident R187 was admitted to the facility on [DATE].
Review of Resident 187's MDS dated [DATE], indicated diagnoses of high blood pressure, urinary tract
infection (infection in any part of the kidneys, bladder or urethra), and cancer.
During an observation on 3/24/25, at 12:27 p.m. Resident R187 was observed utilizing an indwelling
catheter without a privacy cover on the urine collection bag. The urinary bag was observed on the floor
beside the resident's bed without a dignity bag covering the urine collection bag.
During an interview on 3/24/25, at 12:27 p.m. Licensed Practical Nurse Employee E10 confirmed that
Resident R187's urine collection bag was on the floor and that the facility failed to maintain proper infection
control with the use of a catheter for Resident R187.
28 Pa. Code: 201.14 (a) Responsibility of licensee.
28 Pa. Code: 201.18 (b)(1)(e)(1) Management.
28 Pa. Code: 211.10 (d) Resident care policies.
28 Pa. Code: 211.12 (d)(1)(2)(5) Nursing services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 42 of 50
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
03/28/2025
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)
F 0908
Keep all essential equipment working safely.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations and staff interview it was determined that the facility failed to maintain essential PTAC (a
ductless self-contained air conditioning and heating unit that plugs directly into an electrical outlet, providing
climate control for individual rooms) units for seven rooms on the east and west wings (room [ROOM
NUMBER], 123, 127, 146, 147, 148, and 156).
Residents Affected - Some
Findings include:
Review of facility policy Homelike Environment dated 2/12/25, indicated residents are provided with a safe,
clean, comfortable and homelike environment that includes comfortable and safe temperatures.
During a tour of the facility, with the Nursing Home Administrator (NHA), on 3/25/25, at 10:45 a.m.
observations of the following were observed:
East Wing:
room [ROOM NUMBER] - PTAC was not in working order
room [ROOM NUMBER] - PTAC was not in working order
West Wing:
room [ROOM NUMBER] - PTAC was not in working order
room [ROOM NUMBER] - PTAC was not in working order
room [ROOM NUMBER] - PTAC was not in working order
room [ROOM NUMBER] - PTAC was not in working order
room [ROOM NUMBER] - PTAC was not in working order
During an interview on 3/25/25, at 11:07 a.m. the NHA stated the above rooms were uninhabitable and
confirmed that the facility failed to maintain essential PTAC units for seven rooms on the east and west
wings (room [ROOM NUMBER], 123, 127, 146, 147, 148, and 156).
28 Pa Code 201.14 (a) Responsibility of Licensee
28 Pa. Code 201.18 (b)(3) Management
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 43 of 50
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
03/28/2025
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)
F 0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
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, observations and staff interview, it was determined that the facility failed to maintain
an effective call system for four rooms on East and [NAME] wing (room [ROOM NUMBER], 147, 148, and
158)
Residents Affected - Some
Findings include:
During a tour, with the Nursing Home Administer (NHA), on 3/25/25, at 10:48 a.m. an observation was
made that included the following:
East Wing:
room [ROOM NUMBER] - call light not in working order
West Wing:
room [ROOM NUMBER] - call light not in working order
room [ROOM NUMBER] - call light not in working order
room [ROOM NUMBER] - call light not in working order
During an interview on 3/25/25, at 11:07 a.m. the NHA confirmed that the facility failed to maintain an
effective call system for four rooms on East and [NAME] wing (room [ROOM NUMBER], 147, 148, and
158).
28 Pa. Code 201.14 (a) Responsibility of licensee
28 Pa. Code 201.18 (b) (1) Management
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 44 of 50
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
03/28/2025
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)
F 0922
Have enough backup water supply for essential areas of the nursing home.
Level of Harm - Minimal harm
or potential for actual harm
Based on review of facility policy, observation, and staff interview, it was determined that the facility failed to
follow established procedures of water storage to ensure that water is available to essential areas when
there is a loss of normal water supply for two of two nursing wings (East Wing, and [NAME] Wing)
Residents Affected - Many
Findings include:
Review of the facility policy Disaster Manual dated 2/12/25, indicated that the food service department will
continue to provide essential functions at the time of a disaster. In the event of an emergency, which
prohibits use of internal water sources, alternate potable (drinking water) water sources are available. Water
I available in the Boiler room and storage room. The facility is storing one gallon per day for three days plus
an additional 50 gallons for staff and volunteers. An agreement is in place for additional water.
Upon entering facility on 3/24/25, resident census was 85. This census would require the facility to maintain
a minimum of 255 gallons of drinkable water on hand in case of an emergency for residents.
During a tour of the facility, with the Nursing Home Administrator (NHA), on 3/25/25 revealed a storage
closet in zone two that stored five-gallon containers of water on shelving units. Inventory of the water supply
revealed 25 - five-gallon containers, in which the NHA could not confirm the expiration date. Total gallons of
water available is 125 gallons. NHA confirmed this was water used for emergency purposes.
The facility was unable to provide an invoice for the above water to ensure that the expiration date was still
within date and the water was safe for drinking at this time.
During an interview on 3/25/25, at 10:45 a.m. the NHA stated that the facility also may utilize the water that
the hot water tank can hold if there is an emergency. The facility has three tanks. One will hold 200 gallons
of water, and two that will hold 100 gallons of water. The water is currently hot, per NHA, because it's a hot
water tank.
During an interview on 3/25/25, at 5:55 p.m. a representative from the facility provided company of the hot
water tanks stated, If water was contaminated that came into the facility and through the pipe into the hot
water tank, then that means the hot water is contaminated too. The representative continues to state, The
water is going to stagnate. It would be a breeding ground for bacteria and other things. This is not water to
be used as an emergency source and not recommended to drink. To many potential things that could cause
sickness. If you would see what is on the inside of a tank, I guarantee you would not want to drink it.
During an observation on 3/26/25, at 2:30 p.m. the 25-five gallons of water stored in zone two storage room
were dated with an expiration date of 2021, and 2022. The dates were stamped near the top of each
container.
During an interview on 3/26/25, at 2:55 p.m. the NHA confirmed that the facility failed to have any drinkable
emergency water supply on hand at this time for residents and staff in case of an emergency.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 45 of 50
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
03/28/2025
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)
F 0922
28 Pa. Code 201.18(b)(1) Management
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 46 of 50
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
03/28/2025
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)
F 0941
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Develop, implement, and/or maintain an effective training program that includes effective communications
for direct care staff members.
Based on review of facility policy, facility documents and staff interviews, it was determined that the facility
failed to provide Communication training to five of five direct care facility staff reviewed (Employees E3, E4,
E5, E6, and E7).
Finding include:
Review of the facility policy In-service Training dated 1/16/25, indicated all staff must participate in initial
orientation and annual in-service training.
During an interview on 3/26/25, at 9:45 a.m. Human Resources Director Employee E8 stated that the
facility was bought 8/1/24, and he has no records from the previous human resources manager.
Review of facility education documents for the year 2024 revealed the following concerns:
Review of Nurse Aide (NA) Employee E3's facility provided information did not include training on effective
communication.
Review of NA Employee E4's facility provided information did not include training on effective
communication.
Review of NA Employee E5's facility provided information did not include training on effective
communication.
Review of NA Employee E6's facility provided information did not include training on effective
communication.
Review of NA Employee E7's facility provided information did not include training on effective
communication.
During an interview on 3/26/25, at 10:00 a.m. the Human Resources Director Employee E8 confirmed that
the facility failed to provide training on effective communication for five of five staff members.
28 Pa. Code: 201.14(a) Responsibility of Licensee.
28 Pa. Code: 201.20(a) Staff Development.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 47 of 50
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
03/28/2025
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)
F 0942
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for
its residents.
Based on review of facility policy, facility documents, and staff interview, it was determined that the facility
failed to provide training on Resident Rights for five of five staff members (Employee E3, E4, E5, E6, and
E7).
Findings include:
Review of the facility policy In-service Training dated 1/16/25, indicated all staff must participate in initial
orientation and annual in-service training.
During an interview on 3/26/25, at 9:45 a.m. Human Resources Director Employee E8 stated that the
facility was bought 8/1/24, and he has no records from the previous human resources manager.
Review of facility education documents for the year 2024, revealed the following concerns:
Review of Nurse Aide (NA) Employee E3's facility provided information did not include training on resident
rights.
Review of NA Employee E4's facility provided information did not include training on resident rights.
Review of NA Employee E5's facility provided information did not include training on resident rights.
Review of NA Employee E6's facility provided information did not include training on resident rights.
Review of NA Employee E7's facility provided information did not include training on resident rights.
During an interview on 3/26/25, at 10:00 a.m. the Human Resources Director Employee E8 confirmed that
the facility failed to provide training on resident rights for five of five staff members.
28 Pa Code: 201.14 (a) Responsibility of licensee.
28 Pa Code: 201.18 (b)(1) Management.
28 Pa Code: 201.20 (a) Staff development.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 48 of 50
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
03/28/2025
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)
F 0944
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement
Program.
Based on review of facility policy, facility documents, and staff interview, it was determined that the facility
failed to provide training on Quality Assurance and Performance Improvement (QAPI) for five of five staff
members (Employee E3, E4, E5, E6, and E7).
Findings include:
Review of the facility policy In-service Training dated 1/16/25, indicated all staff must participate in initial
orientation and annual in-service training.
During an interview on 3/26/25, at 9:45 a.m. Human Resources Director Employee E8 stated that the
facility was bought 8/1/24, and he has no records from the previous human resources manager.
Review of facility education documents for the year 2024, revealed the following concerns:
Review of Nurse Aide (NA) Employee E3's facility provided information did not include training on QAPI.
Review of NA Employee E4's facility provided information did not include training on QAPI.
Review of NA Employee E5's facility provided information did not include training on QAPI.
Review of NA Employee E6's facility provided information did not include training on QAPI.
Review of NA Employee E7's facility provided information did not include training on QAPI.
During an interview on 3/26/25, at 10:00 a.m. the Human Resources Director Employee E8 confirmed that
the facility failed to provide training on Quality Assurance and Performance Improvement for five of five staff
members.
28 Pa Code: 201.14 (a) Responsibility of licensee.
28 Pa Code: 201.18 (b)(1) Management.
28 Pa Code: 201.20 (a) Staff development.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
Page 49 of 50
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
03/28/2025
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)
F 0949
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Provide behavior health training consistent with the requirements and as determined by a facility
assessment.
Based on review of facility policy, facility documents and staff interviews, it was determined that the facility
failed to provide Behavioral Health training to five of five direct care facility staff reviewed (Employees E3,
E4, E5, E6, and E7).
Finding include:
Review of the facility policy In-service Training dated 1/16/25, indicated all staff must participate in initial
orientation and annual in-service training.
During an interview on 3/26/25, at 9:45 a.m. Human Resources Director Employee E8 stated that the
facility was bought 8/1/24, and he has no records from the previous human resources manager.
Review of facility education documents for the year 2024, revealed the following concerns:
Review of Nurse Aide (NA) Employee E3's facility provided information did not include training on
behavioral health.
Review of NA Employee E4's facility provided information did not include training on behavioral health.
Review of NA Employee E5's facility provided information did not include training on behavioral health.
Review of NA Employee E6's facility provided information did not include training on behavioral health.
Review of NA Employee E7's facility provided information did not include training on behavioral health.
During an interview on 3/26/25, at 10:00 a.m. the Human Resources Director Employee E8 confirmed that
the facility failed to provide training on behavioral health for five of five staff members.
28 Pa. Code: 201.14(a) Responsibility of Licensee.
28 Pa. Code: 201.20(a) Staff Development.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395295
If continuation sheet
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Back to topCitations
39 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F699 - Trauma-informed care
Provide care or services that was trauma informed and/or culturally competent.
F607 - The facility must develop and implement written policies and procedures that:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F609 - The facility must develop and implement written policies and procedures that:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F610 - In response to allegations of abuse, neglect, exploitation, or mistreatment, the
Respond appropriately to all alleged violations.
F712 - Frequency of physician visits
Have simulated fire drills held at unexpected times.
- 0363GeneralS&S Epotential for harm
Install corridor and hallway doors that block smoke.
F550 - Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F575 - The facility must post, in a form and manner accessible and understandable
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
F585 - Grievances
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.
F600 - Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F604 - Respect and Dignity
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F622 - Transfer and discharge-
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F636 - Resident Assessment
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F638 - Quarterly Review Assessment
Assure that each resident’s assessment is updated at least once every 3 months.
F641 - Accuracy of Assessments
Ensure each resident receives an accurate assessment.
F684 - Quality of care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F689 - Accidents
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F692 - Assisted nutrition and hydration
Provide enough food/fluids to maintain a resident's health.
F700 - Bed Rails
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F725 - Nursing Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F756 - Drug Regimen Review
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F758 - Medication Errors
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F800 - Food and nutrition services
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F805 - Food and drink
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F812 - Food safety requirements
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F880 - Infection Control
Provide and implement an infection prevention and control program.
F908 - Maintain all mechanical, electrical, and patient care equipment in safe
Keep all essential equipment working safely.
F919 - Resident Call System
Make sure that a working call system is available in each resident's bathroom and bathing area.
F922 - Establish procedures to ensure that water is available to essential areas
Have enough backup water supply for essential areas of the nursing home.
F941 - Training Requirements
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F942 - Training Requirements
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F944 - Quality assurance and performance improvement
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F949 - Training Requirements
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- 0353GeneralS&S Fpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0521GeneralS&S Fpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F761 - Labeling of Drugs and Biologicals
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
F914 - Be designed or equipped to assure full visual privacy for each
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
F918 - Bathroom Facilities
Have generator or other power source capable of supplying service within 10 seconds.
F920 - Dining and Resident Activities
Ensure proper usage of power strips and extension cords.
FAQ · About this visit
Common questions about this visit
What happened during the March 28, 2025 survey of WECARE AT MURRYSVILLE REHAB AND NURSING CENTER?
This was a inspection survey of WECARE AT MURRYSVILLE REHAB AND NURSING CENTER on March 28, 2025. The surveyor cited 39 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at WECARE AT MURRYSVILLE REHAB AND NURSING CENTER on March 28, 2025?
Yes, 39 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide care or services that was trauma informed and/or culturally competent."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.