F 0637
Assess the resident when there is a significant change in condition
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
clinical record review and staff interview, it was determined that the facility failed to complete a significant
change Minimum Data Set (MDS- assessments completed indicating a change in condition of a resident
requiring change in care) assessment for one of two residents (Residents R1). Findings include: Review of
the Resident Assessment Instrument 3.0 User's Manual (reference used to complete an MDS) effective
October 2024, indicated that the facility must conduct a comprehensive assessment of a resident within 14
days after the facility determines, or should have determined, that there has been a significant change in
the resident's physical or mental condition. Review of the clinical record revealed that Resident R1 was
admitted to the facility on [DATE]. Review of Resident R1's quarterly MDS dated [DATE], indicated
diagnoses of high blood pressure, difficulty swallowing, and dementia (a group of symptoms that affects
memory, thinking and interferes with daily life). Review of physician order dated 8/1/25, indicated Resident
R3 was admitted under hospice services. Review of Resident R3's MDS assessments revealed a MDS
significant change was not completed to include hospice services. During an interview on 9/19/25, at 2:54
a.m. Registered Nurse Assessment Coordinator Employee E1 confirmed that the facility failed to complete
a significant change MDS for Resident R1. 28 Pa. Code 201.14(a) Responsibility of licensee28 Pa. Code
211.12(d)(2) Nursing services
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
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
09/09/2025
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 0849
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will
arrange for the provision of hospice services.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a
review of resident clinical records, and staff interview, it was determined the facility failed to ensure the
coordination of hospice services with facility services to meet the needs of each resident for end of life care
for one of two residents (Resident R1).Findings include: Review of the clinical record revealed that Resident
R1 was admitted to the facility on [DATE]. Review of Resident R1's quarterly MDS dated [DATE], indicated
diagnoses of high blood pressure, difficulty swallowing, and dementia (a group of symptoms that affects
memory, thinking and interferes with daily life). Review of physician order dated 8/1/25, indicated Resident
R3 was admitted under hospice services. Review of Resident R1's current comprehensive care plan failed
to indicate a plan of care by the facility that displayed the coordination of hospice services by failing to
include contact information for the hospice agency and how to access the hospice's 24 hour on-call system.
During an interview on 9/9/25, at 2:55 p.m. the Director of Nursing confirmed that the facility failed to
include contact information for the hospice agency and how to access the hospice's 24 hour on-call system
and that the facility failed to ensure the coordination of hospice services with facility services to meet the
needs of Residents R1. 28 Pa. Code: 201.14(a) Responsibility of licensee.28 Pa. Code: 211.12(d)(3)
Nursing services.
Event ID:
Facility ID:
395295
If continuation sheet
Page 2 of 2