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 interviews, it was determined that the
facility failed to conduct a thorough investigation of an allegation of abuse for one of two residents (Resident
R1).Findings include: Review of facility Abuse, Neglect, Exploitation or Misappropriation-Reporting and
Investigating policy dated 5/30/25, indicated all reports of resident abuse, neglect, exploitation or
theft/misappropriation of resident property are reported to local, state and federal agencies and thoroughly
investigated by facility management. Findings of all investigations are documented and reported. Review of
the clinical record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's
Minimum Data Set (MDS - a periodic assessment of care needs) dated 12/8/25, indicated diagnoses of
depression, chronic obstructive pulmonary disease (COPD, a group of progressive lung disorders
characterized by increasing breathlessness), and heart failure (a progressive heart disease that affects
pumping action of the heart muscles). Resident R1's MDS assessment section C0200 Brief Interview for
Mental Status (BIMS, a screening test that aides in detecting cognitive impairment). The BIMS total score
suggests the following distributions: 13-15: cognitively intact, 8-12: moderately impaired, 0-7: severe
impairment. Resident R1's BIMS score was 14 indicating Resident R1 was cognitively intact. Review of
facility documentation submitted to the state survey office dated 12/3/25, at 9:00 a.m. indicated that
Resident R1 alleged Nurse Aide (NA) Employee E1 grabbed her arm to force her to go to the dining room
for lunch. Review of Resident R1's progress note dated 12/3/25, by Registered Nurse Employee E2
indicated Resident R1's family member called the facility claiming Resident R1 was mishandled by a nurse
aide. Resident on her part reported her right arm was sore because NA Employee E1 grabbed her arm
forcefully during lunch time. On assessment of the right arm, nothing was seen that was unusual, skin was
dry and intact. An X-ray was ordered for the right arm. Review of Resident R1's statement obtained on
12/4/25, by Licensed Practical Nurse (LPN) Employee E3 stated the following, They attempted to take me
to therapy, but there was a long line, and I wanted to return to my room. I began to take myself back to my
room from therapy and NA Employee E1 attempted to take me elsewhere (dining room), so I held onto the
hand railing. He then grabbed my right arm, and it hurt. He should not be putting his hands on me no matter
what. Two nurses then approached me, assisted me back to my room, and helped me into bed. During a
review of witness statements, including NA Employee E1's, provided by the facility on 12/17/25, at 10:00
a.m. indicated that witness statements were completed and focused on care and treatment that was
provided to Resident R1 while in her room. The witness' statements failed to include any information about
an incident involving Resident R1's allegation of forcefully moving her hand off the handrail in the hallway.
During an interview on 12/17/25, at 11:22 a.m. with NA Employee E1 indicated that nursing supervisor
asked him to write a statement concerning providing care to Resident R1 on 12/3/25. She told me that I
was being investigated and to write a statement about the care I provided. I wrote about helping resident
out of bed with others in the room.
Residents Affected - Few
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
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
12/17/2025
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 - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Nobody asked me about the resident grabbing the handrail. We took her to the dining room, where trays
were ready to be passed to all the residents. Resident R1 was going back to her room, and I asked that she
not transfer back to bed without assistance because she may fall. Resident R1 stated she didn't care and
that she was getting back into bed. She started to self-propel towards her room. I approached her and
turned her wheelchair back towards the dining room so she wouldn't self-transfer and fall. She grabbed the
handrail. I lifted her arm that she had a hold of the railing with so I could take her back to the dining room. I
lifted her arm easily. Resident R1 never complained about me or the incident the rest of the day. During an
interview on 12/17/25, at 1:13 p.m. Director of Nursing stated that the facility failed to fully investigate
Resident R1's allegation of abuse and that five out of six witness statements failed to reveal information
about the actual allegation of NA Employee E1 forcefully grabbing Resident R1's arm which was reported
by resident and reported to the state survey office. During an interview on 12/17/25, at 2:00 p.m. the
Nursing Home Administrator and Director of Nursing confirmed that the facility failed to conduct a thorough
investigation of an allegation of abuse for one of two residents (Resident R1). 28 Pa Code: 201.18 (e)(1)(2)
Management.28 Pa Code: 201.29 (a)(c) Resident Rights.28 Pa Code: 211.12 (c)(d)(1)(3)(5) Nursing
services.
Event ID:
Facility ID:
395295
If continuation sheet
Page 2 of 2