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Inspection visit

Health inspection

CEDARWOOD REHABILITATION & HEALTHCARE CENTERCMS #3953931 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on a review of facility policy and observations, as well as staff interviews, it was determined that the facility failed to ensure that a safe and comfortable environment was maintained for three of nine residents reviewed (Residents 7, 8, 9) who were in the day room with temperatures above 81 degrees Fahrenheit (F). Residents Affected - Few Findings include: Review of the facility policy Homelike Environment, last reviewed January 30, 2024, indicated that the facility reflected a homelike setting to provide comfortable and safe temperatures between 71 degrees F and 81 degrees F. A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 7, dated June 9, 2025, indicated that the resident was severely cognitively impaired, was sometimes understood and was sometimes able to understand others, was dependent of staff for care needs, and had diagnoses that included dementia. A quarterly MDS assessment for Resident 8, dated March 24, 2025, indicated that the resident was severely cognitively impaired, was rarely understood and was rarely able to understand others, was dependent of staff for care needs and had diagnoses that included dementia. A quarterly MDS assessment for Resident 9, dated June 9, 2025, indicated that the resident was severely cognitively impaired, was rarely understood and was rarely able to understand others, was dependent of staff for care needs and had diagnoses that included dementia. Observations of Residents 7, 8, and 9, who were in the fourth floor day room on June 26, 2025, at 1:43 p.m. revealed a room temperature of 83.9 degrees F. All three residents were sitting in wheelchairs with their eyes closed. At 2:09 p.m., Residents 8 and 9 were removed from the room at 2:09 p.m. and Resident 8's face appeared clammy. Resident 7 was removed from the room at 2:15 p.m. and her face was flushed and pink. Interview with the Maintenance Director on June 26, 2025, at 11:30 a.m. revealed that an audit of all PTAC units (packaged terminal air conditioner - units used to heat or cool a room.) was conducted on June 24, 2025. and determined that there were multiple PTAC units in the building that were not functioning, including the fourth floor day room. Interview with the Nursing Home Administrator on June 26, 2025, at 3:20 p.m. indicated that the resident common areas should be within safe temperatures, and he was currently looking into purchasing new units to replace the ones that were not functioning. (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: 395393 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 395393 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Cedarwood Rehabilitation & Healthcare Center 951 Washington Avenue Tyrone, PA 16686 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 0558 28 Pa. Code 201.14(a)(c)(e) Responsibility of Licensee. Level of Harm - Minimal harm or potential for actual harm 28 Pa. Code 201.18(b)(1)(3)(e)(1) Management. 28 Pa. Code 211.10(d) Resident Care Policies. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395393 If continuation sheet Page 2 of 2

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Citations

1 citation 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.

  • 0558GeneralS&S Dpotential for harm

    F558 - The right to reside and receive services in the facility with reasonable

    Reasonably accommodate the needs and preferences of each resident.

FAQ · About this visit

Common questions about this visit

What happened during the June 26, 2025 survey of CEDARWOOD REHABILITATION & HEALTHCARE CENTER?

This was a inspection survey of CEDARWOOD REHABILITATION & HEALTHCARE CENTER on June 26, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at CEDARWOOD REHABILITATION & HEALTHCARE CENTER on June 26, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Reasonably accommodate the needs and preferences of each resident."

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.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.