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