Inspection·July 15, 2025

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 policy, clinical records, facility documents, and staff interview, it was determined that the facility failed to investigate incidents of possible abuse and neglect for one of two residents (Residents R1).Based on review of facility policy, clinical records, facility documents, and staff interview, it was determined that the facility failed to investigate incidents of possible abuse and neglect for one of two residents (Residents R1).Review of facility policy Abuse and Neglect - Clinical Protocol reviewed 1/22/25, indicated the nurse will assess the individual and document related findings. The facility defines abuse as the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain, or mental anguish. Abuse also included the deprivation by an individual of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being. Willful is defined as the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm. The staff will investigate alleged abuse and neglect to clarify what happened and identify possible causes. The facility management and staff will institute measures to address the needs of residents and minimize the possibility of abuse and neglect. The staff and physician will monitor individuals who have been abused to address any issues regarding their medical condition, mood, and function.Review of facility policy Accidents and Incidents - Investigating and Reporting dated 1/22/25, indicated all accidents or incidents involving residents, employees, visitors, vendors, etc., occurring on the premises shall be investigated and reported to the administrator. The nurse supervisor/charge nurse and/or the department director or supervisor shall promptly initiate and document investigation of the accident or incident. The following data shall, as applicable, shall be included on the Report of Incidents/Accidents form:- Date and time the accident or incident took place.- The nature of the injury/illness.- The circumstances surrounding the accident or incident.- The names of witnesses and their accounts of the accident or incident.- The injured person's account of the accident or incident.- Any corrective action taken.- Follow-up information.Review of facility policy Resident Rights Guidelines for All Nursing Procedures reviewed 1/22/25, indicated for any procedure that involves direct resident care, follow these steps:a. Knock and gain permission before entering the resident's room.b. If the resident is sleeping, and the procedure is not urgent or scheduled, return when the resident is awake.A review of the clinical record revealed Resident R1 was re-admitted to the facility on [DATE], with diagnoses that included diabetes, obesity, and high blood pressure.A review of the Minimum Data Set ((MDS - a mandated assessment of a resident's abilities and care needs) dated 5/8/25, revealed the diagnoses remain current.During an interview on 7/15/25, at 9:53 a.m. Resident R1 stated that on 6/21/25, Employee E2 came into her room and pricked her finger for a blood glucose level while she was sleeping. She stated that it occurred two times, but she was unable to remember the first date. She stated that both occurrences happened with the same nurse on evening/night shift.During an interview on 7/15/25, at 10:30 a.m. the Director of Nursing 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 3 Event ID: 395434 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 395434 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at MT Lebanon Rehabilitation and Nrsg Ctr 350 Old Gilkeson Road Pittsburgh, PA 15228 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)