Inspection·March 5, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Based on a review of facility documents, observations, and staff interviews, it was determined that the facility failed to maintain a homelike environment on one of two nursing floors (Second floor). Residents Affected - Few Findings include: A review of facility policy Safe and Homelike Environment dated 12/3/24, indicated that residents are provided with a safe, clean, comfortable, and homelike environment. During an observation on 3/5/25, from 10::10 a.m. through 10:20 a.m. the following was revealed: -Second Floor C4 shower room, brown/rust colored ceiling tiles were noted -Second Floor C3 bathroom an area of approximately 15 inches wide and four inches high of cracked and peeling plaster was noted on the wall. -Second Floor Restroom across from nurses' station (far left) had brown stained ceiling tiles, and an area of approximately 24 inches across of chipped paint and plaster. -Second Floor Restroom across from the nurses' station (middle) had an area of approximately 24 inches across of chipped paint and plaster. -Second Floor Restroom across form the nurses' station (far right) had an area of approximately 18 inches across of chipped paint and plaster. During an interview on 3/5/24, at 1:36 p.m. the Director of Nursing confirmed that the facility failed to create a home-like environment. 28 Pa. Code: 201.18(b)(3) Management F 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: 395471 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 395471 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Armstrong Rehabilitation and Nursing Center 265 South McKean Street Kittanning, PA 16201 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)