Health inspection·September 3, 2025

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Based on review of facility documents and resident interviews and observations, it was determined that the facility failed to ensure sufficient staffing to meet resident need for nine of thirteen residents (Resident R1. R2, R3, R4, R5, R6, R7, R8, and R9).Findings include: During an interview on 9/3/25, at 10:30 a.m. Resident R1, stated that call light response times can be long. During an interview on 9/3/25, at 10:35 a.m. Resident R2, when asked if she felt the facility had sufficient staff stated, No. Resident R2 further confirmed that call she has waited up to an hour and a half for call light response During an interview on 9/3/25, at 11:29 a.m. Resident R3, when asked if he felt the facility had sufficient staff stated, Not always, sometimes they are a little short-staffed. During an interview on 9/3/25, at 11:35 a.m. Resident R4, when asked if he felt the facility had sufficient staff chuckled, then stated, When they are fully-staffed. During an interview on 9/3/25, at 11:41 a.m. Resident R5, when asked if she felt the facility had sufficient staff stated, No. Resident R5 further confirmed that call light response takes a long time, stating, Do you want a list? Resident R5 then provided the following call light response times, that she had written down on a notepad:8/13/25, call light turned on at 1:13 p.m., answered at 1:43 p.m. 8/21/25, call light turned on at 9:40 a.m., answered at 10:00 a.m 8/21/25, call light turned on at 12:15 p.m., answered at 1:10 p.m. 8/24/25, call light turned on at 7:18 a.m., answered at 7:50 a.m. 8/24/25, call light turned on at 9:25 a.m., answered at 9:50 a.m. 8/30/25, call light turned on at 4:00 p.m., answered at 4:20 p.m. 9/02/25, call light turned on at 10:50 a.m., answered at 11:42 a.m. Resident R5 stated, My aide was at lunch. Oftentimes, nobody else crosses the line to answer lights. They come in to shut the light, and instead of putting me on the bedpan, they say, I'll get your aide. During an interview on 9/3/25, at 11:48 a.m. Resident R6, when asked if she felt the facility had sufficient staff stated, No, it doesn't seem like it. When asked about call light response, Resident R6 stated, Sometimes you put your call light on and you don't get anyone. Resident R6 further stated that she feels rushed when she is bathed, and doesn't feel she is provided enough time to get fully clean. During a group interview on 9/3/25, at 12:05 p.m. with Residents R7, R8, and R9, when asked if she felt the facility had sufficient staff Resident R7 stated, Sometimes not. Resident R9 shook her head negatively. When asked about call light response, Resident R7 stated, I'd be happy with a half hour. Resident R8 stated, Today they were coming in and shutting the light, but not doing anything. Resident R9 stated, Sometimes I wait a long time for help, especially at night. Last night I didn't get to bed until 11 o'clock, because the 3-11 was agency and didn't help me to bed. Observation at this time revealed Resident R9 to have facial hair on her chin. Review of the Resident Council minutes from 6/21/25, indicated that the group voiced a concern about long call light response times. Review of the Resident Council minutes from 8/27/25, indicated that the group voiced a concern about long call light response times. Review of a grievance filed by Resident R3 dated 7/6/25, indicated, I did not get changed on the 11:00 p.m. to 7:00 a.m. I was soaked and so was my bed. During an interview (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: 395585 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 395585 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Transitions Healthcare North Huntingdon 8850 Barnes Lake Road North Huntingdon, PA 15642 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)