Health inspection·January 15, 2026

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to notify the medical provider of a change in condition for one of four residents (Resident R1).Findings include: Review of the facility policy, Change in Condition dated 4/1/25, indicated it is the policy of the facility to inform residents, medical providers, and the resident representative of a change in the resident's condition. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS - periodic assessment of care needs) dated 10/30/25, included diagnoses of chronic kidney disease (gradual loss of kidney function) and heart failure (a progressive heart disease that affects pumping action of the heart muscles). Review of Section C: Cognitive Patterns indicated that Resident R1 did not have cognitive impairment. Review of Resident R1's progress notes since admission on [DATE], through 11/16/25, failed to reveal documentation of tremors, convulsions, seizures, or Parkinson's disease (neuromuscular disorder causing tremors and difficulty walking) or Parkinsonism (group of neurological disorders characterized by tremors, stiffness, slowness of movement, and difficulty maintaining balance), or yelling out. Review of the plan of care initiated 7/5/22, indicated that Resident R1 was at risk for complications related to high blood pressure. The goal listed in the care plan was, Resident's blood pressure will range within parameters set by MD. Included in the interventions was, Observe for signs and symptoms of elevated blood pressure (systolic BP >140, diastolic BP >90, dizziness, flush face, headache, nosebleed, nausea/vomiting). Review of a progress note dated 11/17/25, at 1:18 p.m. indicated, it was passed on from 11-7 nurse that resident was having parkinson's like tremors and has no history of. This nurse and cna (nurse aide) adjusted resident numerous times in bed d/t flopping about and rapidly flapping legs with knees bent. resident opens eyes for very short moments. given prn (as needed) pain medication at 11am d/t (due to) yelling out in pain, but not verbal as to where her pain is located. while up in wc (wheelchair), she is arching her back as if she is having a seizure, and snoring very loudly. Resident took 3 bites of sandwich and then immediately started snoring again. RN sup aware and assessed. Review of a skilled nursing note dated 11/17/25, at 2:02 p.m. indicated Resident R1 was yelling out in pain. Sections that indicated medical provider notification resident responsible party notification were documented as na (not applicable). Review of a progress note dated 11/17/25, at 5:07 p.m. indicated that Resident R1 was transported to the hospital for severe back pain. Found with eyes closed, head back hands and arms in posturing position. Legs with spasms and jerking movement. Unable to feed self with rigid hands. Review of a progress note dated 11/17/25, at 7:26 p.m. indicated, Spoke with [hospital nurse] for status update, resident was admitted to ICU (intensive care unit) and intubated (lifesaving medical procedure that uses a tube to keep the airway open to breathe). Per [hospital nurse] ‘she tanked when she arrived at ER, resident became unresponsive and BP (blood pressure) and temp dropped significantly, (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: 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 01/15/2026 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)