Inspection·June 20, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy and clinical record review and staff interview, it was determined that the facility did not ensure prompt efforts were made to resolve a resident's grievance and/or concerns for one of six residents interviewed (Resident R1). Findings include: A review of the facility policy, Grievance/Concern dated 2/5/25 indicated grievances will be completed in a reasonable expected timeframe. Concerns may be registered by direct outreach to staff and a grievance/concern form will be initiated and submitted to be completed. The facility will investigate the grievance and notify the person filing the grievance of resolution in a timely manner. A review of the clinical record indicated Resident R1 was admitted to the facility on [DATE] with diagnoses that included a fracture of the right arm. A review of a Care Plan Meeting progress note dated 4/24/25, indicated the resident and family were in attendance and indicated a concern with staff not answering call lights. A review of the facility complaint log for April 2025, did not include a grievance form for the above concern. There was no evidence that the concern was investigated and resolved in a timely manner. During an interview on 6/5/25, at 1:35 p.m. the Director of Nursing confirmed the above findings, and that the facility failed to ensure prompt efforts were made to resolve a resident's grievance and/or concerns for Resident R1. 28 Pa. Code 201.29(a) Resident rights 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: 395596 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 395596 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/20/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bridgeville Rehabilitation & Care Center 3590 Washington Pike Bridgeville, PA 15017 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)