Inspection·August 6, 2024

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, clinical records, incident reports, resident and staff interviews it was determined that failed to report a resident-to-resident abuse altercation for two of three sampled residents (Resident R1 and Closed Resident Record CR2). Findings include: The facility Abuse, neglect, and exploitation policy dated 7/11/24, indicated that the facility will not tolerate abuse, neglect, mistreatment, and exploitation of residents. Facility staff must immediately report all such allegation to the Administrator. The Administrator will notify the applicable local and state agencies. Review of Resident R1's admission record indicated he was originally admitted on [DATE] and readmitted [DATE]. Review of Resident R1's MDS assessment (MDS-Minimum Data Set assessment: periodic assessment of resident care needs) dated 4/9/24, indicated he had diagnoses that included dementia with behavioral disturbance (neuro-cognitive disorder impacting reasoning, judgment, and memory), anxiety disorder (a medical condition creating a sense of acute fear, restlessness, and worry), and chronic obstructive pulmonary disease (COPD-a disease characterized by persistent respiratory symptoms involving breathlessness, coughing, and obstructed airflow to the lungs). These diagnoses were the most recent upon review. Review of Resident R1's clinical nurse progress note dated 7/15/24, indicated that staff was notified by another resident that Resident R1 was on the smoking patio and was arguing with another resident, Closed Resident Record CR2, over a lighter. Per other resident's that witnessed the altercation, Resident R1 had grabbed Closed Resident Record CR2 lighter and wouldn't give it back. Closed Resident Record CR2 got the lighter back and Resident R1 grabbed her arm and caused a skin tear with his fingernails to Closed Resident Record CR2's right forearm. Review of Closed Resident Record CR2's admission record indicate she was admitted on [DATE]. Review of Closed Resident Record CR2's MDS assessment dated [DATE], indicated she had diagnoses that included a fall history, COPD, and history of a left femur fracture. These diagnoses were the most recent upon review. Review of Closed Resident Record CR2's clinical nurse progress notes dated 7/15/24, indicated that (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: 395603 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 395603 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/06/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Caring Heights Community Care & Rehab Ctr 234 Coraopolis Road Coraopolis, PA 15108 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)