Health inspection·February 14, 2024

F 0576 Ensure residents have reasonable access to and privacy in their use of communication methods. Level of Harm - Minimal harm or potential for actual harm Based on review of facility documentation, observations, resident interview and staff interviews it was determined that the facility failed to consistently maintain functional telephone services and uphold residents' ability to communicate with individuals for two out of four observed resident phones (Resident R1 and Resident R2). Residents Affected - Few Findings include: The facility Telephone policy dated 8/16/23, indicated that the resident has the right to have reasonable access to the use of a telephone where calls can be made without being overheard. It is the policy of this facility to provide every resident with an opportunity to have access to a telephone for private conversations with loved ones and friends. During an interview on 2/13/24, at 9:32 a.m. Maintenance Supervisor Employee E1 stated when asked any complaints about the phone functioning: yes, its all over the building. It is an issue. Been an issue for 2-3 months. Before, we had analogue phone lines. Now, phone call goes through the computer and all the phone extensions changed. During observations with Maintenance Supervisor Employee E1 on 2/13/24, at 9:58 a.m. observations of Resident R1's and Resident R2's phones were observed not functioning. During an interview on 2/13/24, at 9:59 a.m. Resident R1 stated since I came in on Friday the phone has not worked. During an interview on 2/13/24, at 10:00 a.m. Maintenance Supervisor Employee E1 stated that Resident R1's and R2's phones were plugged in and not working. During an interview on 2/13/24, at 10:42 a.m. the Nursing Home Administrator (NHA) he stated the following: its an internet based phone system. Its been an issue for some time. The phone system and internet are using the same bandwidth. That causes havoc with the phone calls being dropped and phone call transfers. Phone company repaired it and then it happened again. Transfers were an issues as phone extension got mixed up. This issue is not resolved. During an interview on 2/13/24, at 11:57 a.m. Resident R9 stated she has not had phone services for two months and cannot receive phone calls from her family. During an exit interview on 2/14/24, at 12:00 p.m. information was relayed to the Nursing Home Administrator (NHA) that the facility failed to consistently maintain functional telephone services and uphold residents' ability to communicate with individuals for Residents R1 and R2 as required. Page 1 of 4 395620 395620 02/14/2024 Cedar Hill Healthcare and Rehabilitation Center 951 Brodhead Road Coraopolis, PA 15108

F 0576 28 Pa. Code 201.14(a) Responsibility of licensee Level of Harm - Minimal harm or potential for actual harm 28 Pa. Code 201.29(j) Resident rights Residents Affected - Few 395620 Page 2 of 4 395620 02/14/2024 Cedar Hill Healthcare and Rehabilitation Center 951 Brodhead Road Coraopolis, PA 15108

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on observation and staff interview, it was determined that the facility failed to secure confidential medical information on staff computers for two out of seven medication carts (300 hall/Sub-acute and 100 hall/South). Residents Affected - Few Findings include: The facility Health insurance portability and accountability act. last reviewed on 8/16/23, indicated that the facility will keep information regarding a resident's health private and confidential. This includes information on paper, fax or computer. During observations on 2/13/24, at 9:11 a.m. the 300 hall/subacute medication cart was observed with a staff computer on it. Observations found Resident R3 confidential medical information on the screen and fully exposed. No staff were observed near the medication cart During observations on 2/13/24, at 9:16 a.m. the 100 hall/South medication cart was observed with a staff computer on it. Observations found Resident R4 confidential medical information on the screen and fully exposed. No staff were observed near the medication cart During an interview on 2/13/24, at 10:46 a.m. the Director of Nursing (DON) confirmed that the facility failed to secure confidential medical information on staff computers on the 300 hall/subacute and 100 hall/South medication carts as required. 28 Pa. Code 201.29(j) Resident rights. 395620 Page 3 of 4 395620 02/14/2024 Cedar Hill Healthcare and Rehabilitation Center 951 Brodhead Road Coraopolis, PA 15108

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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 policy review, observations, and staff interview, it was determined that the facility failed to maintain a clean, comfortable, homelike environment in five out of 12 sampled resident rooms (Residents R2, R5, R6, R7, and Resident R8). Findings include: The facility Resident environment policy stated 8/16/23, indicated that the facility will provide an environment that is safe, clean, comfortable and homelike During a tour with Housekeeping Supervisor Employee E2 on 2/13/24, starting at 11:24 a.m. the following was observed: At 11:27 a.m. Residents R5's room was observed with a large crack in the wall under her window. The crack had a white-powered substance falling out of wall. At 11:29 a.m. Residents R6's room was observed with brown spots on the floor in front of the bed. At 11:30 a.m. Residents R7's room was observed with a large black spot on the privacy curtain. At 11:31 a.m. Residents R2's room was observed with large gauges on the wall behind her oxygen concentrator. At 11:36 a.m. Residents R8's room was observed brown tile in front of his bathroom. The tile was broken with observable sharp edges. During an interview on 2/13/24, at 11:38 a.m. Housekeeping Supervisor Employee E2 confirmed that the facility failed to maintain a clean, comfortable, homelike environment for Residents R2, R5, R6, R7, and Resident R8 as required. 28 Pa Code: 207.2(a) Administrator's Responsibility. 28 Pa Code: 201.29(k) Resident Rights. 395620 Page 4 of 4