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Inspection visit

Inspection

CEDAR HILL HEALTHCARE AND REHABILITATION CENTERCMS #3956203 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

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. (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 4 Event ID: 395620 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 395620 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/14/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Cedar Hill Healthcare and Rehabilitation Center 951 Brodhead 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)
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 FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395620 If continuation sheet Page 2 of 4 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 395620 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/14/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Cedar Hill Healthcare and Rehabilitation Center 951 Brodhead 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)
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. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395620 If continuation sheet Page 3 of 4 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 395620 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/14/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Cedar Hill Healthcare and Rehabilitation Center 951 Brodhead 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)
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. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395620 If continuation sheet Page 4 of 4

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Citations

3 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0576GeneralS&S Dpotential for harm

    F576 - The resident has the right to have reasonable access to the use of a telephone,

    Ensure residents have reasonable access to and privacy in their use of communication methods.

  • 0583GeneralS&S Dpotential for harm

    F583 - Privacy and Confidentiality

    Keep residents' personal and medical records private and confidential.

  • 0584GeneralS&S Epotential for harm

    F584 - Safe Environment

    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.

FAQ · About this visit

Common questions about this visit

What happened during the February 14, 2024 survey of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER?

This was a inspection survey of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER on February 14, 2024. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at CEDAR HILL HEALTHCARE AND REHABILITATION CENTER on February 14, 2024?

Yes, 3 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Ensure residents have reasonable access to and privacy in their use of communication methods."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.