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