Health inspection·March 14, 2024

F 0565 Honor the resident's right to organize and participate in resident/family groups in the facility. Level of Harm - Minimal harm or potential for actual harm Based on review of facility policy, resident council meeting minutes and resident and staff interviews, it was determined that the facility failed to provide evidence that Resident Council concerns were assigned to the appropriate department, facility responses to Resident Council concerns, and how the facility resolved the repetitive Resident Council concerns for three of three months (January, February, and March 2024). Residents Affected - Few Findings include: The facility indicated they do not have a Resident Council policy. Review of the facility policy Grievances dated 8/16/23, indicated the resident has the right to voice grievances with respect to treatment which has been furnished as well as that which has not been furnished. The facility actively seeks a resolution and keeps the resident appropriately apprised of its progress toward resolution. Review of Resident Council meeting minutes for the meeting on 1/15/24, indicated the following concerns: call lights not being answered on evening and night shifts, unable to find Nurse Aides (NA), they are always on their phones, have attitudes, not setting up meal trays, and clothing items were missing. Review of Resident Council meeting minutes for the meeting on 2/12/24, indicated the following concerns: on evening and night shifts unable to find NA's, not answering call lights, not setting up meal trays, staff standing at the desk on their phones all the time, and NA's leaving bags of linen on the floor. Review of Resident Council meeting minutes for the meeting on 3/11/24, indicated the following concerns: NA's not answering call lights, not setting up meal trays, meals being cold, NA's standing at the desk on their phones, leaving dirty linens on the floor, that weekends are just horrible, and clothing items were missing. Review of Grievance and Complaint Log dated February 2024, and March 2024, indicated the following: 2/12/24 - Unacceptable call light response time, and on and off the commode. 2/13/24 - Resident Council unacceptable call light response time, availability of NA's, and cold meals. 2/15/24 - Unacceptable call light response time and attitudes from NA's. Page 1 of 2 395620 395620 03/14/2024 Cedar Hill Healthcare and Rehabilitation Center 951 Brodhead Road Coraopolis, PA 15108

F 0565 2/15/24 - Unacceptable call light response time and attitudes from NA's. Level of Harm - Minimal harm or potential for actual harm 2/15/24 - Left on toilet too long by NA, call light timeliness, and attitudes from NA's. 2/15/24 - Care concerns, call light timeliness, attitudes from nursing staff. Residents Affected - Few 3/2/24 - NA's not assisting with meals. 3/8/24 - Resident was in shorts on a cold day, due to no clean clothing. 3/9/24 - NA's not assisting with meals. 3/11/24 - Resident Council ongoing concern of call lights not being answered, not setting up meal trays, and meals being cold. 3/12/24 - NA's always on their phones, call light timeliness is lacking, food is always cold. Interview on 3/15/24, at 1:45 p.m. the Nursing Home Administrator confirmed there was no evidence that Resident Council concerns were assigned to the appropriate department, facility responses to Resident Council concerns, and how the facility resolved the repetitive Resident Council concerns for three of three months (January, February, and March 2024). 28 Pa. Code 201.29(j) Resident rights. 395620 Page 2 of 2