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Inspection visit

Inspection

CEDAR HILL HEALTHCARE AND REHABILITATION CENTERCMS #3956201 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

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. (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: 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 03/14/2024 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 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. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395620 If continuation sheet Page 2 of 2

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Citations

1 citation 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.

  • 0565GeneralS&S Dpotential for harm

    F565 - The resident has a right to organize and participate in resident groups in the

    Honor the resident's right to organize and participate in resident/family groups in the facility.

FAQ · About this visit

Common questions about this visit

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

This was a inspection survey of CEDAR HILL HEALTHCARE AND REHABILITATION CENTER on March 14, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

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

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to organize and participate in resident/family groups in the facility."

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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Next steps

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