Inspection·January 30, 2025

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on review of facility policy, resident clinical records, observations, and staff interviews, it was determined that the facility failed to use Personal Protective Equipment (PPE) appropriately, which created the potential for the cross-contamination and the spread of diseases and infections in two out of 18 droplet precautions (infection control measures designed to prevent the spread of infectious diseases that are transmitted through respiratory droplets) rooms. (Covid and Exposed Unit). Residents Affected - Few Findings include: Review of facility policy Isolation Procedure: Resident placement in Transmission-Based Precautions dated 4/17/24, indicated transmission-based precautions (including droplet) will be implemented when indicated by suspicion or presence of infectious disease. Initiate precautions as indicated. Review of facility policy Personal Protective Equipment dated 4/17/24, indicated personal protective equipment (PPE) is available at all times. PPE includes gowns, gloves, masks, eyewear. Review of facility policy Coronavirus (Covid-19) policy dated 4/17/24, indicated facility leadership and clinical staff are implementing all reasonable measures to protect the health and safety of residents and staff during the current outbreak of coronavirus disease. Managing a confirmed or suspected Covid-19 individual: Staff entering or caring for the patient should follow recommendations for PPE. During a tour of facilities covid and exposed to covid unit, that included rooms 227 through 236, on 1/30/25, at 10:45 a.m. revealed each room with droplet isolation signage by resident ' s door, and PPE available for usage. During an observation on 1/30/25, at 10:55 a.m. Housekeeper Employee E2 was cleaning room and failed to wear appropriate droplet precaution PPE (gown, gloves, mask, eyewear). During an observation on 1/30/25, at 11:00 a.m. Nurse Assistant (NA) Employee E3 was finishing providing care to a resident and failed to wear appropriate droplet precaution PPE. During an interview on 1/30/25, at 11:07 a.m. NA Employee E3 stated that she should have had a gown, gloves, N-95 mask (respirator mask used for droplet isolation), and eyewear on when entering a room with droplet isolation signage hanging by the door. During an interview on 1/30/25, at 11:10 a.m. Registered Nurse Employee E2 confirmed that staff should be wearing N-95 mask, gown, gloves, and face covering when entering droplet isolation rooms. (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 01/30/2025 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)