Health inspection·January 29, 2026

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a review of facility policy, observation, and staff interview, it was determined that the facility failed to ensure an environment free from the potential spread of infection for seven of seven residents (Resident R1, R2, R3, R4, R5, R6, and R7) and two of three employees (Employee E1 and E2).Findings include: Review of the Pennsylvania Department of Health Respiratory Virus Outbreak Toolkit dated 11/24/25, indicated:-Respiratory Virus Outbreaks: All respiratory virus outbreaks are reportable to PA DOH [NAME] (Pennsylvania Department of Health Bureau of Epidemiology) within 24 hours. -LTCF (long-term care facility) Outbreak Definitions: (1) confirmed case of respiratory virus and (1) acute respiratory illness symptomatic resident -or- (2) confirmed cases of respiratory virus. -Outbreak Checklist: Implement daily active surveillance for respiratory illness among residents and healthcare personnel (HCP) using the case line list. Include anyone with symptoms AND/OR positive tests. -Staffing: Restrict from work until at least 3 days have passed since symptom onset (or since first positive test if asymptomatic) and at least 24 hours have passed with no fever (without the use of fever reducing medicines), symptoms are improving, and HCP feel well enough to return to work. The first possible day for HCP to return to work is day 4. Day 0 is the first day that symptoms develop. If no symptoms are experienced, the first day of positive test should be used as day 0. Review of the facility policy, Infection Control - Nursing updated 12/20/25, indicated, Any HCP (healthcare personnel) who develops a fever or symptoms consisted with COVID-19 should immediately direct supervisor, and be restricted from work until at least 3 days has passed from onset of symptoms or positive COVID-19 test and 24 hours without fever. HCP is to wear a mask a minimum of 7 days after onset. If symptoms continue including fever, HCP should continue to be restricted from work until afebrile (as per PA DOH Respiratory Virus Outbreak Toolkit 11/2025). Review of a facility provided list indicated:-Resident R1 tested positive for Covid-19 on 12/29/25.-Resident R2 tested positive for Covid-19 on 01/02/26.-Resident R3 tested positive for Covid-19 on 01/03/26.-Resident R4 tested positive for Covid-19 on 01/03/26.-Resident R5 tested positive for Covid-19 on 01/04/26.-Resident R6 tested positive for Covid-19 on 01/07/26.-Resident R7 tested positive for Covid-19 on 01/10/26. Review of information submitted to the Pennsylvania Department of Health failed to include reporting of the facility outbreak of Covid-19 on 1/3/26 (two confirmed residents within 72 hours). Review of a facility provided list indicated: Registered Nurse (RN) Employee E1 tested positive for Covid-19 on 1/3/26 (Day 0). Review of facility provided staffing documents revealed RN Employee E1 returned to work on 1/5/26 (Day 2). RN Employee E1's return to work date per PA DOH guideline was 1/7/26. RN Employee E2 tested positive for Covid-19 on 1/12/26 (Day 0). Review of facility provided staffing documents revealed RN Employee E2 returned to work on 1/15/26 (Day 3). RN Employee E2's return to work date per PA DOH guideline was 1/16/26. During an interview on 01/29/26, at approximately 10:00 a.m. the Director of Nursing confirmed the facility did not maintain a line list to with information regarding positive test dates, symptoms, and length of precautions, confirmed Residents Affected - Many Page 1 of 2 395629 395629 01/29/2026 MT Macrina Manor 520 West Main Street Uniontown, PA 15401

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many that the facility did not report the Covid-19 outbreak beginning on 1/2/26, and confirmed RN Employees E1 and E2 returned to work prior to the return to work date specified by PA DOH guideline. During an interview on 1/29/26, at approximately 10:15 a.m. the Director of Nursing confirmed the facility failed to ensure an environment free from the potential spread of infection for seven of seven residents (Resident R1, R2, R3, R4, R5, R6, and R7) and two of three employees. 28 Pa. code: 201.14(a) Responsibility of Licensee.28 Pa. Code: 201.18 (b)(1)(e)(1) Management.28 Pa. Code: 211.10(a)(d) Resident Care Policies.28 Pa. Code: 211.12 (d)(1)(2)(5) Nursing Services. 395629 Page 2 of 2