Health inspection·May 6, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy and documents, clinical record review, and staff interviews, it was determined that the facility failed to make certain that showers and baths were provided for three of five residents (Resident R1, R2, and R3). Residents Affected - Some Findings include: Review of facility policy Activities of Daily Living (ADL), Supporting reviewed 1/22/25, indicated resident will be provided with care, treatment and services as appropriate to maintain activities of daily living. Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, including appropriate support and assistance with hygiene/bathing. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE], with diagnoses that included diabetes, right ankle foot ulcer, and morbid obesity. Review of the Minimum Data Set (MDS - comprehensive, standardized assessment of each resident's functional capabilities and health needs) dated 4/14/25, indicated the diagnoses remain current and Resident R1 requires extensive assistance of two people for ADLs. A review of the facility shower schedules indicated Resident R1 gets showers on Wednesdays and Saturdays. A review of the ADL-Shower Task documentation dated April 2025 indicated a shower was not given or offered on 4/19, 4/23, and 4/30/25 as scheduled for Resident R1. Review of the clinical record indicated Resident R2 was admitted to the facility on [DATE], with diagnoses that included dementia and Down's Syndrome (a genetic condition where a person is born with an extra copy of chromosome 21 that can affect how the brain and body develop). Review of the MDS dated [DATE], indicated the diagnoses remain current and Resident R2 requires extensive assistance of one person for ADLs. A review of the facility shower schedules indicated Resident R2 gets showers on Wednesdays and Saturdays. A review of the ADL-Shower Task documentation dated April 2025 indicated a shower was not given or offered on 4/2, 4/5, 4/12, 4/16, 4/26, and 4/30/25 as scheduled for Resident R2. Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE], with diagnoses that included diabetes, PVD (peripheral vascular disease - a slow and progressive disorder of the blood vessels), and chronic pain. (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: 395670 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 395670 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/06/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wecare at Monroeville Rehabilitation and Nsg Ctr 4142 Monroeville Blvd Monroeville, PA 15146 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)