Health inspection·August 18, 2025

F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of resident clinical records and staff interview, it was determined that the facility failed to accurately assess pressure ulcers for two of seven residents (Resident R1 and R4).Findings include:Review of the clinical record indicated that Resident R1 was admitted to the facility on [DATE].Review of the Minimum Data Set (MDS - periodic assessment of care needs) dated 7/7/25, indicated that Resident R1 had diagnoses that included history of chronic obstructive pulmonary disease (a progressive lung disease that makes breathing increasingly difficult), hypertension and anxiety.Review of Resident R1 Wound Assessment report dated 8/15/25, resident has an unstageable pressure ulcer on right later half acquired 7/2/25.Review of a physician order dated 7/7/25, indicated to cleanse with wound cleanser, apply betadine to base of thewound, leave open to air, change Q Shift. Review of Resident R1's July TAR indicated the treatment was not documented as completed on 7/11/25, 7/12/25, 713/25, 7/16/25, 7/18/25, 7/19/25, 7/27/25, 7/27/25 and 7/30/25.Review of Resident R1's August TAR indicated the treatment was not documented as completed on8/1/25, 8/3/25, 8/4/25, 8/9/25, 8/10/25 and 8/13/25. Review of the clinical record indicated that Resident R4 was admitted to the facility on [DATE].Review of the Minimum Data Set (MDS - periodic assessment of care needs) dated 5/26/25, indicated that Resident R4 had diagnoses that included history of chronic obstructive postlaminectomy syndrome (a condition characterized by persistent pain in the neck or back following spinal surgery), diabetes mellitus and morbid obesity.Review of Resident R4 Wound Assessment report dated 6/4/25, resident had a lumbar spine surgical wound acquired 5/22/25.Review of a physician order dated 6/1/25, indicated to cleanse with wound cleanser, secure with Bordered gauze, change daily, day shift.Review of Resident R4's June TAR indicated the treatment was not documented as completed on 6/17/25, 6/21/25, 6/22/25, 6/23/25, 6/24/25, 6/25/25 and 6/26/25.During an interview on 8/18/25, at 2:00 p.m. the Director of Nursing confirmed the facility failed to complete treatments as ordered for two of seven residents (Resident R1, R4). 28 Pa. Code: 211.12(d)(1)(5) Nursing services. Residents Affected - Few 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 3 Event ID: 395732 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 395732 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Heritage Care Center 5701 Phillips Avenue Pittsburgh, PA 15217 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)