Inspection·December 10, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. 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, facility records, resident, and staff interviews, it was determined that the facility failed to make certain call lights were answered timely for ten of thirteen residents as required (Resident R31, R69, R115, R700, R703, R704, R706, R707, R708, and R709).Findings include: The facility policy Answering the Call Light dated 9/11/25, indicated Answer the resident call system immediately. When answering an auditory request for assistance, identify yourself and politely respond to the resident by his/her name (e.g., This is Mrs. [NAME]. Mr. [NAME], how may I help you?). If the resident needs assistance, indicate the approximate time it will take for you to respond. During a resident group interview, on 12/7/25 at approximately 1:30 p.m., when asked does the staff respond to your call lights timely? The group asked to be confidential. The group consensus of the residents indicated, there is a wait time to get your call light answered and this occurs often. The waiting time can be 20, 30 minutes or longer. The group stated this occurs mostly in the evenings, weekends, and with agency staff. Review of Resident R704's clinical record, with a request for confidentiality (identifiers of dates and diagnosis are intentionally omitted).Review of Resident R704's most recent Minimum Data Set (MDS - a periodic assessment of care needs). Review of Section GG: Functional Abilities GG0130, indicated that Resident R704 is supervision or touch assistance with toileting hygiene (helper provides verbal cues and/or touching/steadying and /or contact guard assistance as resident completes activity), and GG0170 toilet transfers indicated that Resident R704 is supervision or touch assistance with toileting hygiene (helper provides verbal cues and/or touching/steadying and /or contact guard assistance as resident completes activity). During an interview and observation on 12/7/25, at approximately 2:00 p.m. Resident R704 stated wait times for 20 minutes or longer on different occasions when using the call light. Resident R704 stated, recently after needing to have a soiled brief changed, using the call light without response, after a while started yelling for help without response and then throwing some items out into the hall to get someone's attention and staff arrived to provide care. Resident 704 stated when this occurs it usually the evening and weekend agency staff. Review of Resident R706's clinical record, with a request for confidentiality (identifiers of dates and diagnosis are intentionally omitted). Review of Resident R706's most recent MDS. Review of Section GG: Functional Abilities GG0130, indicated that Resident R706 is dependent (helper does all of the effort), and GG0170 toilet transfers indicated that Resident R706 is dependent (helper does all of the effort). During an interview and observation on 12/7/25, at approximately 2:10 p.m. Resident R706 stated wait times of 20 minutes or more occur when using the call light usually at night and weekends it sure seems to be the agency staff. Resident R706 stated, recently after needing to have a soiled brief changed, used the call light without response, after a while started hollering for help and a staff member came in and said to keep the noise down and provided the resident care. Review of Resident R707's clinical record, with a request for confidentiality (identifiers of dates and diagnosis are intentionally Residents Affected - Some (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 11 Event ID: 395783 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 395783 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Peters Township Post Acute 113 West McMurray Road McMurray, PA 15317 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)