Inspection·September 25, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete checks.-5/15/25, at 3:24 p.m. eINTERACT form for providers indicated a change in condition related to behavioral status evaluation of physical aggression. Nursing observations, evaluation, and recommendations are to transfer Resident R1 to a room on the non-secured long-term care unit.-5/15/25, at 2:59 p.m. Resident was noted to be in the activity room at 1:45 p.m. and was noted by Nurse Aide (NA) to have a hold of Resident R3's left wrist and struck female resident on the back times two with a closed fist. Resident R1 was redirected away from the situation. Call placed to Resident R1's family to inform of the above. Also notified the provider who saw the resident. Review of Resident R3's progress notes dated 5/15/25, at 1:56 p.m. indicated Resident was struck in the back with a closed fist by Resident R1. Review of facility provided documentation dated 5/15/25, at 1:45 p.m. indicated staff witnessed Resident R3 being struck in the back with a closed fist, by another Resident R1 while attempting to walk past with the walker. No injury observed. Review of Nurse Aide (NA) Employee E13's witness statement dated 5/15/25, indicated when entering dining room, observed Resident R1 holding Resident R3 by the arm and hitting her in the back. Attempting to separate them Resident R1 hit Resident R3 again in the back. Resident R3 was seated into the chair and Resident R1 walked away like nothing had happened. Interview on 9/24/25, at 3:00 p.m. the Director of Nursing confirmed that the facility failed to ensure that one of four residents (Resident R3) was free from abuse perpetrated by a resident with aggressive behaviors (Resident R1). 28. Pa Code 201.14(a) Responsibility of licensee. 28. Pa Code 201.18(b)(1)(e)(1) Management. 28. Pa. Code 211.12(d)(1)(5) Nursing services. Event ID: Facility ID: 395826 If continuation sheet Page 2 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. 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 documents, facility policy, clinical records, and staff interviews, it was determined that the facility failed to implement written policies and procedures to ensure a complete and thorough investigation of two allegations of abuse for two of three residents (Resident R1 and R3).Findings include: Review of facility Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating policy dated 11/1/24, indicated all reports of resident abuse, neglect, exploitation or theft/misappropriation of resident property are reported to local, state and federal agencies and thoroughly investigated by facility management. Review of the admission record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS- a periodic assessment of care needs) dated 8/18/25, indicated the diagnoses of high blood pressure, dementia (a general term for loss of memory, language, problem solving and other thinking abilities that are severe enough to interfere with daily life), and insomnia (persistent problems falling and staying asleep) Section C0500 the Brief Interview for Mental Status (BIMS - is a screening test that aids in detecting cognitive impairment) indicated a score of eight - moderately impaired cognition. Review of the clinical record and staff interviews indicated on 8/16/25, Resident R1 was found in the parking lot outside by the fire hydrant and was discovered by Resident R2 who alerted staff resident eloped. Review of the clinical record failed to include documentation of the event, notification to family, or physician was not completed as required. The facility failed to investigate the elopement and possibility of neglect, failed to report it as required not implementing written policies and procedures to ensure a complete and thorough investigation. Interview on 9/22/25, at 11:25 a.m. Nurse Aide (NA) Employee E4 indicated Resident R1 went out the door down the hall by room [ROOM NUMBER]. It's an emergency door. Staff are not to use that door, only central supply and maintenance get deliveries through there. They were bringing supplies in through that door for the carnival. NA Employee E5 had to go out and get resident in the parking lot. Interview on 9/22/24, at 11:35 a.m. Resident R2 indicated I'm the one that saw Resident R1 go out. Resident R1 was always trying to get out that door. A lot of the residents do, that are, you know, confused. I try to explain to them the best I can that they can't go out the door. I heard the door open just outside my room, looked out the window and saw Resident R1 in the parking lot walking towards the street by the fire hydrant. When I went in the hallway the door was still partially open, but I was afraid to go out to get Resident R1 because resident can have a temper, so I went to the nurses station, nobody was there, until finally a NA came into the hall and I screamed for help, Resident R1 is outside in the parking lot. Per Resident R2, Resident R1 leaned on the door, and it just opened, it wasn't locked. Review of the admission record indicated Resident R3 was admitted to the facility on [DATE]. Review of Resident R3's MDS dated [DATE], indicated the diagnoses of dementia (a general term for loss of memory, language, problem solving and other thinking abilities that are severe enough to interfere with daily life), muscle weakness, and coronary artery disease (arteries that supply blood to the heart muscle become narrowed or blocked). Section C0500 the Brief Interview for Mental Status (BIMS - is a screening test that aids in detecting cognitive impairment) indicated a score of seven - severely impaired cognition. Review of facility provided documentation indicated two witness statements were completed, and the physical abuse was not reported as required, and the facility failed to implement written policies and procedures for abuse. Review of Resident R3's progress notes dated 5/15/25, at 1:56 p.m. indicated Resident was struck in the back with a closed fist by Resident R1. Review of facility provided documentation dated 5/15/25, at 1:45 p.m. indicated staff witnessed Resident R3 being struck in the back with a closed fist, by another Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 3 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Resident R1 while attempting to walk past with the walker. No injury observed. Review of Nurse Aide (NA) Employee E13's witness statement dated 5/15/25, indicated when entering dining room, observed Resident R1 holding Resident R3 by the arm and hitting her in the back. Attempting to separate them Resident R1 hit Resident R3 again in the back. Resident R3 was seated into the chair and Resident R1 walked away like nothing had happened. Interview on 9/24/25, at 1:00 p.m. the Director of Nursing confirmed the facility failed to implement written policies and procedures to ensure a complete and thorough investigation of two allegations of abuse for two of three residents (Resident R1 and R3). 28. Pa Code 201.14(a) Responsibility of licensee.28. Pa Code 201.18(b)(1)(e)(1) Management.28. Pa. Code 211.12(d)(1)(5) Nursing services. Event ID: Facility ID: 395826 If continuation sheet Page 4 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, resident clinical records, incident reports, reports submitted to the State, and staff interview it was determined that the facility failed to report an allegation of abuse for two of three residents (Resident R1, and R3). Findings include: Review of facility Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating policy dated 11/1/24, indicated all reports of resident abuse, neglect, exploitation or theft/misappropriation of resident property are reported to local, state and federal agencies and thoroughly investigated by facility management. Findings of all investigations are documented and reported. Review of the admission record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS- a periodic assessment of care needs) dated 8/18/25, indicated the diagnoses of high blood pressure, dementia (a general term for loss of memory, language, problem solving and other thinking abilities that are severe enough to interfere with daily life), and insomnia (persistent problems falling and staying asleep) Section C0500 the Brief Interview for Mental Status (BIMS is a screening test that aids in detecting cognitive impairment) indicated a score of eight - moderately impaired cognition. Review of the clinical record and staff interviews indicated on 8/16/25, Resident R1 was found in the parking lot outside by the fire hydrant and was discovered by Resident R2 who alerted staff resident eloped. Review of the clinical record failed to include documentation of the event, notification to family, or physician was not completed as required. The facility failed to investigate the elopement and possibility of neglect, failed to report it as required. Interview on 9/22/25, at 11:25 a.m. Nurse Aide (NA) Employee E4 indicated Resident R1 went out the door down the hall by room [ROOM NUMBER]. It's an emergency door. Staff are not to use that door, only central supply and maintenance get deliveries through there. They were bringing supplies in through that door for the carnival. NA Employee E5 had to go out and get resident in the parking lot. Interview on 9/22/24, at 11:35 a.m. Resident R2 indicated I'm the one that saw Resident R1 go out. Resident R1 was always trying to get out that door. A lot of the residents do, that are, you know, confused. I try to explain to them the best I can that they can't go out the door. I heard the door open just outside my room, looked out the window and saw Resident R1 in the parking lot walking towards the street by the fire hydrant. When I went in the hallway the door was still partially open, but I was afraid to go out to get Resident R1 because resident can have a temper, so I went to the nurses station, nobody was there, until finally a NA came into the hall and I screamed for help, Resident R1 is outside in the parking lot. Per Resident R2, Resident R1 leaned on the door, and it just opened, it wasn't locked. Review of the admission record indicated Resident R3 was admitted to the facility on [DATE]. Review of Resident R3's MDS dated [DATE], indicated the diagnoses of dementia (a general term for loss of memory, language, problem solving and other thinking abilities that are severe enough to interfere with daily life), muscle weakness, and coronary artery disease (arteries that supply blood to the heart muscle become narrowed or blocked). Section C0500 the Brief Interview for Mental Status (BIMS - is a screening test that aids in detecting cognitive impairment) indicated a score of seven - severely impaired cognition. Review of facility provided documentation indicated two witness statements were completed, and the physical abuse was not reported as required. Review of Resident R3's progress notes dated 5/15/25, at 1:56 p.m. indicated Resident was struck in the back with a closed fist by Resident R1. Review of facility provided documentation dated 5/15/25, at 1:45 p.m. indicated staff witnessed Resident R3 being struck in the back with a closed fist, by another Resident R1 while attempting to walk past with the walker. No injury observed. Review of Nurse Aide (NA) Employee E13's witness statement (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 5 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete dated 5/15/25, indicated when entering dining room, observed Resident R1 holding Resident R3 by the arm and hitting her in the back. Attempting to separate them Resident R1 hit Resident R3 again in the back. Resident R3 was seated into the chair and Resident R1 walked away like nothing had happened. Interview on 9/24/25, at 2:00 p.m. the Director of Nursing indicated the Administrator was aware of the elopement on 8/16/25, involving Resident R1, and that it was not reported as required; and indicated the resident-to-resident abuse was not reported as required involving Resident R1 and Resident R3. 28 Pa Code: 201.14 (a)(c )(e ) Responsibility of management 28 Pa Code: 201.18 (b)(1) (e)(1) Management. Event ID: Facility ID: 395826 If continuation sheet Page 6 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0610 Respond appropriately to all alleged violations. 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 documents, facility policy, clinical records, and staff interview, it was determined that the facility failed to conduct a thorough investigation of an elopement and possibility of neglect for one of three residents (Resident R1).Findings include: Review of facility Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating policy dated 11/1/24, indicated all reports of resident abuse, neglect, exploitation or theft/misappropriation of resident property are reported to local, state and federal agencies and thoroughly investigated by facility management. Findings of all investigations are documented and reported. Review of the admission record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS- a periodic assessment of care needs) dated 8/18/25, indicated the diagnoses of high blood pressure, dementia (a general term for loss of memory, language, problem solving and other thinking abilities that are severe enough to interfere with daily life), and insomnia (persistent problems falling and staying asleep) Section C0500 the Brief Interview for Mental Status (BIMS is a screening test that aids in detecting cognitive impairment) indicated a score of eight - moderately impaired cognition. Review of the clinical record and staff interviews indicated on 8/16/25, Resident R1 was found in the parking lot outside by the fire hydrant and was discovered by Resident R2 who alerted staff resident eloped. Review of the clinical record failed to include documentation of the event, notification to family, or physician was not completed as required. The facility failed to investigate the elopement and possibility of neglect, failed to report it as required. Interview on 9/22/25, at 11:25 a.m. Nurse Aide (NA) Employee E4 indicated Resident R1 went out the door down the hall by room [ROOM NUMBER]. It's an emergency door. Staff is not to use that door, only central supply and maintenance get deliveries through there. They were bringing supplies in through that door for the carnival. NA Employee E5 had to go out and get resident in the parking lot. Interview on 9/22/24, at 11:35 a.m. Resident R2 indicated I'm the one that saw Resident R1 go out. Resident R1 was always trying to get out that door. A lot of the residents do, that are, you know confused. I try to explain to them the best I can that they can't go out the door. I heard the door open just outside my room, looked out the window and saw Resident R1 in the parking lot walking towards the street by the fire hydrant. When I went in the hallway the door was still partially open but I was afraid to go out to get Resident R1 because resident can have a temper, so I went to the nurses station, nobody was there, until finally a NA came into the hall and I screamed help, Resident R1 is outside in the parking lot. Per Resident R2, Resident R1 leaned on the door and it just opened, it wasn't locked. Interview on 9/24/25, at 2:00 p.m. the Director of Nursing indicated the Administrator was aware of the elopement on 8/16/25, involving Resident R1, and could not provide an investigation on the event, confirming that the facility failed to conduct a thorough investigation of an elopement and possibility of neglect for one of three residents (Resident R1). 28 Pa Code: 201.18 (e)(1)(2) Management.28 Pa Code: 201.29 (a)(c) Resident Rights.28 Pa Code: 211.12 (a)(c)(d)(1)(3)(5) Nursing services. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 7 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, clinical record review, observations, and staff interviews, it was determined that the facility failed to ensure a resident with limited mobility receives appropriate services, equipment, and assistance to maintain or improve mobility for one of four residents (Resident R4).Findings include: Review of facility policy Assistive Devices and Equipment dated 11/1/24, indicated the facility maintains and supervises the use of assistive devices and equipment for residents. Review of the clinical record indicated Resident R4 was admitted to the facility on [DATE]. Review of Resident R4's Minimum Data Set (MDS - a periodic assessment of care needs) dated 7/1/25, indicated diagnoses of stroke (damage to the brain from an interruption of blood supply), hemiplegia (paralysis of one side of the body), and aphasia (difficulty with either language or speech). Observation on 9/24/25, at 9:05 a.m. Resident R4 was observed in bed. A hand splint was noted in the bedside stand. Resident R4 had no splints on either hand. Interview on 9/24/25, at 2:00 p.m. Director of Rehabilitation Employee E12 indicated Resident R4 was discharged from therapy last on 9/4/25, to the Rehab Restorative transition program and a right resting hand splint (device to hold the hand in a functional resting position) on in the evening and off in the morning. Review of Rehab Restorative Transition Program document for Resident R4, provided by Director of Rehabilitation Employee E12, indicated right resting hand splint on in the evening and off in the morning. Review of Resident R4's current physician orders on 9/23/25, failed to indicate an order for use of a right resting hand splint. Review of Resident R4's current care plan on 9/24/25, failed to indicate a plan of care for use of a right resting hand splint. Interview on 9/24/25, at 2:16 p.m. the Director of Nursing confirmed the failure to process the Rehab Restorative Transition Program recommendations and indicated the facility is working on the processes for when a resident transfers from rehab to a long term care unit, and that the facility failed to ensure a resident with limited mobility receives appropriate services, equipment, and assistance to maintain or improve mobility for one of four residents (Resident R4). 28 Pa. Code: 201.14(a) Responsibility of licensee.28 Pa. Code: 201.18 (b)(1) Management.28 Pa. Code: 211.10(a)(c)(d) Resident care policies.28 Pa. Code: 211.12(c)(d)(1)(2)(3)(5) Nursing services. Event ID: Facility ID: 395826 If continuation sheet Page 8 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy review, clinical and facility record review, facility provided documents, and staff interviews, it was determined that the facility failed to provide adequate supervision for one resident resulting in elopement (resident exits to an unsupervised and unauthorized location without staff's knowledge). This failure created an immediate jeopardy situation for one of twelve residents (Resident R1) identified as having a high risk for wandering. Findings include: Review of the facility policy Wandering and Elopements dated 11/1/24, indicated if identified as at risk for wandering, elopement, or other safety issues, the resident's care plan will include strategies and interventions to maintain the resident's safety. -If a resident is missing, initiate the elopement/ missing resident procedure;-If the resident was not authorized to leave, initiate a search of the building and premises;-When the resident returns to the facility, the Director of Nursing or Charge nurse shall:a. Examine the resident for injuries;b. Contact the attending physician and report findings and conditions of the resident;c. Notify the resident's legal representative;d. Notify search teams that the resident has been located;e. Complete and file an incident report; and f. Document relevant information in the resident's medical record. Review of the facility policy Accidents and Incidents Investigating and Reporting dated 11/1/24, indicated all accidents or incidents involving residents, employees, visitors, vendors, etc., occurring on our premises shall be investigated and reported to the administrator. -The nurse supervisor/charge nurse and/or department director of supervisor shall promptly initiate and document investigation of the accident or incident.-The nurse supervisor/charge nurse and/or the department director or supervisor shall complete a Report of the Incident/Accident form and submit the original to the Director of Nursing services within 24 hours of the incident or accident. - The Director of Nursing services shall ensure that the administrator receives a copy of the Report of Incident/Accident form for each occurrence. Review of the facility policy Care Plans, Comprehensive Person-Centered dated 11/1/24, indicated assessments of residents are ongoing and care plans are revised as information about the resident and the resident's condition change. Review of the admission record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS- a periodic assessment of care needs) dated 8/18/25, indicated the diagnoses of high blood pressure, dementia (a general term for loss of memory, language, problem solving and other thinking abilities that are severe enough to interfere with daily life), and insomnia (persistent problems falling and staying asleep) Section C0500 the Brief Interview for Mental Status (BIMS - is a screening test that aids in detecting cognitive impairment) indicated a score of eight - moderately impaired cognition. Section GG0170 Mobility indicated Section K. Walk 150 feet in a corridor or similar place was independent. Review of Resident R1's Elopement evaluation, upon admission, dated 8/4/24, indicated the following:-History of elopement while at home: No.-Does the resident have a history of elopement or attempted leaving the facility without informing staff: No.-Has the resident verbally expressed the desire to go home, packed belongings to go home or stayed near an exit door: No.-Does the resident wander: Yes-Is the wandering behavior a pattern, goal directed: Yes.-Does the resident wander aimlessly or non-goal directed: No.-Is the resident's wandering behavior likely to affect the safety or well-being of self/others: Yes.-Is the resident's wandering behavior likely to affect the privacy of others: Yes.-Has the resident been recently admitted or re-admitted (within the past 30 days) and is not accepting the situation: No.-Score of one or higher indicates risk of elopement-Risk for wandering/elopement identified: blank. Review of Resident R1's only other Elopement evaluation since admission, entitled Elopement and wandering risk observation/assessment dated (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 9 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few [DATE], indicated the following instructions:-Evaluate/Assess the resident status in the seven clinical area listed below. If the total score is ten or greater, the resident would be considered at risk for wandering or elopement. Interventions implemented as determined by the facility Interdisciplinary team (IDT).-A. Mobility Status 4. Does the resident ambulate independently with or without the use of an assistive device? Yes.-B. Cognitive Status 2. Is the resident disoriented or has periods of confusion and/or impaired attention span but does not wander? Yes.-C. Disease Diagnosis: does the resident have a diagnosis that my impact cognition? 4. Two or more are present? Yes-D. Mood/Behavior Status: None-E. Medication: Does the resident take any medications that could increase restlessness or agitation? 4. Takes two or more medications? Yes.-F. History of Elopement Attempts: None-G. Behavior Modification 4. Exhibits unsafe wandering or elopement attempts and is difficult to redirect? Yes.-H Other relevant information-Communication - does the resident have any communication, hearing or vision deficits? Yes. Glasses.-Mood/Behavior known substance abuse - Does the resident exhibit any of the following? Yes. Combative behavior.-Other conditions/concerns? No-I Interventions-Has the care plan been initiated/updated to reflect interventions aimed at reducing the risk of unsafe wandering or an elopement? Yes.-Based on Elopement and Wandering Risk Observation/Assessment findings: Yes, a wander alarm is added. Review of Resident R1's census documentation record, Resident R1 Resided on the secured dementia unit from admission on [DATE], until being transferred to a non-secured long-term care unit on 5/15/25. Review of Resident R1's progress notes indicated the following:-5/15/25, at 3:24 p.m. eINTERACT form for providers indicated a change in condition related to behavioral status evaluation of physical aggression. Nursing observations, evaluation, and recommendations are to transfer Resident R1 to a room on the non-secured long-term care unit.-5/15/25, at 2:59 p.m. Resident was noted to be in the activity room at 1:45 p.m. and was noted by Nurse Aide (NA) to have a hold of a female residents left wrist and struck female resident on the back times two with a closed fist. Resident R1 was redirected away from the situation. Call placed to Resident R1's family to inform of the above. Also notified the provider who saw the resident.-5/15/25, at 4:13 p.m. Resident R1 was noted to have no further behaviors and 15-minute checks initiated. Resident R1 was transferred to long-term care unit with all meds and belongings. Report given to the nurse on the unit.-5/15/25, at 10:00 p.m. Resident R1 had taken some empty pill packets off of med cart and was attempting to take more. When redirected, resident grabbed bag on cart and ripped it; then hit the other nurse in the hand two times with a closed fist. Resident was then asked to return to their room. This writer had shown resident where the new room was, and then resident went in and went to bed with no further issues.-5/15/25, at 11:57 p.m. Resident R1 is alert with confusion. Resident wandering to unit and to other residents' rooms. Becomes combative when told not to touch a bag. Resident redirected after.-5/17/25, at 11:01 p.m. staff reported that resident was going into other residents' rooms and stealing their things. Redirection was attempted and explained those were not resident's belongings and needed to be returned to the owners. Resident said F*** you b*tch, these shoes are classy for you because you are a f*ng whore. The items were eventually returned to the rightful owners. Resident was aggressively charging staff. Ended up hitting staff on the left side of the face, was asked to stop, and hit staff again. Once staff tried to ask resident to please stop, resident hit staff for a third time. Staff was protecting two residents behind them, was scared for their life and pushed Resident R1 out of the way who ended up staggering back and fell to the floor. Staff ran from the room. Resident was assessed and reported no injury or pain.5/18/25, at 9:31 a.m. social services note indicated SW (social worker) contacted the VA (Veteran Affairs) to inquire for services through the VA. emergency room nurse indicated that Resident is eligible for services through the VA. The VA social (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 10 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few worker did indicate that they have many behavioral beds. 911 was called to take resident to the VA to have an x-ray and possible 302.-5/18/25, at 9:39 a.m. Resident R1 shows a pattern of behaviors of swearing and threating residents as well as staff. Resident is also hitting staff and going into residents' room. SW did follow the EMS transportation to VA hospital ER in Oakland. The VA did place resident in a behavior emergency room to ensure staff could watch closely. X-rays were negative for fractures. Facility social worker met with Social Worker at VA to see if resident could be admitted under a 201, a voluntary commitment as the 302 could not happen as we had no witness to petition resident this day. -5/18/25, at 9:56 p.m. Resident R1 was swearing and threatening to harm nurse. Emergency medical services, whom just returned resident from the VA Hospital, were still waiting outside the resident's room. They stated that the VA could not 302 him earlier today because no one showed up to petition the 302. Contacted DON and Administrator and was instructed to call Resolve Crisis Center. Resolve Crisis Center contacted, and they will send a team to the facility as soon as they are able to.-5/18/25, at 11:29 p.m. resident was attempting to enter other residents' rooms when redirected resident responded, Well screw you too, I'll have you thrown out of here.-5/19/25, at 2:11 p.m. eINTERACT form indicated behavioral status evaluation for physical aggression, verbal aggression and danger to self or others.-5/19/25, at 2:28 p.m. resident propelling self about the unit.-6/30/25, at 12:05 a.m. Resident R1 punched another resident in the ear. Residents were separated. Provider contacted along with DON and order to send to the hospital was obtained.-6/30/25, at 11:50 p.m. police and EMS stated they are not able to take Resident R1 at this time. Crisis line contacted.-7/1/25, at 12:29 a.m. Resident was calm at the time of the police interview and were unable to take resident due to dementia diagnosis.-7/1/25, 2:49 a.m. Remote Provider note indicated date of service as 6/30/25, at 9:40 p.m. Chief complaint aggressive behavior. Summary resident was in a different lock down unit previously. Resident has been having increasing aggressive behaviors since moving to this unit. Resident hit another resident.-7/9/25, at 11:07 a.m. another nurse reported to this nurse resident was aggressive with her. Reported to supervisor. DON and social workers are in with resident to talk with resident.7/9/25, at 12:01 p.m. resident was verbally abusive and threatening physical violence by swinging punches at staff. At the nursing cart when resident walked up and quickly grabbed the scissors and attempted to harm me with them. Staff grabbed to end of the scissors to take them away from resident and yelled for help. Staff came and helped prevent the resident from physically attacking and assaulting staff with a deadly weapon. Floor nurse, DON, and Administrator were notified of the incident. Resident eligible for 302. 911 was called and picked up patient to take him to a city hospital for psychiatric evaluation and treatment.-7/9/25, at 1:01 p.m. Resolve in and warranted for 302 committal. Family notified via voice message to return the call.-7/9/25, at 2:03 p.m. Provider note the resident was seen and examined this morning at the request of staff after the patient was reported to have grabbed a pair of scissors and attempted to stab a nurse. Reportedly, the patient had increasing agitation throughout the morning and was difficult to redirect. Discussed with DON as well as unit director. Resolve Crisis has been called with a probable petition to 302.-7/9/25, at 9:34 p.m. Resident returned from hospital with diagnosis of urinary tract infection with antibiotics ordered.-7/17/25, at 7:59 p.m. resident swinging fist at another resident on unit. No contact made. Residents were separated.-8/16/25, at 4:37 p.m. nurse supervisor made writer aware that resident opened the side door of unit. Resident is now sitting in the dining room area. Interview on 9/22/25, at 11:10 a.m. Nurse Aide (NA) Employee E1 indicated I heard Resident R1 got out at the carnival, but I wasn't here that day. Back door was open for the carnival. People were telling me it was a big fuss. Interview on 9/22/25, at 11:15 a.m. Registered Nurse (RN) Employee E2 indicated I don't remember. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 11 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Interview on 9/22/25, at 11:19 a.m. Nurse Aide (NA) Employee E3 indicated I was here that day, but worked a different unit. I know I did hear that Resident R1 got out that day. Interview on 9/22/25, at 11:25 a.m. Nurse Aide (NA) Employee E4 indicated Resident R1 went out the door down the hall by room [ROOM NUMBER]. It's an emergency door. Staff is not to use that door, only central supply and maintenance get deliveries through there. They were bringing supplies in through that door for the carnival. NA Employee E5 had to go out and get resident in the parking lot. Review of the admission record indicated Resident R2 was admitted to the facility on [DATE]. Review of Resident R2's Minimum Data Set (MDS - a periodic assessment of care needs) dated 8/29/25, indicated the diagnoses of lung cancer, chronic obstructive pulmonary disease (COPD- a group of diseases that block airflow and make it hard to breathe), and muscle weakness. Section C0500 indicated the Brief Interview for Mental Status (BIMS - is a screening test that aids in detecting cognitive impairment) score as 15, cognitively intact. Interview on 9/22/24, at 11:35 a.m. Resident R2 indicated I'm the one that saw Resident R1 go out. Resident R1 was always trying to get out that door. A lot of the residents do, that are, you know confused. I try to explain to them the best I can that they can't go out the door. I heard the door open just outside my room, looked out the window and saw Resident R1 in the parking lot walking towards the street by the fire hydrant. When I went in the hallway the door was still partially open but I was afraid to go out to get Resident R1 because Resident R1 can have a temper, so I went to the nurses station, nobody was there, until finally a NA came into the hall and I screamed help, Resident R1 is outside in the parking lot. Per Resident R2, Resident R1 leaned on the door and it just opened, it wasn't locked. Telephonic interview on 9/22/25, at 1:15 p.m. RN Employee E6 indicated being supervisor that day and received a STAT call on the first floor. RN was on the other unit at the time, grabbed another nurse from the floor and went to the unit calling for help. There was Resident R2 who told the RN supervisor Resident R1 got out the door and the door was unlocked. RN indicated the door could not have been locked, when Resident R1 leaned on the door, it opened. NA Employee E5 went and got resident. RN supervisor indicated reporting the incident to Assistant Director of Nursing (ADON) Employee E7 and informed them that Resident R1 got outside. ADON Employee E7 contacted Maintenance Director Employee E8 who arrived fairly quickly and said the door is locked now. Attempted interview on 9/22/25, at 1:20 p.m. with ADON Employee E7 and was informed staff member called off. Interview on 9/22/25, at 2:02 p.m. Maintenance Director Employee E8 indicated There's a bypass code for the door, only nursing can reset the wander alarm themselves. My opinion, I genuinely think Resident R1 guessed the code. I looked at the camera afterward and resident was pacing up and down that hallway. The door would not have been open all day. I saw resident go up to the door on the tv screen, stood at the keypad for a minute and did this a couple times. You can see resident not come back from the door. The code has since been changed. Telephonic interview on 9/22/25, at 2:12 p.m. NA Employee E5 indicated I was in another room taking care of another resident, I stepped outside to find a helper and a resident yelled help, Resident R1 got out. I flew down the hall and resident was probably around 100 yards or so by the fire hydrant. I don't know how resident got through the door, it's for deliveries. Personally, I think if the door wasn't pulled shut it may not latch. We don't know the code. I'm assuming it was left unlatched. Resident R1 has been exit seeking for quite a while. Asks where's the front door and things like that. Review of Resident R1's physician orders dated 4/4/25, indicated alert bracelet to right lower extremity. Check placement every shift for exit seeking. Review of Resident R1' physician orders dated 7/10/25, indicated check function every night shift for monitoring. If alert bracelet test fails, replace transponder. Review of Resident R1's care plan dated 4/4/25, indicated resident is at risk for elopement/exit seeking/wandering related to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 12 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few dementia. Goal - will not wander out of the facility. Interventions allow wandering in safe areas within the facility. Approach in a calm, non-threatening manner. Attempt to refocus when exhibiting behavior. Interview on 9/23/25, at 10:00 a.m. the Director of Nursing indicated Resident R1 was transferred off the secured memory care unit prior to their employment for being flirtatious and aggressive with other residents. Confirmed Resident R1 has not had an elopement evaluation prior to July since admission on [DATE], and no documentation was in the clinical record of interdisciplinary team meeting prior to moving Resident R1 from the secured unit. When asked if the family, or physician were notified, of the elopement, DON indicated I don't know. There is not an incident report for the event, or reportable notification to the Department of Health, and the progress note from 8/16/25, at 4:37 p.m. did not reveal the entire story of Resident R1 getting out of the facility. Interview on 9/23/25, at 10:10 a.m. the Director of Nursing (the Interim Nursing Home Administrator was out of the facility at a conference) confirmed the facility failed to provide adequate supervision for one resident resulting in elopement and were notified that Immediate Jeopardy was called due to the elopement of Resident R1 on 8/16/25, and facility staff were provided an Immediate Jeopardy template, and a corrective action plan was requested. On 9/23/25, at 2:15 p.m. an immediate action plan was received and accepted which included the following interventions:Immediate Action:Upon Resident R2 alerting staff that Resident R1 was outside, staff was unaware Resident R1 was outside but were alerted. Retrieved Resident R1 from the rear parking lot. Resident returned to the unit on 8/16/25. No signs or symptoms of any adverse effects from time off the unit. System Correction:Root cause: the door failed to remain secured. Nursing staff will be re-educated on updating the elopement care plan form immediate interventions and elopement assessment. All residents will be reassessed by the unit manager/designee by 9/24/25, for an elopement risk. All staff will be educated on elopement risk and assessments, care plans and supervision of residents by the unit manager/designee by 9/24/25. A care plan with measurable goals and interventions for residents will be implemented to identify residents at risk for eloping by the unit manager/designee by 9/24/25. Review and revise policies if needed to identify residents who are at risk for eloping. Door will be monitored by staff stationed at the door, until door vendor arrives by 9/24/25, to verify functioning of the door and residents are unable to exit. Facility will review the incidents at an ad hoc QAPI (Quality Assurance and Performance Improvement) meeting on 9/24/25. Monitoring:New admissions, change in condition or any new behavior will be monitored by the DON/designee weekly for four weeks, monthly for two months to ensure elopement assessments are completed and care plans updated as required. Maintenance/designee will audit the doors are secure seven days a week for four weeks. Findings of audits will be submitted through facility QAPI program. Verification of the facility's Corrective Action Plan revealed all elements of plan were met as follows:-Vendor into facility and checked that everything was functioning on the door, the magnetic lock and the keypad to the door itself. The door alarm was not alarming. It's going to alarm instantly instead of 25 second delay. Changing deliveries to the front door. Code is changed to an eight-digit number instead of four digits.-97% of all staff educated on risk, assessments, care plan, and supervision - 201 of 206 total employees verified with signatures.51-in-person interviews conducted of all staff confirmed education and understanding.-32 of 32 residents identified as elopement risks were identified. Twenty new residents were identified as at risk for elopement within the dementia secured unit.-Policy reviewed and revised by the Director of Nursing to identify residents who are at risk for eloping.-Door monitor by staff was in place on 9/24/25. - Ad Hoc QAPI held 9/24/25.-Audit tool for new admissions, change in condition or any new behavior will be monitored moving forward will be conducted weekly for four weeks, monthly four two months to ensure elopement (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 13 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete assessments are completed and care plans updated as required and reviewed at the QAPI meeting.-Audit by maintenance will be completed on the doors being secure seven days a week for four weeks and reviewed at the QAPI meetings. Next QAPI meeting is at the end of September 2025. The Director of Nursing was made aware that the Immediate Jeopardy was lifted on 9/24/25, at 1:31 p.m. Interview on 9/24/25/25, at 2:35 p.m. the Director of Nursing confirmed the facility failed to provide adequate supervision for one resident resulting in elopement. This failure created an immediate jeopardy situation for one of twelve residents (Resident R1) identified as having a high risk for wandering. 28 Pa. Code 201.18(b)(1)(3) Management.28 Pa. Code 201.29(a) Responsibility of Licensee.28 Pa. Code 211.12(d)(1)(3)(5) Nursing services.28 Pa. Code 211.10(d) Resident care policies. Event ID: Facility ID: 395826 If continuation sheet Page 14 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the clinical records and staff interviews, it was determined that the facility failed to provide sufficient and timely social services related to assistance in transferring to the Veterans Affairs (VA) for a behavioral bed for one of twelve residents (Resident R1).Findings include: Review of the admission record indicated Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS- a periodic assessment of care needs) dated 8/18/25, indicated the diagnoses of high blood pressure, dementia (a general term for loss of memory, language, problem solving and other thinking abilities that are severe enough to interfere with daily life), and insomnia (persistent problems falling and staying asleep) Section C0500 the Brief Interview for Mental Status (BIMS - is a screening test that aids in detecting cognitive impairment) indicated a score of eight - moderately impaired cognition. Section GG0170 Mobility indicated Section K. Walk 150 feet in a corridor or similar place was independent. Review of Resident R1's census documentation record, Resident R1 Resided on the secured dementia unit from admission on [DATE], until being transferred to a non-secured long-term care unit on 5/15/25. Review of Resident R1's progress notes indicated the following:-5/15/25, at 3:24 p.m. eINTERACT form for providers indicated a change in condition related to behavioral status evaluation of physical aggression. Nursing observations, evaluation, and recommendations are to transfer Resident R1 to a room on the non-secured long-term care unit.-5/15/25, at 2:59 p.m. Resident was noted to be in the activity room at 1:45 p.m. and was noted by Nurse Aide (NA) to have a hold of a female residents left wrist and struck female resident on the back times two with a closed fist. Resident R1 was redirected away from the situation. Call placed to Resident R1's family to inform of the above. Also notified the provider who saw the resident.-5/15/25, at 4:13 p.m. Resident R1 was noted to have no further behaviors and 15-minute checks initiated. Resident R1 was transferred to long-term care unit with all meds and belongings. Report given to the nurse on the unit.-5/15/25, at 10:00 p.m. Resident R1 had taken some empty pill packets off of med cart and was attempting to take more. When redirected, resident grabbed bag on cart and ripped it; then hit the other nurse in the hand two times with a closed fist. Resident was then asked to return to their room. This writer had shown resident where the new room was, and then resident went in and went to bed with no further issues.-5/15/25, at 11:57 p.m. Resident R1 is alert with confusion. Resident wandering to unit and to other residents' rooms. Becomes combative when told not to touch a bag. Resident redirected after.-5/17/25, at 11:01 p.m. staff reported that resident was going into other residents' rooms and stealing their things. Redirection was attempted and explained those were not resident's belongings and needed to be returned to the owners. Resident said F*** you b*tch, these shoes are classy for you because you are a f*ng whore. The items were eventually returned to the rightful owners. Resident was aggressively charging staff. Ended up hitting staff on the left side of the face, was asked to stop, and hit staff again. Once staff tried to ask resident to please stop, resident hit staff for a third time. Staff was protecting two residents behind them, was scared for their life and pushed Resident R1 out of the way who ended up staggering back and fell to the floor. Staff ran from the room. Resident was assessed and reported no injury or pain.5/18/25, at 9:31 a.m. social services note indicated SW contacted the VA to inquire for services through the VA. emergency room nurse indicated that Resident is eligible for services through the VA. The VA social worker did indicate that they have many behavioral beds. 911 was called to take resident to the VA to have an x-ray and possible 302.-5/18/25, at 9:39 a.m. Resident R1 shows a pattern of behaviors of swearing and threating residents as well as staff. He is also hitting staff and going into residents' room. SW did follow the EMS Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 15 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0745 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few transportation to VA hospital ER in Oakland. The VA did place resident in a behavior emergency room to ensure staff could watch closely. X-rays were negative for fractures. Facility social worker met with Social Worker at VA to see if resident could be admitted under a 201, a voluntary commitment as the 302 could not happen as we had no witness to petition resident this day. -5/18/25, at 9:56 p.m. Resident R1 was swearing and threatening to harm nurse. Emergency medical services, whom just returned resident from the VA Hospital, were still waiting outside the resident's room. They stated that the VA could not 302 him earlier today because no one showed up to petition the 302. Contacted DON and Administrator and was instructed to call Resolve Crisis Center. Resolve Crisis Center contacted, and they will send a team to the facility as soon as they are able to.-5/18/25, at 11:29 p.m. resident was attempting to enter other residents' rooms when redirected he responded, Well screw you too, I'll have you thrown out of here.-5/19/25, at 2:11 p.m. eINTERACT form indicated behavioral status evaluation for physical aggression, verbal aggression and danger to self or others.-5/19/25, at 2:28 p.m. resident propelling self about the unit.-6/24/24, at 3:14 p.m. SW Employee E10 contacted Southwestern VA center to obtain fax and referral information. SW will follow up for possible admission/transfer.-6/27/25, at 2:03 p.m. SW Employee E10 spoke to family to communicate the need for VA services in a skilled nursing home. Family is aware of resident's behaviors and did agree that the VA could provide the best services for resident. SW faxed the necessary paperwork to Southwestern VA.-6/30/25, at 12:05 a.m. Resident R1 punched another resident in the ear. Residents were separated. Provider contacted along with DON and order to send to the hospital was obtained.-6/30/25, at 11:50 p.m. police and EMS stated they are not able to take Resident R1 at this time. Crisis line contacted.-7/1/25, at 12:29 a.m. Resident was calm at the time of the police interview and were unable to take resident due to dementia diagnosis.-7/1/25, 2:49 a.m. Remote Provider note indicated date of service as 6/30/25, at 9:40 p.m. Chief complaint aggressive behavior. Summary resident was in a different lock down unit previously. Resident has been having increasing aggressive behaviors since moving to this unit. Resident hit another resident.-7/9/25, at 11:07 a.m. another nurse reported to this nurse resident was aggressive with her. Reported to supervisor. DON and social worker in with resident to talk with resident.7/9/25, at 12:01 p.m. resident was verbally abusive and threatening physical violence by swinging punches at staff. At the nursing cart when resident walked up and quickly grabbed the scissors and attempted to harm me with them. Staff grabbed the end of the scissors to take them away from resident and yelled for help. Staff came and helped prevent the resident from physically attacking and assaulting staff with a deadly weapon. Floor nurse, DON, and Administrator were notified of the incident. Resident eligible for 302. 911 was called and picked up patient to take him to a city hospital for psychiatric evaluation and treatment.-7/9/25, at 1:01 p.m. Resolve in and warranted for 302 committal. Family notified via voice message to return the call.-7/9/25, at 2:03 p.m. Provider note the resident was seen and examined this morning at the request of staff after the patient was reported to have grabbed a pair of scissors and attempted to stab a nurse. Reportedly, the patient had increasing agitation throughout the morning and was difficult to redirect. Discussed with DON as well as unit director. Resolve Crisis has been called with a probable petition to 302.-7/9/25, at 9:34 p.m. Resident returned from hospital with diagnosis of urinary tract infection with antibiotics ordered.-7/17/25, at 7:59 p.m. resident swinging fist at another resident on unit. No contact made. Residents were separated.-9/23/25, at 9:02 a.m. SW Employee E11 called the VA center to obtain information about a transfer for resident and was unable to reach them. Left message and will follow up if SW doesn't receive a call back. Interview on 9/22/25, at 2:00 p.m. the Director of Nursing indicated SW Employee E10 was working on getting Resident R1 transferred to the VA, but SW Employee E10 no (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 16 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0745 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete longer works here. Interview on 9/24/25, at 3:30 p.m. the Director of Nursing confirmed that documentation indicated active transfer efforts on 6/24/25, and 6/27/25, under the previous SW Employee E10 and that SW Employee E11 did not have active transfer efforts until 9/23/25, almost a three month delay, confirming the facility failed to provide sufficient and timely social services related to assistance in transferring to the Veterans Affairs (VA) for a behavioral bed for one of twelve residents (Resident R1). 28 Pa. Code 201.14(b) Responsibility of licensee.28 Pa. Code 201.18 (b)(1)(3) Management.28 Pa. Code 201.29 (a) Resident rights.28 Pa. Code 211.12(d)(1)(3)(5) Nursing services.Pa Code 211.16. Social Services. Event ID: Facility ID: 395826 If continuation sheet Page 17 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. Level of Harm - Minimal harm or potential for actual harm Based on a review of a job description, facility and clinical records, and staff interviews, it was determined that the Nursing Home Administrator (NHA) did not effectively manage the facility to make certain that proper supervision was provided for residents at high risk for elopement as required, resulting in a resident elopement creating an immediate jeopardy situation.Findings include: The job description for the NHA specified the primary purpose of the job position is to direct the day-to-day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations that govern nursing facilities to assure that the highest degree of quality care can be provided to our residents at all times. Based on the findings in this report that identified that the facility failed to effectively manage the facility to make certain that proper supervision was provided for residents at high risk for elopement as required, resulting in a resident elopement creating an immediate jeopardy situation. The facility failed to provide fundamental principal that apply to treatment and care provided to facility residents. The facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, and facility policies. 28 Pa Code 201.14(a) Responsibility of licensee.28 Pa Code 201.18(b)(1)(e)(1) Management. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 18 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0844 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Based on a review of regulations, documents submitted to the State agency and staff interviews it was determined that the facility failed to notify the State agency of a change in the facility's Nursing Home Administrator (NHA) at the time of the change. Findings include: Review of the facility's password agreement document dated 9/16/25, indicated NHA became the Interim Administrator effective 9/5/25, and that they are responsible for submitting a Plan of Correction in response to deficiencies cited by the Pennsylvania Department of Health on CMS Form 2567. During an interview on 9/22/25, at 9:00 am the Director of Nursing confirmed that NHA Employee E14 was on leave and that the administrator for the facility was the Interim NHA. During an interview on 9/22/25, at 9:00 a.m. the Director of Nursing confirmed that on 9/5/25, the facility failed to notify by written letter the State Agency of the change of administrators which failed to meet the requirement of notification at the time of the change. PA Code: 201.14(a) Responsibility of licensee. Event ID: Facility ID: 395826 If continuation sheet Page 19 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0850 Hire a qualified full-time social worker in a facility with more than 120 beds. Level of Harm - Minimal harm or potential for actual harm Based on review of facility files and an interview with the Human Resources Director Employee E9, it was determined that the facility failed to employ a full-time qualified social worker from 7/27/25, through 9/2/25.Findings include: Review of facility provided payroll documentation on 9/25/25, at 10:00 a.m. Social Worker Employee E10's last day worked was 7/27/25. Review of facility provided payroll documentation on 9/25/25, at 10:00 a.m. Social Worker Employee E11's first day worked was 9/2/2/25. Interview with the Human Resources Director Employee E9 on 9/24/25, at 10:05 a.m. confirmed that the facility failed to employ a full time qualified social worker from 7/27/25, through 9/2/25. Pa Code 211.16. Social Services. Pa Code 201.14 (a)Responsibility of licensee. Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 395826 If continuation sheet Page 20 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0941 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Based on review of facility education documents, and staff interview, it was determined that the facility failed to provide training on effective communication for two of five staff members (Nurse Aide (NA) Employee E15, and NA Employee E5). Findings include: Review of facility provided documents and training records for NA Employees E15 and NA Employee E5, failed to include education on effective communication as required. Telephonic interview on 9/25/25, at 9:52 a.m. Human Resource Employee E9 confirmed that the facility failed to provide training on effective communication for two of five staff members (NA Employee E15, and NA Employee E5). 28 Pa Code: 201.14 (a) Responsibility of licensee.28 Pa Code: 201.18 (b)(1) Management.28 Pa Code: 201.20 (a)(6)(d) Staff development. Event ID: Facility ID: 395826 If continuation sheet Page 21 of 22 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 395826 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Hills Post Acute 1105 Perry Highway Pittsburgh, PA 15237 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)

F 0944 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Based on review of facility documents and staff interview, it was determined that the facility failed to provide training on QAPI (Quality Assurance and Performance Improvement) for three of five employees (Nurse Aide (NA) Employee E15, and NA Employee E5, and Licensed Practical Nurse (LPN) Employee E16). Findings include: Review of the Facility assessment dated Quarter one 2025, indicated staff training/education and competencies will be completed during general orientation upon hire, annually, and as needed. Educations listed included:-Communication, resident rights and facility responsibilities, abuse, neglect and exploitation of residents, quality assurance and performance improvement (QAPI), infection control, compliance and ethics, and behavioral health. Findings include: Review of facility provided documents and training records for NA Employees E15 and NA Employee E5 and LPN Employee E16, failed to include education on QAPI as required. Telephonic interview on 9/25/25, at 9:52 a.m. Human Resource Employee E9 confirmed that the facility failed to provide training on QAPI for three of five staff members (Nurse Aide (NA) Employee E15, and NA Employee E5, and Licensed Practical Nurse (LPN) Employee E16). 28 Pa Code: 201.14 (a) Responsibility of licensee.28 Pa Code: 201.18 (b)(1) Management.28 Pa Code: 201.20 (a)(6)(d) Staff development. Event ID: Facility ID: 395826 If continuation sheet Page 22 of 22