Inspection·July 17, 2025

F 0553 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Allow resident to participate in the development and implementation of his or her person-centered plan of care. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to conduct care plan conferences and failed to ensure a resident or resident representative was notified in advance of care conference meetings for three of five residents (Resident R2, R31, and R43). Findings include:The facility Participation in Planning Care and Treatment policy dated 1/13/25, indicated that the resident and their family or responsible party have the right to participate in planning care and treatment or changes in care and treatment. The resident care plan shall be reviewed, evaluated, and updated quarterly and as necessary by the interdisciplinary team involved in the care of the resident. The resident and their representative shall be notified of care plan meetings and care conference and offered the opportunity to attend in person or via phone. Review of Resident R2's admission record indicated resident was admitted on [DATE]. Review of Resident R2's MDS assessment (Minimum Data Set assessment: MDS -a periodic assessment of resident care needs) dated 5/26/25, indicated diagnoses of depression, migraines (headache), and paraplegia (paralysis of the legs and lower body). During an interview on 7/15/25, at 9:41 a.m. Resident R2 stated: What is that? I never attended any meetings, when asked if she has participated in care plan meetings. Resident R2 stated she would like to attend if she knew when they were and that she never received an invitation for a care plan meeting. During an interview on 7/16/25, at 1:46 p.m. Assistant Director of Nursing Employee E2 stated that Resident R2 should have had a care conference December 2024, March 2025, and June 2025.The facility failed to provide documented evidence of meetings and failed to send invitations to the meeting to the resident. Review of Resident R31's admission record indicated resident was admitted on [DATE]. Review of Resident R31's MDS dated [DATE], indicated diagnoses of depression, high blood pressure, and cerebral infarction (necrotic tissue in the brain resulting loss of blood and oxygen to the brain). During an interview on 7/17/25, at 9:38 a.m. Resident R31 stated: I haven't been to any care conferences, and I would like to go when asked if she has participated in care plan meetings. Resident R31 stated that she never received an invitation for a care plan meeting. During an interview on 7/17/25, at 11:02 a.m. Assistant Director of Nursing Employee E2 stated that Resident R31 should have had a care conference September 2024, December 2024, February 2025, and May 2025. The facility failed to provide documented evidence of meetings and failed to send invitations to the meeting to the resident. Review of Resident R43's admission record indicated resident was admitted on [DATE]. Review of Resident R43's MDS dated [DATE], indicated diagnoses of high blood pressure, diabetes (a metabolic disorder in which the body has high sugar levels for prolonged periods of time), and heart failure (a progressive heart disease that affects pumping action of the heart muscles). During an interview on 7/15/25, at 9:55 a.m. Resident R43 stated: I haven't been to any care conferences, and I would like to go when asked if she has participated in care plan meetings. Resident R31 stated that she never received an invitation for a care plan meeting. During an interview on (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 16 Event ID: 395903 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 395903 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Harmony Hills Healthcare and Rehabilitation Center 194 Swinderman Road Wexford, PA 15090 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)