Health inspection·September 13, 2024

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policies, facility provided documents, clinical records and staff interview, it was determined that the facility failed to make certain a resident was free from abuse, neglect or misappropriation of property for one of two residents reviewed (Resident R69). Findings include: Review of the facility policy Abuse, Neglect, Misappropriation last reviewed on 3/25/24, indicated that the facility intent is to prevent the abuse, mistreatment or neglect of residents and to provide guidance to direct care staff to manage concerns or allegations of abuse. Employees will receive abuse preventive training as required as part of the orientation, as needed/indicated and annually thereafter. Accurate and timely reporting of of incidents both alleged and substantiated , will be sent to the officials in accordance with state law; if an alleged violation is verified, appropriate corrective action will be taken by the facility. Review of the clinical record indicated that Resident R69 was admitted to the facility on [DATE], with diagnoses which included kidney disease, compression fractures of spine, cognitive communication deficit, diabetes, lung disease, respiratory failure, falls and obesity. A Minimum Data Set (MDS- a periodic assessment of resident care needs) dated 8/23/24, indicated the diagnoses remained current. Section C0500 (Brief interview for mental status) indicated a score of 15; which indicated the resident was cognitively intact. Review of a facility provided document dated 9/3/24, indicated that Resident R69 had alleged that Registered Nurse(RN) Employee E6 had verbally abused her when she tried to get her up to get weighed. During an interview on 9/3/24, by the Social Worker Employee E7 indicated that Resident R69 stated that the Unit Manager (RN Employee E6) is rude and has a bad attitude, that she is verbally abusive. The resident stated that she had cried many times over the way the RN Employee E6 speaks to her. Resident R69's Family Member was also interviewed on 9/3/24, as she had witnessed the event, and stated that she agreed with Resident R69's statement and that the Unit Manager(RN Employee E6) used a bad tone. Review of the facility report indicated the facility reported the event and provided re-education to RN Employee E6 for abuse and communication skills on 9/5/24. A Corrective Action was dated 9/5/24, indicated RN Employee E6 was given a written warning but refused to sign. (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 6 Event ID: 395977 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 395977 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/13/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Terrace Health & Rehab Center 410 Terrace Drive Uniontown, PA 15401 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)