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Deficiency Records for Pittsburgh Skilled Nursing and Rehabilitation Ctr
A list of the most recent deficiencies for Pittsburgh Skilled Nursing and Rehabilitation Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Pittsburgh Skilled Nursing and Rehabilitation Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-11 | 2024-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-11 | 2024-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-11 | 2024-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-12 | 2024-05-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-12 | 2024-05-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-12 | 2024-05-31 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-04-12 | 2024-05-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-12 | 2024-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-12 | 2024-05-31 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-12 | 2024-05-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-04-12 | 2024-05-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-04-12 | 2024-05-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-04-12 | 2024-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-05-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-12 | 2024-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-12 | 2024-05-31 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2024-04-12 | 2024-05-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-11 | 2024-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-11 | 2024-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-11 | 2024-05-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-11 | 2024-05-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-02-26 | 2024-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-26 | 2024-03-25 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-26 | 2024-03-25 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-03 | 2024-02-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-03 | 2024-02-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-13 | 2023-12-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-21 | 2023-10-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-21 | 2023-09-15 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-02 | 2023-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-02 | 2023-08-25 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-02 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-08-25 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-26 | 2023-07-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-26 | 2023-07-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-26 | 2023-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-26 | 2023-07-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-26 | 2023-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-07-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-26 | 2023-07-20 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-05-26 | 2023-07-20 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-05-26 | 2023-07-20 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2023-05-26 | 2023-07-20 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-05-26 | 2023-07-20 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-05-26 | 2023-07-20 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide training in compliance and ethics. | Health | 2023-05-26 | 2023-07-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-05-26 | 2023-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-26 | 2023-07-20 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-03-23 | 2023-04-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-23 | 2023-04-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-23 | 2023-04-12 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-28 | 2023-04-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-28 | 2023-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-04-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-02-28 | 2023-04-12 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-30 | 2022-09-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-30 | 2022-08-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-17 | 2022-07-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-17 | 2022-07-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-17 | 2022-07-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-17 | 2022-07-26 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-17 | 2022-07-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-17 | 2022-07-26 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-05-27 | 2022-06-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-05 | 2022-05-26 | Y |
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