Conemaugh Memorial Medical Center Tcu

In the surveyor’s words

From the most serious findings on record at Conemaugh Memorial Medical Center Tcu, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Apr 5, 2023

  Based on a review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to obtain weights as ordered by the physician for eight of 11 residents reviewed (Residents 2, 6, 7, 9, 10, 12, 13, 14). Findings include: The facility's policy for weights, dated March 16, 2023, indicated that upon admission, residents would have an admission weight done to record baseline weight. Residents will then be set up on a biweekly weight schedule unless otherwise ordered by physician or deemed necessary by registered nurse. All weights would be documented in the electronic record and on the report sheet. Physician's orders for Resident 2, dated March 22, 2023, included and order for the resident to be weighed every Wednesday and Saturday. […]

• No harm, potential for more than minimal, patternF655May 20, 2021

  Based on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that a written summary of the baseline care plan was provided to the resident and/or the resident's representative for 10 of 10 residents reviewed (Residents 2, 9, 61, 63, 64, 68, 69, 70, 72, 73) who were new admissions to the facility. Findings include: Resident 2's clinical record revealed that the resident was admitted to the facility on [DATE], and a baseline care plan was developed at that time. However, there was no documented evidence that the resident and/or the resident's representative received a written summary of the baseline care plan. […]

• No harm, potential for more than minimal, isolatedF690Mar 10, 2026

  Based on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure urinary output was monitored for one of 14 residents reviewed (Resident 27) who had a nephrostomy tube (a thin flexible tube inserted into the kidney through the skin to drain urine). Findings include: A facility policy for intake and output monitoring, dated March 19, 2025, input and output of residents are monitored during their stay at the facility. Intake and output are recorded on each resident in the electronic medical record every shift or per the physician's order if different from facility protocol. […]

• No harm, potential for more than minimal, isolatedF692Mar 10, 2026

  Based on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that dietitian recommendations for dietary supplements were accurately ordered for one of 14 residents reviewed (Resident 28).Findings include: Review of Resident 28's admission orders and progress notes, dated March 5, 2026, revealed that the resident was admitted after a fall at home resulting in a fracture to her left arm. A care plan for the resident, dated March 5, 2026, revealed that the resident had a risk for altered nutrition and skin integrity. A dietician note for Resident 28, dated March 5, 2026, at 8:29 a.m. recommended the addition of an ensure plus high protein supplement and a mighty shake supplement each daily to support adequate nutrition status. […]

• No harm, potential for more than minimal, isolatedF689Feb 20, 2025

  Based on a review of facility policies, clinical records, and facility investigation reports, as well as observations and staff interviews, it was determined that the facility failed to ensure resident safety during transportation in a wheelchair for one of 40 residents reviewed (Resident 216). Findings include: A facility policy regarding safe mobility, dated March 15, 2024, indicated that the facility would promote safe mobility for all residents in their care. Yellow code was caution, the resident needs assistance with mobility. A review of the clinical record for Resident 216 indicated that the resident was admitted to the facility on [DATE], with a diagnosis of a closed non-displaced intertrochanteric fracture of the right femur. Resident 216 was coded yellow. […]