Kittanning Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Kittanning Health & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jan 16, 2025

  Based on review of facility policies, documentation, observations, resident and staff interviews and state and federal guidance it was determined that the facility failed to implement COVID and Influenza monitoring, tracking, and testing in accordance with state and federal guidance for 95-101 residents from 11/29/24, through 1/15/25. The facility failed to adhere to state return to work guidance for staff. These failures placed all residents in the facility in an Immediate Jeopardy situation. […]

• Immediate jeopardy, widespreadF880Sep 16, 2024

  Based on review of facility policies and documentation, observations, and staff interviews, it was determined that the facility failed to maintain an infection prevention and control program by failing to follow infection control guidelines from the Centers for Disease Control (CDC) and the Pennsylvania Department of Health (PA DOH) to reduce the spread of infections and prevent cross-contamination during a COVID-19 outbreak. The facility failed to perform contact tracing and testing per PA DOH guidelines and cohorted (an infection prevention and control strategy of grouping residents together who are identified with the same organism to confine their care to one area and prevent contact and spread to other residents) residents who were positive for COVID-19 with residents who were not… […]

• Actual harm, isolatedF760Jan 9, 2026

  Based on review of facility policy, clinical record review, resident interview, and interviews with staff, it was determined that the facility failed to ensure that residents are free of significant medication errors for two of six residents reviewed (Resident R31, and R53) which resulted in actual harm (a medication overdose that caused unresponsiveness and required the administration of Narcan- a medication used to reverse overdoses of opioids [pain medication with a high risk of addiction] that is administered via a nasal spray) for Resident R31.Findings include: Review of facility policy General Dose Preparation and Medication Administration dated 6/18/25, stated prior to administration of medication, facility should verify each time a medication is administered that it is the correct… […]

• No harm, potential for more than minimal, widespreadF725Jan 9, 2026

  Based on review of facility documents, and resident and staff interviews, it was determined that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of eleven of 16 residents (Group Resident (GR)1, GR2, GR3, GR4, GR5, GR6, GR7, GR8, and GR9, R51, and R88). Findings Include: Review of Payroll Based Journal (PBJ- a mandatory reporting system for nursing homes in which staffing information is reported on a quarterly basis) dated 1/1/25, through 3/31/25, indicated that the facility has a one star rating out of five stars, and that they have excessively low weekend staffing. […]

• No harm, potential for more than minimal, widespreadF880Jan 9, 2026

  Based on review of facility policy, observations, and staff interviews it was determined that the facility failed to ensure that fit testing of NIOSH-approved N-95 masks (a respirator mask used to care for residents with suspected or confirmed Covid-19) was completed to care for residents with suspected or confirmed Covid-19 (an infectious disease caused by a virus) during an outbreak in order to prevent the transmission of communicable diseases and infections during a COVID-19 outbreak from 12/29/25 through 1/9/26, and failed to properly monitor residents refrigerator temperatures for one of two residents (Resident R88). […]