Masonic Village at Sewickley

In the surveyor’s words

From the most serious findings on record at Masonic Village at Sewickley, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 13, 2026

  Based on review of facility policy, clinical records, investigation documents, and other resources, as well as staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure that a resident was free from accident/hazards by failing to provide a second person to assist with a stand-up lift transfer, which resulted in harm as evidenced by a displaced fractured humerus (upper arm bone), hospitalization, and functional loss of right hand for one of three residents reviewed (Resident 1).Findings include: A review of the facility policy, titled Resident Transfers To/From and Within Equipment, last reviewed August 28, 2025, indicated employees will utilize appropriate body mechanics and safety techniques to prevent injury to the residents and… […]

• Actual harm, isolatedF689Jul 21, 2021

  Based on clinical and facility record review, facility policy review, and staff interviews, it was determined that the facility failed to provide adequate supervision and thoroughly investigate elopements for one of two residents (Resident R1) which resulted in actual harm during a second elopement from the facility requiring emergency treatment of a facial laceration. Findings include: The facility policy Elopement last reviewed on 7/15/21, indicated elopement to be an incident in which a resident, who without notification to staff or unobserved by staff, leaves the facility and is found 100 feet or more from the nearest entryway. All residents with a known history of elopement or persistent exit seeking behavior will be clearly identified in the resident's plan of care. […]

• No harm, potential for more than minimal, widespreadF880Jun 18, 2026

  Based on review of the facility's water management plan, facility documentation, and staff interviews, it was determined that the facility failed to implement control measures in the cooling tower and closed loop systems as the water management plan indicated to prevent the growth of Legionella bacteria, and the facility failed to conduct remedial control measures timely and appropriately for eight of ten months (November 2025 to March 2026).Findings Include: Review of the facility's Water Management Plan dated 3/15/25, revealed for this water management plan to be most effective, it must be fully implemented. The persons responsible for verifying implementation of control measure are listed within each control measure. […]

• No harm, potential for more than minimal, widespreadF812Sep 22, 2023

  Based on observations and staff interviews it was determined that the facility failed to maintain sanitary conditions in the Main Kitchen which created the potential for cross contamination. (Main Kitchen) Findings include: During an observation on 9/19/23, at 10:00 a.m. it was revealed one ice machine in the main kitchen contained a brown substance inside the machine. Review of Masonic Village work orders dated May-July 2023, revealed the ice machine was last serviced 7/17/23. During an interview on 9/19/23, at 9:50 a.m. the Food Service Director Employee E5 confirmed the brown substance in ice machine and it has not been cleaned since 7/17/23, creating the potential for cross contamination. 28 Pa Code: 201.14(a) Responsibility of licensee.

• No harm, potential for more than minimal, patternF690Jul 31, 2025

  Based on review facility polices, observations, clinical records, and staff interviews it was determined that the facility failed to make certain that appropriate treatments and services were provided for the use of an indwelling urinary catheter as required for three of four residents (Resident R11, R17, and R41). Findings include: Review of facility policy Continence Care Program and Indwelling Catheter Management dated 8/8/24/25, indicated drainage bags should be covered for dignity. Review of the clinical record indicated Resident R11 was admitted to the facility on [DATE]. […]