Rehab & Nursing CTR Greater Pittsburgh

In the surveyor’s words

From the most serious findings on record at Rehab & Nursing CTR Greater Pittsburgh, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 4, 2026

  Based on clinical record review, facility policy, facility documentation, and resident and staff interviews, it was determined the facility failed to ensure residents were free from abuse for one of three residents reviewed (Resident R1). This was identified as harm and past non-compliance.Findings include: During the survey conducted on 8/4/26 in response to a facility reported event, it was identified and reported that Resident R1 was included in a social media post. Onsite review of the video recording by the surveyor on 8/4/26, that was originally posted online on 7/22/26, revealed Resident R1 was video recorded, sitting on the floor, with a clear view of her face and arms, partially exposing a portion of her lower legs, and wearing a blue outfit that covered her upper torso and thigh… […]

• Actual harm, isolatedF600May 28, 2026

  Based on review of facility policy, clinical records, documentation provided by the facility, facility investigation, resident interview, and staff interviews, it was determined that the facility failed to ensure that a resident was free from neglect by failing to provide adequate assistance and interventions to prevent fall with injury, which resulted in actual harm of a scalp laceration, brain bleed and hospital admission to reverse anticoagulation for one of three residents (Resident R1). Findings Include: Review of the facility policy Abuse, Neglect, Misappropriation Prevention Program last reviewed on 1/16/26, indicated that the residents of the facility have a right to be free from abuse, neglect, exploitation and misappropriation of property. […]

• Actual harm, isolatedF689May 28, 2026

  Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to make certain each resident received adequate supervision and assistance for bed mobility to prevent accidents which resulted in actual harm of a head bleed for one of three residents (Resident R1).Findings Include: Review of facility Falls and Fall Risk, Managing policy dated 1/15/26, indicated that based on previous evaluations and current data, the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling. […]

• Actual harm, isolatedF600Apr 22, 2025

  Based on review of facility policy, clinical records, documentation provided by the facility, facility investigation, resident interview, and staff interviews, it was determined that the facility failed to ensure that a resident was free from neglect by failing to provide adequate assistance and interventions to prevent fall with injury, which resulted in actual harm as evidenced by a subarachnoid hemorrhage, six staples to the left side of the scalp, and a C4 (fourth cervical vertebra) fracture which required use of a cervical collar to be worn at all times for one of three residents (Resident R1). […]

• Actual harm, isolatedF689Apr 22, 2025

  Based on review of facility policy, clinical records, facility documentation, and staff interviews, it was determined that the facility failed to provide adequate assistance and interventions to prevent fall with injury, that resulted in actual harm causing a subarachnoid hemorrhage, six sutures to the scalp, and a C4 (fourth cervical vertebrae) fracture for one of three residents (Resident R1) Findings include: Review of the facility policy Safe Patient/Resident Handling Policy and Procedure, last reviewed on 1/16/25, indicated that staff are trained to utilize safe resident handling equipment and moving techniques to decrease the number of injuries to them and to the residents. […]