Rehabilitation Center at Jefferson Hills, The

In the surveyor’s words

From the most serious findings on record at Rehabilitation Center at Jefferson Hills, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 6, 2025

  Based on review of facility policy, clinical and facility record review, facility submitted documents, and staff interviews, it was determined that the facility failed to provide adequate supervision to prevent elopement for one of three residents (Resident R1). This failure created an immediate jeopardy situation for 1 of 42 residents. Review of the facility policy Resident Rights dated 12/20/24, indicated the facility will promote the exercise of rights for each resident, including any who face barriers (such as communication problems, hearing problems and cognition limits) in the exercise of these rights. Review of the clinical record revealed Resident R1 was initially admitted to the facility on [DATE] and readmitted on [DATE]. […]

• No harm, potential for more than minimal, widespreadF847Mar 7, 2024

  Based on review of facility documents, resident and staff interviews it was determined that the facility failed to ensure the residents' right to not enter into a binding arbitration agreement as a condition of admission for 44 of 44 admitted residents. Findings include: Review of the Admission Packet list attachments as Attachment P Voluntary Arbitration Agreement. Review of the Arbitration Agreement indicated that the agreement is voluntary. The agreement has been explained to the Resident and his or her Representative in a form and manner that he or she understands. The signature section at the end of the agreement stated THE EXECUTION PAGE MUST BE SIGNED BY EITHER THE RESIDENT OR THE RESIDENT'S REPRESENTATIVE. […]

• No harm, potential for more than minimal, widespreadF880Mar 7, 2024

  Based on review of facility policy, water testing logs and staff interview, it was determined that the facility failed to implement an effective Water Management Program for the prevention and control of water-borne contaminants, such as Legionella (a bacteria that may cause Legionnaires' Disease, a serious type of pneumonia) for eleven of eleven months (April 2023 through February 2024). Findings include: A review of the facility policy Legionnaires' Disease Infection Control and Monitoring Policy dated 2/12/24, did not include a water management program based on framework outlined in ASHRAE and CDC Standards identified as per the Maintenance Director Employee E1 and confirmed with the Nursing Home Administrator to minimize risk for Legionella associated with the building water systems at… […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2023

  Based on observations, facility policy, and staff interview, it was determined that the facility failed to properly restrain hair to prevent the potential for cross contamination in the Main Kitchen, and failed to store products in a manner to prevent foodborne illness in the main kitchen. Findings include: Review of facility policy Personal Standards last reviewed 2/28/23, indicated that hair nets or caps covering all of the hair, must be worn at all times while on duty, and that the dining services personel must follow these sanitary standards. Review of the facility policy titled Food Storage last reviewed 2/28/23, indicated food storage areas shall be maintained in a clean, safe, and sanitary manner. During an observation on 3/5/23, at 9:15 a.m. […]

• No harm, potential for more than minimal, patternF584Feb 13, 2026

  Based on observations, resident, and staff interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment on one of two nursing units (North Nursing Unit).Findings include: Review of the facility policy Resident Environment dated 12/5/25, indicated in part The facility will provide an environment that is safe, clean comfortable and homelike, allowing the resident to use his or her personal belongings to the extent possible. During an observation on 02/12/2026, at 8:30 a.m., the following was identified: Residents R19 and R30 had tape surrounding the ceiling air vent. The air vent and tape had dust collected on both. Residents R4 and R41 had the rubber baseboard molding pulled away from the wall, for the entire length of the wall. […]