South Hills Post Acute

In the surveyor’s words

From the most serious findings on record at South Hills Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 23, 2025

  Based on observations 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. Findings include: Review of facility policy Food Preparation and Service reviewed 3/6/25, indicated food and nutrition services staff wear hair restraints (hair net, hat, beard restraint, etc.) so that hair does not contact food. During an observation on 5/22/25, at 11:00 a.m. Dietary Aide Employee E7 and Volunteer Dietary Aide Employee E8, were observed in the kitchen without beard restraints. During an interview on 5/22/25, at 11:05 a.m. the Dietary Manager Employee E9 confirmed the kitchen staff should wear beard restraints, if facial hair is present. 28 Pa. Code: 211.6(c)(d)(f) Dietary services.

• No harm, potential for more than minimal, patternF657May 14, 2026

  Based on review of facility policy, clinical records, and staff interview it was determined the facility failed to make certain a resident had an updated, person-centered care plan individualized to each specific resident's needs for four of six residents (Resident R90, R70, R21 and CR304).Findings include:Review of the facility policy Care Plan-Comprehensive Person-Centered dated 1/6/26, indicated each resident will have a comprehensive care plan developed that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs and will reflect current standards of practice for problem areas and concerns. […]

• No harm, potential for more than minimal, patternF584May 23, 2025

  Based on review of facility policy, facility records, observation and resident interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment for six of fourteen residents as required (Residents R500, R501, R502, R503, R504, and R505) on two of three nursing units second and third floor. Findings included: Review of the facility policy Resident Rights dated 3/6/25, indicated the facility treat all residents with kindness, respect, and dignity. Review of Title 42 Code of Federal Regulations S483.10(i) Safe Environment. The resident has a right to a safe, clean, comfortable, and homelike environment, including but not limited to receiving treatment and supports for daily living safely. […]

• No harm, potential for more than minimal, patternF628May 23, 2025

  Based on a review of facility policy, clinical record reviews, and staff interview, it was determined that the facility failed to ensure that the resident and/or their representative received written notice of the facility bed-hold policy at the time of transfer for five of six residents reviewed for hospitalization (Resident R10, R30, R61, R99, and R114). Findings Include: Review of federal regulation S483.15(d) Notice of Bed-Hold Policy, indicated: -Facilities must provide written information about these policies to residents prior to and upon transfer for such absences. This information must be provided to all facility residents, regardless of their payment source. […]

• No harm, potential for more than minimal, patternF692May 23, 2025

  Based on review of facility policy, clinical records, observations, and staff interview, it was determined that the facility failed to ensure direct care staff were aware of residents with fluid restriction orders to make certain acceptable parameters of nutritional status were maintained for three of three residents on physician ordered fluid restrictions (Resident R61, R27, and R16). Findings include: The facility policy Resident Hydration and Dehydration Prevention dated 3/4/25, indicated physician orders to limit fluids will take priority over calculated fluid needs. […]