Squirrel Hill Wellness and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Squirrel Hill Wellness and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF686Apr 28, 2021

  Based on review of facility policy and records, observations and staff interviews , it was determined that the facility failed to consistently provide prescribed treatment and services, consistent with professional standards of practice, to prevent pressure sore development, promote healing and prevent worsening of pressure ulcers as required for nine of ten residents reviewed (R32, R59, R33, R28, R34, R35, R60, R61, and R38). This failure placed the facility in an Immediate Jeopardy situation for seven of eight residents with pressure ulcers (R33, R28, R34, R35, R60, R61 and R38). […]

• Immediate jeopardy, patternF880Apr 28, 2021

  Based on observations, review of clinical records, facility policies, and documentation, and staff interviews, it was determined that the facility failed to maintain an infection prevention and control program by failing to investigate, document surveillance of and implement preventative measures timely, to address an outbreak of gastrointestinal (GI, relating to the stomach and the intestines) illness resulting in actual harm to 29 of 95 residents (Residents R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21,R22, R23, R24, R25, R26, R27, R28 and R29) and failed to provide education to staff members on GI illness and additional handwashing requirements for 89 of 115 employees. […]

• Immediate jeopardy, isolatedF600May 7, 2024

  Based on review of facility provided policies and documentation, clinical records, and staff interviews, it was determined that the facility failed to protect residents from staff-initiated physicial abuse. This failure resulted in a staff member physically assaulting a resident and which resulted in serious injuries and transfer to hospital which created an Immediate Jeopardy situation for one of 104 residents (Resident R1). Findings include: Review of the facility's policy Abuse and Neglect - Clinical Protocol reviewed 10/2/23, indicated the facility will provide protection for the health, welfare and rights of each resident by developing and implementing written policies that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. […]

• Immediate jeopardy, isolatedF609May 7, 2024

  Based on review of state laws, facility policies, clinical records, and staff interviews, it was determined that the facility failed to implement policies and procedures for covered individuals to report the suspicion and/or observation of staff to resident abuse for one of 104 residents reviewed (Resident R1), which provided the opportunity of an additional eight days for abuse to possibly continue. This failure created an Immediate Jeopardy situation for one of 104 residents (Resident R1). Findings include: Review of the Older Adult Protective Services Act of 11/6/87, amended by Act 1997-13, Chapter 7, Section 701, requires any employee or administrator of a facility who suspects abuse is mandated to report the abuse. […]

• Actual harm, isolatedF689Oct 7, 2025

  Based on review of facility policies and documents, clinical record review and staff interviews, it was determined that the facility failed to provide adequate supervision to prevent a fall that resulted in the actual harm of a facial laceration that required sutures for one of three residents (Resident R1) This was identified as past noncompliance.Findings include:Review of facility policy, Safe Resident Handling dated 4/2/25, indicated The facility is to ensure that residents are handled and transferred safely to prevent or minimize risks for injury and provide and promote safe, secure, and comfortable experiences for the resident while keeping the employees safe in accordance with current standards and guidelines.Review of facility policy, Activities of Daily Living (ADLs) dated 4/2/25,… […]