Transitions Healthcare North Huntingdon

In the surveyor’s words

From the most serious findings on record at Transitions Healthcare North Huntingdon, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Feb 6, 2025

  Based on a review of facility policies, documents, observations and staff interviews it was determined that the facility failed to properly design, approve, and follow the Winter five week cycle menu and modifications of the cycle menu. (Winter menu Cycle weeks one, two, three, four and five). Findings include: A review of the facility's Menu Planning policy date 12/31/24, revealed that menu planning will be completed by the facility at least two weeks in advance of service. Regular and therapeutic diets will be written to provide a variety of foods served, adjusted for seasonal changes and in adequate amounts at each meal to satisfy recommended daily allowances. The registered dietitian (RD) will approve all menus. […]

• No harm, potential for more than minimal, widespreadF812Dec 8, 2022

  Based on a review of facility policies, observations and staff interview, it was determined that failed to monitor wash and rinse temperatures on the dishmachine in the main kitchen for eight of twelve months (May 2022 through December 2022). Findings include: Review of the facility policy Cleaning dishes/Dish Machine last reviewed on 3/16/22, indicated that all flatware, serving dishes and cookware will be cleaned, rinsed and sanitized after each use. The dish Machine will be checked prior to meals to assure proper functioning and appropriate temperatures for cleaning and sanitizing. […]

• No harm, potential for more than minimal, patternF761Apr 30, 2026

  Based on a review of facility policy, observations, and staff interviews, it was determined that the facility failed to make sure that medical supplies and medications were properly stored and/or disposed of in one of two medication rooms (A/B Nursing Unit Medication Room). Findings include: Review the facility policy Storage of Medications dated 4/1/26, indicated that outdated, contaminated, or deteriorated items will be removed from stock and disposed of accordingly. During an observation of the A/B nursing unit medication room on 4/28/26, at approximately 12:32 p.m. […]

• No harm, potential for more than minimal, patternF558Mar 11, 2026

  Based on review of facility policy, facility records, resident and staff interviews, it was determined that the facility failed to make certain call lights were accessible and answered timely for six of thirteen residents as required (Resident R1, R2, R3, R4, R5, and R6).Findings include: The facility policy Call Bells dated 4/1/25, indicated the purpose of this procedure is to respond to the resident's requests and needs when using the call bell system for assistance. If answering the call light from the nurse's station, please ensure that staff respond to resident request immediately. […]

• No harm, potential for more than minimal, patternF760Jan 15, 2026

  Based on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to ensure that residents are free of significant medication errors for two of five residents reviewed (Residents R2 and R3). Findings include: Review of facility policy Administration Procedure for All Medications dated 04/01/25, indicated that medications will be administered in a safe and effective manner. The policy further stated, Obtain and record any vital signs or other monitoring parameters ordered or deemed necessary prior to administration. Review of the clinical record indicated Resident R2 was admitted to the facility on [DATE]. […]