Upmc Magee-Womens Hospital Tcu

In the surveyor’s words

From the most serious findings on record at Upmc Magee-Womens Hospital Tcu, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF887Nov 25, 2025

  Based on facility policy, clinical record review and staff interview, it was determined that the facility failed to provide accurate and timely documentation related to the COVID-19 (a respiratory disease) vaccine for five out of five residents (Resident R6, R9, R27, R28, and R36). Findings include: Review of facility policy Infection Control - Immunizations dated 9/25/25, indicated Pneumococcal, Covid, and Influenza immunizations will be offered to residents. Other immunizations will be offered as indicated. The purpose is to prevent transmission of agents. Upon admission, establish immunization status with resident or resident representative. Review of Resident R6's clinical record indicated the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF880Dec 20, 2024

  Based on review of facility policy, observations, and staff interviews, it was determined that the facility failed to implement Enhanced Barrier Precautions (EBP) for four of eleven residents (Resident R65, R115, R118 and R123), and failed to implement infection control practices to prevent cross contamination during a dressing change for one of three residents (Resident R65). Findings include: The Centers for Disease Control defines Enhanced Barrier Precautions (EBP) as: an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes. […]

• No harm, potential for more than minimal, isolatedF628Nov 25, 2025

  Based on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman upon discharge for two out of three closed resident records (Residents CR25 and Resident CR26).Findings include: The facility Admission, transfer, discharge policy last reviewed on 9/25/25, indicated that the discharge of a resident from the facility is conducted in an organized manner, focusing on continuity of care. Review of Resident CR25's admission record indicated he was admitted on [DATE]. […]

• No harm, potential for more than minimal, isolatedF693Nov 25, 2025

  Based on review of facility policy, clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that residents with an enteral feeding tube (a tube inserted in the stomach through the abdomen) received appropriate treatment and services to prevent potential complications for one of three residents (Resident R30).Findings include: Review of facility policy Tube Feeding via Enteral Feeding Pump last reviewed 9/25/25, indicated to deliver a liquid feeding formula directly to the stomach. Enteral feeding and tubing are changed every 24 hours or when a new bottle is hung. Label feeding bag/bottle with date and time hung. […]

• No harm, potential for more than minimal, isolatedF694Nov 25, 2025

  Based on review of facility policy, observations, and staff interviews, it was determined that the facility failed to provide adequate treatment and care for a peripherally inserted catheter (a thin plastic tube inserted into a vein using a needle) in accordance with professional standards of practice for one of two residents (Resident R33). Findings include: Review of the facility policy Intravenous (IV) Therapy: Peripheral, Including Midlines last reviewed 9/25/25, indicates to maintain venous access, administer continuous/intermittent intravenous fluids, nutrition, medications, and blood products over a specific time frame. All registered Nurses and Licensed Practical Nurses that complete the IV therapy program are responsible for including but not inclusive to:. […]