Wecare at Mt Lebanon Rehabilitation and NRSG CTR

In the surveyor’s words

From the most serious findings on record at Wecare at Mt Lebanon Rehabilitation and NRSG CTR, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 3, 2023

  Based on review of facility provided policies and documentation, clinical records, and resident, family, and staff interviews, it was determined that the facility failed to protect residents from staff initiated sexual abuse. This failure resulted in a staff member receiving oral sex from a resident, a staff member sexually touching a resident's genitalia to two of four residents, and this failure created an Immediate Jeopardy for two of 96 residents (Resident R1 and R2). Findings include: Review of facility policy Abuse: Protection from Abuse, reviewed 3/2022, revealed that each resident has the right to be free from abuse, corporal punishment, involuntary seclusion, neglect, and misappropriation of property. […]

• Immediate jeopardy, isolatedF609Mar 3, 2023

  Based on review of state laws, facility policies, clinical records, and resident and staff interviews, it was determined that the facility failed to implement policies and procedures for covered individuals to report the suspicion of staff to resident sexual abuse for one of four residents reviewed (Resident R2), which resulted in the previously accused staff member engaging in a sexual act with one of four residents reviewed (Resident R1). This failure created an Immediate Jeopardy for two of 96 residents (Resident R1 and R2). 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, isolatedF689Mar 3, 2023

  Based on review of facility policy and documentation, clinical record review, and staff interviews, it was determined that the facility failed to provide adequate supervision for the transfer and bed mobility needs of two of six residents (Resident R3 and R4), resulting in the actual harm of fractures and/or lacerations. Findings include: Review of facility policy Fall Protocols dated 3/22, indicated Residents' will be assessed for fall risk upon admission, readmission, quarterly, and with a significant change in medical condition. In the event of an actual fall, an attempt will be made to eliminate causal factors and prevent further falls. Review of Resident R3's admission record indicated she was originally admitted to the facility on [DATE], and readmitted [DATE]. […]

• Actual harm, isolatedF600Jul 18, 2022

  Based on review of facility policies and clinical records, staff interviews and written statements, it was determined that the facility failed to ensure that a resident was free from neglect by failing to provide adequate supervision of a two person transfer to prevent an avoidable accident which resulted in actual harm of a resident causing a left intertrochanteric femur fracture (breaking of the upper part of the leg bone between the bony prominence near to the hip muscles attachments) for one of eight residents (Resident R58). Findings include: Review of the facility policy Abuse Protection last reviewed 3/22/22, indicated that neglect is defined as the failure to provide the goods and services necessary to avoid physical harm, mental anguish or mental illness. […]

• Actual harm, isolatedF689Jul 18, 2022

  Based on review of facility policies and clinical records, staff interviews and written statements, it was determined that the facility failed to make certain that a resident received adequate supervision and was provided a safe transfer resulting in actual harm when resident fell during a transfer causing resident to sustain a left intertrochanteric femur fracture (breaking of the upper part of the leg bone between the bony prominence near to the hip muscles attachments) for one of eight residents (Resident R58), and failed to adequately maintain equipment to prevent incident for one of eight residents (Resident R70). […]