Wecare at South Hills Rehabilitation and NRSG CTR

In the surveyor’s words

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

• Immediate jeopardy, patternF684Jun 4, 2026

  Based on facility review of policy, manufacturer's instructions, clinical records, and resident and staff interviews, the facility failed to notify physicians of elevated or decreased Capillary Blood Glucose (CBG) levels, failed to assess residents for hyperglycemia (high blood glucose) and hypoglycemia (low blood sugar), and failed to ensure the provision of insulin (injectable medication to treat high blood sugar) according to physicians' orders and manufacturing instructions which resulted in immediate jeopardy for eight of fourteen residents (R4, R6, R11, R19, R25, R32, R47, and R56).Review of the United States Food and Drug Administration prescribing information dated 03/2013, indicated that Humalog (insulin lispro) is a rapid acting insulin and directed to Administer within 15… […]

• Immediate jeopardy, patternF600Sep 12, 2025

  Based on a 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 resident-to-resident sexual abuse. This failure resulted in a resident with a known history of sexually inappropriate behavior touching non-consenting residents, which created an Immediate Jeopardy situation for five of 67 residents (Resident R2, R3, R4, R5, R6). Findings include:Review of facility Abuse and Neglect Policy reviewed 1/27/25, Abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. […]

• Immediate jeopardy, patternF609Sep 12, 2025

  Based on review of state laws, facility policy and documents, clinical records, and staff interview, it was determined that the facility failed to implement policies and procedures to report allegations of abuse for four of 67 residents (Resident R2, R3, R5, and R6). This failure resulted in a resident with a known history of sexually inappropriate behavior touching non-consenting residents, which created an Immediate Jeopardy situation. 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. All reports of abuse should be reported to the local area agency on aging and licensing agencies. […]

• Immediate jeopardy, patternF689Sep 12, 2025

  Based on a review of facility policy, clinical records, observations, and resident and staff interview, it was determined that the facility failed to provide necessary supervision of a resident with known sexually inappropriate behaviors. This failure resulted in an immediate jeopardy situation for five of 67 residents (Resident R2, R3, R4, R5, R6, ).Findings include:Review of the facility, Resident Supervision Policy & Procedures effective 2/1/25, indicated, It is the policy of this facility to ensure that all residents receive appropriate levels of supervision based on their individual needs, as identified through comprehensive and ongoing assessment. The goal of this policy is to promote resident safety, maintain dignity, and prevent accidents, neglect, or adverse events. […]

• Actual harm, isolatedF600Feb 10, 2025

  Based on review of facility policy, clinical records, observations, and resident and staff interviews, it was determined the facility failed to ensure that one of 26 residents was free from sexual abuse that resulted in the actual harm of a newly diagnosed sexually transmitted infection for one of 26 residents (Resident R29). Findings include: A review of the facility policy titled Abuse and Neglect-Clinical Protocol, last reviewed 10/23/24, indicated that residents have the right to be free from abuse, as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. Instances of abuse of all residents, irrespective of any mental or physical condition, or causes physical harm, pain or mental anguish. […]