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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D42 | E50 | F22 |
| Minimal | A· | B1 | C14 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 31, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 9, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 8, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Oct 7, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 14, 2025 | Fire safety | Fire Safety Standard | 17 | Potential harm | — | Open → |
| Feb 14, 2025 | Health | Health Complaint, Health Standard | 28 | Potential harm | — | Open → |
| Dec 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 7, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Apr 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 12, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 12, 2024 | Health | Health Complaint, Health Standard | 33 | Actual harm | — | Open → |
| Nov 15, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 12, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 6, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Mar 6, 2023 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 7, 2025 | Civil money penalty (fine) | $15,935 | — | 395028|Fine|145904 |
| Apr 23, 2024 | Civil money penalty (fine) | $103,022 | — | 395028|Fine|14043 |
| Feb 12, 2024 | Civil money penalty (fine) | $81,760 | — | 395028|Fine|13952 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D42 | E50 | F22 |
| Minimal | A· | B1 | C14 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 31, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 12, 2026 | Complaint |
| Jun 9, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 3, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index —).
CMS legal business name of the certified provider. Operates this facility only.
6 facilities in 2 states. CMS chain ID 408.
Chain average overall rating (CMS): 1.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Elie Pollak | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jan 20, 2021 |
| Theodore Pollak | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jan 20, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Elie Pollak | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jan 20, 2021 |
| Theodore Pollak | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jan 20, 2021 |
| Michael Flanagan | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 9, 2024 |
| 5151 Financial Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2026 |
| Jennifer Bradley | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Twinbrook Healthcare and Rehabilitation Center 3805 Field Street, Erie, PA 16511 CCN 395041 | 118 | Aug 12, 2026 | 57 | — | |
| Armstrong Rehabilitation and Nursing Center 265 South Mckean Street, Kittanning, PA 16201 CCN 395471SFF Candidate |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Heritage Care Center 5701 Phillips Avenue, Pittsburgh, PA 15217 CCN 395732SFF Candidate | 0.4 km | 143 | Aug 13, 2026 | 1342 harm | — | |
| Ivy Park Post Acute 5609 Fifth Avenue, Pittsburgh, PA 15232 CCN 395251 | 1.8 km | 150 | Aug 28, 2026 | 1121 IJ1 open | $14k | |
| Shadyside Skilled Nursing and Rehabilitation Center 5609 5th Avenue, Pittsburgh, PA 15232 State license only | 1.8 km | — | Not CMS rated | — | No inspections in window | — |
| Upmc Magee-Womens Hospital Tcu 300 Halket Street, Pittsburgh, PA 15213 CCN 396098 | 2.7 km | 20 | Nov 25, 2025 | 25 | — | |
| John J Kane Regional Center-Gl 955 Rivermont Drive, Pittsburgh, PA 15207 CCN 395643Abuse icon | 2.9 km | 255 | Jul 29, 2026 | 403 harm1 open | $68k | |
| Champion City Nursing and Rehabilitation Center 6655 Frankstown Avenue, Pittsburgh, PA 15206 CCN 395423SFF CandidateAbuse icon | 3.2 km | 187 | Aug 26, 2026 | 1162 IJ | $7,656 | |
| Burgh Care Center 909 West Street, Pittsburgh, PA 15221 CCN 395883SFF Candidate | 3.4 km | 126 | Aug 24, 2026 | 1494 IJ2 harm6 open | $383k | |
| East End Health & Rehab Center 745 North Highland Avenue, Pittsburgh, PA 15206 CCN 395773 | 4 km | 144 | Jul 31, 2026 | 38 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 395028 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 395028 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Pennsylvania DOH Nursing Homes PA | 231602 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Sep 17, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jun 9, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 3, 2026 | Complaint |
| Jun 9, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 3, 2026 | Complaint |
| Jun 9, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 3, 2026 | Complaint |
| Apr 21, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 6, 2026 | Complaint |
| Apr 8, 2026 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 29, 2026 | Complaint |
| Apr 8, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 29, 2026 | Complaint |
| Apr 8, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 29, 2026 | Complaint |
| Apr 8, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 29, 2026 | Complaint |
| Jan 8, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 3, 2026 | Complaint |
| Jan 8, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 3, 2026 | Complaint |
| Jan 8, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 3, 2026 | Complaint |
| Jan 8, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 3, 2026 | Complaint |
| Jan 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 3, 2026 | Complaint |
| Dec 5, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 30, 2025 | Complaint |
| Dec 5, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 30, 2025 | Complaint |
| Dec 5, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 30, 2025 | Complaint |
| Dec 5, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 30, 2025 | Complaint |
| Oct 7, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance | Complaint |
| May 20, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 13, 2025 | Complaint |
| Feb 14, 2025 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 28, 2025 | Complaint |
| Feb 14, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 28, 2025 | Complaint |
| Feb 14, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 28, 2025 | Complaint |
| Feb 14, 2025 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 28, 2025 | Complaint |
| Feb 14, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 28, 2025 |
| Feb 14, 2025 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 28, 2025 |
| Feb 14, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 21, 2025 |
| Dec 19, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 10, 2025 | Complaint |
| Sep 24, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 31, 2024 | Complaint |
| May 7, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected May 17, 2024 | Complaint |
| May 7, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected May 17, 2024 | Complaint |
| May 7, 2024 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 17, 2024 | Complaint |
| Apr 23, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 30, 2024 | Complaint |
| Feb 12, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Apr 4, 2024 | Complaint |
| Feb 12, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 4, 2024 | Complaint |
| Feb 12, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2024 |
| Feb 12, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 21, 2024 |
| Feb 12, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 4, 2024 | Complaint |
| Feb 12, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 4, 2024 | Complaint |
| Feb 12, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 4, 2024 | Complaint |
| Feb 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 4, 2024 | Complaint |
| Feb 12, 2024 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 4, 2024 |
| Feb 12, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 21, 2024 |
| Feb 12, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0946 | Provide training in compliance and ethics. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Apr 4, 2024 |
| Feb 12, 2024 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Apr 4, 2024 |
| Nov 15, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 29, 2023 | Complaint |
| Oct 12, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 29, 2023 | Complaint |
| Oct 12, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 29, 2023 | Complaint |
| Mar 6, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2023 |
| Mar 6, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2023 |
| Mar 6, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 11, 2023 |
| Mar 6, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2023 |
| Mar 6, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2023 |
| Mar 6, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 19, 2023 |
| Mar 6, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 19, 2023 |
| Mar 6, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 11, 2023 |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 20, 2021 |
| Michael Flanagan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 9, 2024 |
| Avrum Weinfeld | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2026 |
| Chelse Wisenor | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2026 |
| 5151 Financial Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 26, 2026 |
| Squirrel Hill Pa Realty LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2018 |
| Jennifer Bradley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 20, 2021 |
| Michael Flanagan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 9, 2024 |
| Elie Pollak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 20, 2021 |
| Theodore Pollak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 20, 2021 |
| Avrum Weinfeld | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Chelse Wisenor | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2026 |
| 113 |
| Aug 5, 2026 |
1462 IJ2 harm |
| $38k |
| Spring Hill Rehabilitation and Nursing Center 2170 Rhine Street, Pittsburgh, PA 15212 CCN 395666SFF CandidateAbuse icon | 100 | Aug 5, 2026 | 1693 IJ1 harm | — |
| Rochester Residence and Care Center 174 Virginia Avenue, Rochester, PA 15074 CCN 395751SFF | 119 | Not rated | Jul 30, 2026 | 1664 IJ4 harm4 open | $415k |