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F0680
E

Failure to Provide Qualified Activities Director

Pittsburgh, Pennsylvania Survey Completed on 02-14-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide a qualified professional to direct the activities program for two months, from December 6, 2024, through February 14, 2025. This deficiency was identified based on staff interviews and a review of facility-provided documentation. The job description for the Activities Director required that the program be directed by a qualified therapeutic recreation specialist or an activities professional. However, during an interview on February 13, 2025, the Nursing Home Administrator (NHA) and Director of Nursing (DON) confirmed that the facility did not meet this requirement for the specified period.

Plan Of Correction

An activity director has been hired and is starting on March 17th, 2025. This has the potential to have a negative effect on the residents. The administrator will be educated by the clinical consultant on the policy of hiring a qualified Activity Director. The administrator will audit to ensure for 3 months there is a qualified activity professional on staff. Findings will be reported to the quality assurance and performance improvement committee.

See complete original report
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