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Failure to Maintain Documentation of Current CPR/BLS Certification for Licensed Nurses

Monroeville, Pennsylvania Survey Completed on 02-05-2026

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 deficiency involves the facility’s failure to maintain documentation that nursing personnel had current education and certification in basic life support (BLS), including cardiopulmonary resuscitation (CPR), as required to provide emergency care prior to the arrival of emergency medical personnel and in accordance with physician orders and residents’ advance directives. The facility’s CPR policy stated that personnel must have completed training on initiation of CPR and BLS, including defibrillation, for victims of sudden cardiac arrest. During the survey, the Nursing Home Administrator provided a list of currently employed LPNs and RNs and then supplied available CPR certification cards; however, CPR certification cards were not available for 15 of 27 licensed nurses, including multiple LPNs and RNs. In an interview, the Nursing Home Administrator confirmed that the facility did not maintain documentation showing that these nursing personnel had current CPR/BLS education and certification, in violation of 28 Pa. Code 201.14(a) and 211.12(d)(1)(5). No specific residents, medical histories, or clinical events were described in the report; the deficiency centers on the lack of documented current CPR/BLS certification for a substantial portion of the licensed nursing staff.

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