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F0941
B

Failure to Provide Required Resident Rights Training to Direct Care Staff

Jefferson Hills, Pennsylvania Survey Completed on 02-13-2026

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 provide required training on resident rights as part of its staff development program. The facility’s policy, last reviewed on 12/5/25, states that there shall be an ongoing, coordinated education program for facility personnel, including training related to the needs and rights of residents. Review of facility documents and in-service training records showed that multiple staff members lacked documented education on the resident rights program, either at the time of hire or during the required annual in-service period. Specifically, a nurse aide hired on 10/24/25 and another nurse aide hired on 11/23/25 did not receive resident rights education upon hire or thereafter. Additional nurse aides, LPNs, an RN, and therapy staff did not have documented resident rights in-service education during the applicable annual periods following their hire dates. In total, nine of thirteen reviewed staff members, including nurse aides, LPNs, an RN, and therapy employees, were found without the required resident rights training. During an interview on 2/13/26, the Nursing Home Administrator confirmed that the facility failed to provide resident rights training for these nine staff members, in violation of 28 Pa Code: 201.14(a), 201.18(b)(1), and 201.20(a)(c).

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