Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lgar Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to provide the required number of nurse aides during a daylight shift, with staffing documents showing a shortfall in coverage. On a specific day, the facility had 47 residents but did not meet the mandated staffing ratio, providing only 32.03 hours of nurse aide coverage instead of the required 37.60 hours. This deficiency was confirmed by the Nursing Home Administrator.
The facility did not meet the required LPN staffing levels during the night shift on three occasions, failing to provide the necessary LPN coverage for the number of residents present. Specifically, on nights with 47 and 48 residents, the facility provided only 8.00 hours of LPN coverage instead of the required 9.40 and 9.60 hours, respectively. This was confirmed by the Nursing Home Administrator.
The facility failed to investigate incidents of possible abuse and neglect involving three residents. One resident suffered an abrasion during a lift transfer without proper investigation. Another resident was ignored and had a Kleenex box thrown at her by a nurse aide, who was later terminated without further investigation. A third resident was spoken to unkindly by the same aide, who was removed from the assignment, but the facility did not investigate further. The DON confirmed these failures.
A resident with Alzheimer's and mobility issues fell from bed due to inadequate supervision during care. The care plan required two staff for assistance, but the resident rolled out of bed while a CNA was changing them, leading to a fall.
Staffing Deficiency on Daylight Shift
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides during the daylight shift on November 29, 2024. Specifically, the facility did not provide the mandated one nurse aide per 12 residents, as evidenced by staffing documents and confirmed by the Nursing Home Administrator. On this date, the facility had a census of 47 residents but only provided 32.03 hours of nurse aide coverage, falling short of the required 37.60 hours. This deficiency was identified during a review of staffing documents covering the period from November 29, 2024, to December 3, 2024, and was confirmed in an interview with the Nursing Home Administrator on December 4, 2024.
Plan Of Correction
The facility failed to meet the CNA required ratios on one daylight shift, 11/29/2024, during the five-day period of 11/29/24 through 12/3/24. The state ratio regulation will be reviewed with the nurse scheduler and RNS. Ratios are reviewed daily by the DON when posting staffing sheets. Ratios are met at the time of scheduling. If there is a call off or no show, and the staffing ratios would not be met, the DON/designee will attempt to replace the call off or no show as follows: 1. Seek CNAs to volunteer from all qualified staff who are working. 2. Contact qualified employees who have made themselves available for overtime. 3. Attempt to contact employees on the next shift to come in early. 4. Use Per Diem Staff. 5. Use Temporary Staffing Agencies. In addition, the facility uses bonus incentives for internal staff, and we contract with 5 different nursing temporary agencies. The nurse scheduler will complete the DOH staffing ratio spreadsheet and turn it into NHA for review on a weekly basis. Information will be presented to the QAPI committee for review and recommendations.
LPN Staffing Shortages During Night Shift
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of one Licensed Practical Nurse (LPN) per 40 residents during the night shift on three specific days. A review of the nursing time schedules and facility census data from November 29, 2024, through December 3, 2024, revealed that on November 30, December 2, and December 3, the facility had staffing shortages. Specifically, on November 30, with a census of 47 residents, only 8.00 hours of LPN coverage were provided instead of the required 9.40 hours. Similarly, on December 2 and December 3, with a census of 48 residents each night, only 8.00 hours of LPN coverage were provided instead of the required 9.60 hours. This deficiency was confirmed during an interview with the Nursing Home Administrator on December 4, 2024.
Plan Of Correction
The facility failed to meet the LPN ratios on the night shift on three (11/30/24, 12/2/24, and 12/3/24) of five days during the period of 11/29/24 through 12/3/24. The state ratio regulation will be reviewed with the nurse scheduler and RNS. Ratios are reviewed daily by the DON when posting staffing sheets. Ratios are met at the time of scheduling. If there is a call off or no show, and the staffing ratios would not be met, the DON/designee will attempt to replace the call off or no show as follows: 1. Seek LPNs to volunteer from all qualified staff who are working. 2. Contact qualified employees who have made themselves available for overtime. 3. Attempt to contact employees on the next shift to come in early. 4. Use Per Diem Staff. 5. Use Temporary Staffing Agencies. In addition, the facility uses bonus incentives for internal staff, and we contract with 5 different nursing temporary agencies. The nurse scheduler will complete the DOH staffing ratio spreadsheet and turn it into NHA for review on a weekly basis. Information will be presented to the QAPI committee for review and recommendations.
Failure to Investigate Incidents of Possible Abuse and Neglect
Penalty
Summary
The facility failed to identify and investigate incidents of possible abuse and/or neglect for three residents. Resident R6, who has Alzheimer's Disease and reduced mobility, suffered an abrasion during a mechanical lift transfer. The facility did not investigate the incident to confirm the lift's condition, check for sharp points, ensure proper footwear was used, or obtain witness statements. Additionally, the LPN who completed the incident report was not involved in the incident and was unfamiliar with the reporting process. Resident R25, diagnosed with overactive bladder, depression, and diabetes, experienced an incident where a nurse aide ignored her while on a cell phone and threw a Kleenex box at her. The facility terminated the nurse aide but did not investigate to ensure other residents were unaffected or obtain witness statements. Similarly, Resident R49, with dementia and Parkinsonism, was spoken to unkindly by the same nurse aide. The facility removed the aide from the assignment but again failed to investigate further or gather witness statements. The Director of Nursing confirmed these failures.
Inadequate Supervision Leads to Resident Fall
Penalty
Summary
The facility failed to provide adequate supervision to prevent falls for a resident, identified as Resident R16, who was admitted with diagnoses including Alzheimer's disease, hyperlipidemia, abnormal posture, muscle weakness, and difficulty walking. The resident's care plan, initiated on May 15, 2024, required extensive assistance by two staff members for bed mobility and the use of bilateral body pillows for positioning. However, during a care activity on September 3, 2024, a nurse aide was changing the resident in bed when the resident reached for something and rolled out of bed, resulting in a fall. The incident was documented in a written statement by the nurse aide involved and was later confirmed by the Director of Nursing during an interview. The resident's quarterly Minimum Data Set assessment indicated total dependence on staff for bed mobility, requiring support from two or more persons. Despite these documented needs, the facility did not provide the necessary supervision and assistance, leading to the resident's fall. This deficiency was noted under 28 Pa. Code: 211.12 (d)(1)(3)(5) Nursing Services.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Turtle Creek
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wecare At Monroeville Rehabilitation And Nsg Ctr | 2.6 mi | ★★★★★ | 48 | 2 |
| Monroeville Post Acute | 3.5 mi | ★★★★★ | 18 | 0 |
| Concordia At The Cedars | 4.2 mi | ★★★★★ | 2 | 0 |
| Harmony Physical Rehabilitation | 4.2 mi | ★★★★★ | 0 | 0 |
| Woodhaven Health & Rehab Center | 4.2 mi | ★★★★★ | 17 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.