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 Mcmurray Hills Rehabilitation And Healthcare Cente during CMS and state inspections, most recent first.
The facility failed to prevent misappropriation of resident property when an LPN removed multiple residents' medications from the facility without consent, despite a policy prohibiting such conduct and defining drug diversion as misappropriation. An anonymous caller reported finding a purse on the roadside containing a bag with multiple residents' medications, along with employment-related documents bearing the LPN's name. Review of MARs showed that all of the involved medications for eleven residents had been signed out by this LPN on the corresponding shifts, and the facility’s investigation substantiated misappropriation of property.
Surveyors found that the facility failed to accurately account for controlled substances for multiple residents. Review of March medication administration records and controlled drug logs showed numerous instances where oxycodone, Tramadol, and hydrocodone/acetaminophen doses were signed out but had no corresponding documentation of administration on the MARs, and in one case a higher dose was signed out than was documented as given. These discrepancies occurred across residents with scheduled and PRN opioid orders for moderate to severe pain. The NHA and interim DON confirmed that controlled substances were not accurately accounted for for the majority of residents reviewed.
A resident with a cervical incision did not receive wound care treatment as ordered by the physician, including cleansing, dressing application, and documentation, on two occasions. The DON confirmed the lapse in following the prescribed wound care protocol.
The facility failed to maintain proper hazardous area enclosures, affecting two smoke compartments. The oxygen storage room door lacked a self-closing device, and the transfer switch room door did not latch. These issues were confirmed by the Facility Administrator and Maintenance Director.
The facility failed to properly install and maintain a gas-fired oven in the main kitchen, affecting one smoke compartment. The oven was not tethered to ensure it returned to an approved location after being moved for maintenance, as required by NFPA 96 standards. This was confirmed by the Facility Administrator and Maintenance Director.
The facility failed to maintain the automatic sprinkler system, with deficiencies including a missing ceiling tile in the sprinkler room, MC wire on a sprinkler line, gaps in ceiling tiles, and a missing escutcheon on a sprinkler head. These issues affected four of nine smoke compartments and were confirmed by the Facility Administrator and Maintenance Director.
A penetration in the first floor smoke barrier wall next to a steel beam, above the smoke doors to the C2 Wing, was observed, affecting two of nine smoke compartments. The Facility Administrator and Maintenance Director confirmed the issue.
A facility failed to develop a person-centered care plan for a resident with diabetes, high blood pressure, and depression. Despite receiving daily insulin injections and having specific physician orders, the resident's clinical record lacked a comprehensive care plan addressing diabetes management. This deficiency was confirmed by the RN Admission Coordinator.
The facility failed to notify physicians of abnormal blood glucose levels and did not assess two residents for hyperglycemia and hypoglycemia. Despite having care plans that required monitoring and reporting of symptoms, staff did not follow these protocols, nor did they document or assess the effectiveness of treatments. Interviews with LPNs revealed inconsistencies in managing abnormal blood glucose levels, and the DON confirmed these failures.
The facility did not notify the LTC Ombudsman of emergency hospital transfers for 24 residents, as required by policy. This oversight was confirmed by staff interviews and a review of the facility's records, which showed missing notifications for transfers occurring over several months.
A facility failed to maintain accurate clinical records for a resident with a right AV fistula, documenting blood pressure readings from the right arm despite staff awareness of the restriction. Multiple staff members attributed the error to incorrect selection in charting software, and the resident was sent to the hospital for evaluation after swelling was noted.
Misappropriation of Resident Medications by LPN
Penalty
Summary
The facility failed to protect residents from misappropriation of property when an LPN removed multiple resident medications from the facility without consent. Facility policy on identifying exploitation, theft, and misappropriation of resident property, dated 9/1/25, defines misappropriation as the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent, and specifically lists drug diversion as an example. Despite this policy, an anonymous male caller notified the center supervisor that he had found a purse on the side of the road containing multiple medication cards for several residents of the facility. When the DON and Administrator went to the police station, they were shown a pink bag containing multiple medications, a Tuberculin employment skin testing record, and an orientation sheet, both bearing the name of LPN Employee E1. The bag contained eleven residents' medications in individual dispense bags, with no controlled substances identified. The medication dates and assignment areas matched LPN E1's work assignments on the relevant days and shifts, and the MARs for all residents on those assignments showed that all medications were signed out by this LPN. The facility’s investigation substantiated misappropriation of property for 11 of 49 residents (R1, R2, R12, R13, R14, R15, R16, R17, R18, R19, and R20). During an interview, the Nursing Home Administrator and Interim DON confirmed that the facility failed to ensure residents were free from misappropriation of property.
Failure to Accurately Account for Controlled Substances Across Multiple Residents
Penalty
Summary
Surveyors identified a deficiency in the facility’s management and accounting of controlled substances, as required by its policy and state regulations. The facility’s controlled substances policy, last reviewed on 9/1/25, stated that controlled substance inventory is to be monitored and reconciled to identify loss or potential diversion in a timely manner. However, review of multiple residents’ March 2026 Medication Administration Records (MARs) and corresponding Controlled Drug Records showed repeated instances where controlled medications were signed out but had no corresponding documentation of administration on the MAR. For one resident with an order for oxycodone 10 mg scheduled every morning and every six hours as needed, three PRN administrations were documented on the MAR, but six additional oxycodone doses were signed out on the Controlled Drug Record without matching MAR entries. Another resident with an order for Tramadol 50 mg every six hours as needed had no administrations documented on the MAR, yet two doses were signed out on the Controlled Drug Record. A third resident ordered oxycodone 5 mg every six hours had seven administrations documented on the MAR, while nine additional doses were signed out without corresponding MAR documentation. A fourth resident with an order for oxycodone 5 mg every six hours as needed had five administrations documented, but thirteen additional doses were signed out without matching MAR entries. Similar discrepancies were found for seven additional residents. One resident ordered oxycodone 5 mg every six hours as needed for moderate pain had eight administrations documented, but sixteen more doses were signed out without MAR documentation. Another resident with orders for oxycodone 5 mg for moderate pain and 10 mg for severe pain had four 5 mg administrations documented, while four additional doses, including a 10 mg dose signed out but documented as 5 mg on the MAR, lacked accurate or corresponding MAR entries. Other residents with PRN orders for Tramadol, oxycodone, or hydrocodone/acetaminophen had one to three administrations documented on their MARs, yet multiple additional doses were signed out on Controlled Drug Records without matching MAR documentation. During an interview, the Nursing Home Administrator and Interim Director of Nursing confirmed that the facility failed to ensure controlled substances were accurately accounted for for eleven of sixteen residents reviewed.
Failure to Provide Physician-Ordered Wound Care Treatment
Penalty
Summary
The facility failed to provide wound care treatment as ordered by the physician for one resident with a cervical incision. According to the facility's wound treatment management policy, wound treatments are to be performed in accordance with physician orders and documented in the Treatment Administration Record (TAR) or electronic health record. The resident, who had a history of spinal fusion, hypertension, and falls, had a physician order for daily cleansing of the cervical incision with normal saline, application of calcium alginate Ag, and covering with a border dressing. Review of the TAR for September showed that the required wound treatment was not documented as completed on two specific dates, and there was no further documentation in the electronic record to indicate the treatment was provided on those days. The Director of Nursing confirmed that the treatment was not completed as ordered.
Deficiencies in Hazardous Area Enclosures
Penalty
Summary
The facility failed to maintain proper hazardous area enclosures in two instances, affecting two of nine smoke compartments. During an observation on December 9, 2024, it was noted that the door to the oxygen storage room on the C-2 wing lacked a self-closing device. Additionally, the door to the transfer switch room did not latch when tested. These deficiencies were confirmed through an interview with the Facility Administrator and Maintenance Director on the same day.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. F-0321 1. Facility Maintenance director installed door closure and hardware for proper closure. 2. Facility Maintenance director/ designee conducted facility wide door audit to ensure doors had proper closure if needed. 3. Facility Maintenance director will audit doors for proper closure hardware 1x weekly x 4 weeks then monthly x 2 months.
Improper Installation and Maintenance of Kitchen Equipment
Penalty
Summary
The facility failed to properly install and maintain equipment protected by the kitchen hood extinguishing system, affecting one of nine smoke compartments. During an observation, a gas-fired oven on wheels in the main kitchen was found not to have an approved method to ensure it returned to an approved design location after being moved for maintenance and cleaning. This was required by section 12.1.2.3 and 12.1.2.3.1 of NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations. An interview with the Facility Administrator and Maintenance Director confirmed that the gas-fired cooking appliance was not tethered to prevent it from being moved from the ventilation hood and gas connection.
Plan Of Correction
1. Facility maintenance director 12/9/2024 properly tethered cooking appliance so it could not be moved and educated dietary staff after cleaning to properly tether cooking appliance. 2. Audit will be completed by maintenance director /designee daily x 4 weeks, then weekly x 2 months.
Sprinkler System Maintenance Deficiencies
Penalty
Summary
The facility failed to maintain the automatic sprinkler system in five instances, affecting four of nine smoke compartments. During an observation on December 9, 2024, several deficiencies were noted: a missing ceiling tile in the sprinkler room, MC wire laying on top of a sprinkler line above the smoke doors to the C2 wing, and gaps greater than 1/8 inch in ceiling tiles in both the electrical room behind the Laundry room and the Dietary Manager's office. Additionally, a sprinkler head in the first-floor storage room was missing an escutcheon. These deficiencies were confirmed during an interview with the Facility Administrator and Maintenance Director on the same day.
Plan Of Correction
1. Maintenance Director on 12/9/2024 removed wire from sprinkler line. 2. Maintenance Director on 12/09/2024 replaced missing ceiling tile and tile with 1/8 inch or greater gap. 3. Maintenance Director on 12/12/2024 placed missing escutcheon. Maintenance Director/ designee will audit ceiling tile weekly x 4 weeks, then biweekly x 2 months. Findings will be reported at monthly QA meeting.
Smoke Barrier Wall Penetration
Penalty
Summary
The facility failed to maintain smoke barrier walls, as evidenced by a penetration in the first floor smoke barrier wall next to a steel beam, above the smoke doors leading to the C2 Wing. This deficiency was observed on December 9, 2024, at 11:05 a.m. The issue affected two of the nine smoke compartments within the facility. During an interview conducted on the same day at 1:30 p.m., both the Facility Administrator and the Maintenance Director confirmed the presence of the smoke barrier penetration.
Plan Of Correction
1. Maintenance Director on 12/9/2024 sealed opening with 3M Fireblock caulking.
Failure to Develop Person-Centered Care Plan for Diabetes Management
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan for a resident, identified as Resident R38, who was admitted with diagnoses including diabetes, high blood pressure, and depression. The facility's policy requires the development of a comprehensive care plan that includes measurable objectives and timeframes to meet the resident's medical, nursing, mental, and psychosocial needs. However, a review of the clinical record revealed that no such care plan was developed for Resident R38 to address interventions related to diabetes care. Resident R38's Minimum Data Set (MDS) indicated that the resident received insulin injections daily, and physician orders were in place for glucose gel and Humulin R insulin administration. Despite these medical needs, the clinical record lacked a person-centered care plan addressing diabetes management. This deficiency was confirmed during an interview with the Registered Nurse Admission Coordinator, who acknowledged the absence of person-centered interventions for diabetes in the resident's care plan.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. F-0656 1. RNAC/Designee completed diabetic comprehensive care plan on [R] 38 12/4/2024. 2. RNAC/Designee completed audit on 12/4/2024 of current diabetic residents to have a diabetic comprehensive care plan. 3. RNAC/Designee will audit new admissions with diabetes to have a comprehensive diabetic care plan q-day weekly x 2 weeks, then monthly x 3 months. 4. RNAC educated by DON/Designee on diabetic comprehensive care plans.
Failure to Notify Physicians and Assess Blood Glucose Levels
Penalty
Summary
The facility failed to notify physicians of abnormal capillary blood glucose (CBG) levels and did not assess residents for hyperglycemia and hypoglycemia, affecting two residents. Resident R7, diagnosed with diabetes, depression, and high blood pressure, had multiple instances of abnormal CBG levels that were not reported to the physician as required by the facility's policy. The resident's care plan included monitoring and reporting signs of hypo/hyperglycemia, but staff did not follow these interventions, nor did they document or assess the effectiveness of treatments. Similarly, Resident R38, also diagnosed with diabetes, depression, and high blood pressure, experienced low CBG levels that were not properly addressed according to the physician's orders. The resident's care plan required monitoring and reporting of hypo/hyperglycemia symptoms, but staff failed to follow these protocols. The physician was not notified of the abnormal CBG levels, and there was no documentation of assessment or intervention. Interviews with Licensed Practical Nurses (LPNs) revealed inconsistencies in the management of abnormal blood glucose levels, with some LPNs stating they would provide juice or snacks for low blood glucose and call the doctor for high levels, but these actions were not consistently documented or followed. The Director of Nursing confirmed the facility's failure to notify physicians, document assessments, and follow physician orders for the residents involved.
Plan Of Correction
1. Audit completed 12/11/2024 by DON/Designee for abnormal blood sugars and MD notifications. 2. All RN and LPN educated by DON/Designee on MD notification and follow up related to abnormal blood glucose levels. 3. DON/Designee will audit residents' diabetic glucose levels daily x 1 week. 4. DON/Designee will audit 10 residents' blood glucose levels weekly x 4 weeks, then monthly x 3 months.
Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to provide timely notification to the Office of the Long-Term Care Ombudsman Division regarding the emergency transfers of 24 residents. According to the facility's policy, the Social Services Director or their designee is responsible for sending notices of emergency transfers to the Ombudsman. However, a review of the facility's Hospital Tracking Portal report revealed that these notifications were not sent for residents who were transferred to the hospital between June and September 2024. Interviews with the Business Officer Manager and the Director of Nursing confirmed the oversight. The facility's Discharge Log for the months of June through September 2024 did not include the transferred residents, further indicating a lapse in communication. This deficiency was identified during a survey, highlighting the facility's failure to adhere to its own policy and regulatory requirements regarding resident rights and notification procedures.
Inaccurate Documentation of Blood Pressure Readings
Penalty
Summary
The facility failed to ensure that residents' clinical records were complete and accurately documented, specifically for one resident who had a right AV fistula for dialysis access. The facility's policy requires that each resident's medical record accurately represent the resident's experience, with documentation being factual, objective, and resident-centered. However, the clinical records for this resident showed multiple instances where blood pressure readings were documented as being taken from the right arm, despite the presence of a fistula, which should not be used for such procedures. This discrepancy was identified through a review of the clinical records and staff interviews. Interviews with several registered nurses and a licensed practical nurse revealed that they were aware of the importance of not using the fistula arm for blood pressure readings or blood draws. Each staff member involved stated that the documentation indicating the use of the right arm was an error, attributing it to the selection of the wrong option from a drop-down menu during charting. The resident was described as alert and would inform staff not to use the right arm. The Director of Nursing confirmed that the right arm swelling began on a specific date, leading to the resident being sent to the hospital for evaluation. The Nursing Home Administrator acknowledged the facility's failure to ensure accurate and complete documentation for the resident.
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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 Mcmurray
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Peters Township Post Acute | 0.3 mi | ★★★★★ | 11 | 0 |
| Kadima Rehabilitation & Nursing At North Strabane | 1.3 mi | ★★★★★ | 3 | 0 |
| Wecare At South Hills Rehabilitation And Nrsg Ctr | 1.5 mi | — | 42 | 3 |
| Friendship Village Of South Hi | 3.1 mi | ★★★★★ | 16 | 0 |
| Townview Health And Rehabilitation Center | 3.3 mi | ★★★★★ | 4 | 0 |
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