Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Upmc Northwest Transitional Care Unit during CMS and state inspections, most recent first.
Surveyors found that two residents received PRN clonazepam without required documentation of a clinical rationale for use beyond 14 days and without evidence that non-pharmacological interventions were attempted prior to administration, as required by regulation and facility policy.
An open Humalog insulin pen was found on a medication cart without a resident name or an open date, contrary to facility policy and manufacturer guidelines requiring labeling and timely discard. An LPN confirmed the lack of required labeling and that the pen should have been discarded.
A resident with COPD and hypertension was not provided oxygen at the prescribed flow rate of 3 lpm, as observations showed the flow rate set at 2 lpm. This discrepancy was confirmed by a registered nurse, indicating a failure to adhere to the physician's order and facility policy on oxygen administration.
Controlled schedule II-V medications were improperly stored in a locked container attached to a removable shelf in the medication refrigerator, rather than in a permanently affixed compartment, as required by facility policy. This was confirmed by an LPN and acknowledged by the DON.
Failure to Document Rationale and Non-Pharmacological Interventions for PRN Psychotropic Use
Penalty
Summary
Surveyors identified that the facility failed to provide a clinical rationale for the continued use of as-needed (PRN) psychotropic medication beyond 14 days, as required by federal and state regulations. Specifically, for one resident with diagnoses including hypertension, congestive heart failure, and obstructive sleep apnea, a PRN order for clonazepam was renewed without documentation of the required clinical rationale for use beyond the 14-day limit. The medication was administered multiple times, but the clinical record did not include evidence that non-pharmacological interventions were attempted prior to each administration, as required by facility policy and regulation. Another resident, admitted with respiratory failure, heart failure, and chronic kidney disease, also received PRN clonazepam for restlessness at bedtime. The medication administration record showed several instances of use, but again, there was no documentation that non-pharmacological interventions were attempted before administering the medication. The facility's policy requires that such interventions be identified and attempted, and that their effectiveness be documented, but this was not reflected in the residents' records. During staff interviews, a registered nurse confirmed that the required stop date or clinical rationale for continued PRN use beyond 14 days was missing for one resident, and that both residents' records lacked evidence of attempted non-pharmacological interventions prior to PRN medication administration. These findings demonstrate noncompliance with federal and state requirements regarding the use of psychotropic medications and the documentation of non-pharmacological interventions.
Plan Of Correction
1. R 17 and R 29 were discharged. 2. At the time of the survey, the residents in house were reviewed and evaluated for documentation of alternative measures prior to administration of psychotropic prn medications. Orders were reviewed for an appropriate stop date of 14 days. 3. Licensed nursing staff will be provided education regarding the right to be free of chemical restraints, the requirements of alternative measures prior to administration of PRN psychoactive medications, and the 14-day stop date for all psychotropic prn medication orders. 4. The Director of Nursing or designee will audit new admission and all residents for orders with PRN psychotropic medications assessing the 14-day stop date as well as documentation of alternative interventions attempted weekly x 1 month, bi-weekly x 1 month, then monthly until substantial compliance is achieved. The results will be shared with the facility Quality Assessment and Performance Improvement Committee.
Failure to Discard Undated Open Humalog Insulin Pen
Penalty
Summary
Surveyors identified a deficiency related to the labeling and storage of drugs and biologicals on a medication cart. Facility policy requires that all multi-dose medications be labeled with the date of first use to determine expiration or last use, and that any opened vial without a date should be discarded. Additionally, the policy and manufacturer guidelines specify that an opened Humalog insulin pen must be used within 28 days or discarded, even if insulin remains in the pen. During an observation, an open Humalog insulin pen was found on the medication cart without a resident name or a date indicating when it was opened. An LPN confirmed that the pen lacked both the resident name and the open date, making it impossible to determine the appropriate discard date. The LPN also acknowledged that the insulin pen should have been discarded according to policy.
Plan Of Correction
1. Humalog insulin pen with no resident name or date was discarded at the time of the survey and replaced with labeled & date of expiration tag. 2. At the time of the survey, all residents and medication carts were checked for any unlabeled/dated medications. 3. Verbal education was provided to the nursing staff regarding the requirement for labeling and dating medications when opened. The unit licensed staff will be provided education by the Director of Nursing and/or designee regarding labeling and dating multiple dose medications. 4. The Director of Nursing or designee will audit all medication carts to ensure all items are labeled with the date opened as indicated. Audits will be completed weekly for one month, then bi-weekly for 1 month, then monthly until substantial compliance is achieved. Results will be shared at the facility Quality Assurance and Performance Improvement committee. I Certify This Document to be a True and Correct Statement of Deficiencies and Approved Facility Plan of Correction for the Above-Identified Facility Survey
Failure to Administer Oxygen as Ordered
Penalty
Summary
The facility failed to provide oxygen according to the physician's orders for a resident requiring respiratory services. The facility's policy on oxygen administration, dated August 2024, mandates verifying the physician's order for the desired oxygen saturation and flow rate, and prohibits changing the flow rate without physician approval. The resident, admitted with chronic obstructive pulmonary disease and hypertension, had a physician's order dated August 16, 2024, for oxygen via nasal cannula at 3 liters per minute (lpm) at all times. However, observations on September 4 and 5, 2024, revealed the resident receiving oxygen at a flow rate of 2 lpm, contrary to the physician's order. A registered nurse confirmed the discrepancy during an interview on September 5, 2024.
Improper Storage of Controlled Medications
Penalty
Summary
The facility failed to store controlled schedule II-V medications in compliance with regulations, as observed during a survey. The facility's policy, dated August 2024, mandates that controlled drugs be stored according to federal, state, or local regulations. However, during an observation on September 4, 2024, it was found that several vials of controlled medications were stored in a container that was locked but attached to a removable shelf in the medication room refrigerator, rather than being in a permanently affixed compartment. This was confirmed by a Licensed Practical Nurse (LPN) and later acknowledged by the Director of Nursing, who confirmed that the medications should have been stored in a permanently affixed compartment.
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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 Seneca
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oakwood Heights Village | 3.1 mi | ★★★★★ | 19 | 0 |
| Oil City Nursing And Rehab | 5.8 mi | ★★★★★ | 1 | 0 |
| Caring Place, The | 7.2 mi | ★★★★★ | 1 | 0 |
| Sugar Creek Care Center | 10.1 mi | ★★★★★ | 19 | 0 |
| Shippenville Nursing And Rehab | 17.2 mi | ★★★★★ | 1 | 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.