SQUIRREL HILL WELLNESS AND REHABILITATION CENTER

Special Focus Facility candidate · CMS abuse icon · CCN 395028 · SH OPERATOR LLC · For profit - Corporation · POLLAK HOLDINGS chain · 178 certified beds · Allegheny · PA


SQUIRREL HILL WELLNESS AND REHABILITATION CENTER is a 178-bed nursing home in PITTSBURGH, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1977-09-01. It averages 105.5 residents a day.

What harm was found in the violations cited at SQUIRREL HILL WELLNESS AND REHABILITATION CENTER?

CMS lists 107 health-inspection deficiencies for SQUIRREL HILL WELLNESS AND REHABILITATION CENTER since 2023-03-06, 90 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-09.

Survey dateTagDeficiencySeverity
2026-06-09F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-06-09F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2026-06-09F0584, F0755Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2026-04-21F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2026-04-08F0801, F0804, F0812, F0908Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely.F
2026-01-08F0602, F0609, F0610, F0880Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide and implement an infection prevention and control program.E
2026-01-08F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-12-05F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E
2025-12-05F0580, F0584, F0610Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Respond appropriately to all alleged violations.D
2025-10-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-05-20F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-02-14F0577, F0947Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2025-02-14F0578, F0582, F0584, F0636, F0638, F0641, F0679, F0680, F0868, F0940, F0941, F0942, F0943, F0944, F0945, F0949Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.E
2025-02-14F0550, F0565, F0585, F0610, F0693, F0698, F0699, F0730, F0756, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Respond appropriately to all alleged violations. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Observe each nurse aide's job performance and give regular training. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-12-19F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D
2024-09-24F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-05-07F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J
2024-05-07F0865Have a plan that describes the process for conducting QAPI and QAA activities.D
2024-04-23F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-02-12F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-02-12F0812, F0880, F0881, F0925, F0947Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2024-02-12F0578, F0584, F0585, F0677, F0684, F0686, F0725, F0756, F0761, F0943, F0945Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E
2024-02-12F0610, F0685, F0692, F0693, F0742, F0758, F0760, F0919Respond appropriately to all alleged violations. / Assist a resident in gaining access to vision and hearing services. / Provide enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2024-02-12F0730, F0940, F0941, F0944, F0946, F0949Observe each nurse aide's job performance and give regular training. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.C
2024-02-12F0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.B
2023-11-15F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2023-10-12F0656, F0698Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate dialysis care/services for a resident who requires such services.E
2023-03-06F0680, F0812Ensure the activities program is directed by a qualified professional. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-03-06F0576, F0584, F0585, F0677, F0679, F0759, F0761, F0908Ensure residents have reasonable access to and privacy in their use of communication methods. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure medication error rates are not 5 percent or greater. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Keep all essential equipment working safely.E
2023-03-06F0550, F0602, F0609, F0656, F0684, F0686, F0760Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that residents are free from significant medication errors.D

Why was SQUIRREL HILL WELLNESS AND REHABILITATION CENTER fined 2 times?

DateTypeAmount
2024-04-23Fine$103,022
2024-02-12Fine$81,760

How is SQUIRREL HILL WELLNESS AND REHABILITATION CENTER staffed?

MeasureThis facilityPA average
Average number of residents per day105.5104.6

Who owns SQUIRREL HILL WELLNESS AND REHABILITATION CENTER, and what chain is it in?

SQUIRREL HILL WELLNESS AND REHABILITATION CENTER is registered with CMS as For profit - Corporation, operates under the legal business name SH OPERATOR LLC and belongs to the POLLAK HOLDINGS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPOLLAK, ELIE, POLLAK, THEODOREsince 01/20/2021
W-2 MANAGING EMPLOYEEBRADLEY, JENNIFERsince 01/20/2021

Were you or a family member harmed at SQUIRREL HILL WELLNESS AND REHABILITATION CENTER?