Pennsylvania Department of Health
TRANSITIONS HEALTHCARE NORTH HUNTINGDON
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

TRANSITIONS HEALTHCARE NORTH HUNTINGDON
Inspection Results For:

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TRANSITIONS HEALTHCARE NORTH HUNTINGDON - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Based on an Abbreviated Survey in response to two complaints, completed on December 4, 2025, it was determined that Transitions Healthcare North Huntingdon, was not in compliance with the following requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 Pa. Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

483.10(h)(1)-(3)(i)(ii) REQUIREMENT Personal Privacy/Confidentiality of Records:

This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.

§483.10(h) Privacy and Confidentiality.
The resident has a right to personal privacy and confidentiality of his or her personal and medical records.

§483.10(h)(l) Personal privacy includes accommodations, medical treatment, written and telephone communications, personal care, visits, and meetings of family and resident groups, but this does not require the facility to provide a private room for each resident.

§483.10(h)(2) The facility must respect the residents right to personal privacy, including the right to privacy in his or her oral (that is, spoken), written, and electronic communications, including the right to send and promptly receive unopened mail and other letters, packages and other materials delivered to the facility for the resident, including those delivered through a means other than a postal service.

§483.10(h)(3) The resident has a right to secure and confidential personal and medical records.
(i) The resident has the right to refuse the release of personal and medical records except as provided at §483.70(h)(2) or other applicable federal or state laws.
(ii) The facility must allow representatives of the Office of the State Long-Term Care Ombudsman to examine a resident's medical, social, and administrative records in accordance with State law.

Observations: Based on review of facility policy, observation, and staff interviews it was determined that the facility failed to maintain the confidentiality of residents' medical information on one of four medication carts (orchards unit). Findings include: Review of the facility's "Safeguarding of Posted Protected Health Information (PHI)" dated 4/1/25, indicated the facility will protect the privacy of resident ' s PHI from intentional or unintentional view when posting information. Posted information may include information located at the bedside, on whiteboards, on walls, or other public areas. During an observation on 11/6/25, at approximately 9:50 a.m. a medication cart in hallway was left unattended with an open laptop displaying resident identifiable information, any passerby could see resident personal and confidential information. During an interview on 11/6/25, at approximately 9:57 a.m. Employee E1 confirmed the observation of a medication cart in hallway was left unattended with an open laptop displaying resident identifiable information, any passerby could see resident personal and confidential information. During an interview Employee E2 at approximately 10:00 a.m. Employee E2 Licensed Practical Nurse, confirmed she had left the medication cart in hallway unattended with an open laptop displaying resident identifiable information. During an interview on 11/6/25, at 1:20 p.m. the Nursing Home Administrator and Director of Nursing confirmed the above observation that the facility failed to maintain the confidentiality of residents' medical information as required. 28 Pa. Code: 201.14(a) Responsibility of licensee. 28 Pa. Code: 201.29(c.3) Resident Rights. 28 Pa. code: 211.5(b) Medical records. 28 Pa. Code: 211.12(d)(1)(3) Nursing services.

Plan of Correction - To be completed: 12/02/2025

Preparation and or evaluation of the following plan of correction set forth in this document does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and or executed solely because it is required by the provisions of federal and state law.
No adverse outcome occurred from one of four residents' identifiable information being displayed on the medication cart laptop. Employee E 2 closed out the identifiable information when it was identified.
Employee E2 received education and discipline immediately following identification of displayed resident identifiable information.
The Director of Nursing will complete Licensed staff education on the proper privacy procedure during medication pass to protect resident identifiable information.
The Director of Nursing/Designee will complete random spot check audits of 4 medication carts five days a week for four weeks.
Audits will be taken to QAPI for review/discussion.

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