Pennsylvania Department of Health
CORNER VIEW NURSING AND REHABILITATION CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

CORNER VIEW NURSING AND REHABILITATION CENTER
Inspection Results For:

There are 347 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


CORNER VIEW NURSING AND REHABILITATION CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Based on an Abbreviated Survey in response to six complaints completed on December 4, 2025, it was determined that Corner View Nursing and Rehabilitation, was not in compliance with the following requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities.

Plan of Correction:

483.25(b)(2)(i)(ii) REQUIREMENT Foot Care:

This is a less serious (but not lowest level) deficiency and affects more than a limited 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. This deficiency was not found to be throughout this facility.

�483.25(b)(2) Foot care.
To ensure that residents receive proper treatment and care to maintain mobility and good foot health, the facility must:
(i) Provide foot care and treatment, in accordance with professional standards of practice, including to prevent complications from the resident's medical condition(s) and
(ii) If necessary, assist the resident in making appointments with a qualified person, and arranging for transportation to and from such appointments.

Observations:
Based on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to obtain professional podiatry services for four of two residents reviewed for skin conditions (Resident R1, R2, R3, and R4).

Findings include:

Review of the facility's Resident Council Minutes dated 8/25/25, revealed Resident R1, R2, and R3 would like to see the podiatrist.of the admission record indicated Resident R1 was admitted to the facility on 7/16/24, and readmitted on 12/11/24.of Resident R1's Minimum Data Set (MDS - a periodic assessment of care needs) dated 8/5/25, indicated diagnoses of multiple sclerosis (damages the protective cover around nerves called myelin in your central nervous system), mononeuropathy (damage that occurs to single nerve) of bilateral lower limbs, and unsteadiness on feet.of Resident R1's clinical record failed to include an order to consult podiatry.an interview on 10/15/25, at 2:44 p.m. Resident R1 stated they need to see a podiatrist. Resident R1 was observed with socks on.of the admission record indicated Resident R2 was admitted to the facility on 5/2/25.of Resident R2's Minimum Data Set (MDS - a periodic assessment of care needs) dated 8/9/25, indicated diagnoses of anxiety, depression, and chronic pain syndrome.of Resident R2's physician order dated 5/2/25, indicated to consult podiatry and follow up as needed.an interview on 10/14/25, at 2:37 p.m. Resident R2 indicated they have not seen podiatry and their toe nails have gotten longer. Resident R2 toe nails were observed to be thick and elongated.by the facility's contracted podiatry provider dated 8/19/25, failed to reveal Resident R2 was seen by podiatry as ordered.

Review of the admission record indicated Resident R3 was admitted to the facility on 4/16/24.of Resident R3's Minimum Data Set (MDS - a periodic assessment of care needs) dated 6/18/25, indicated diagnoses of cognitive communication deficit, anxiety, and depression.of Resident R3's clinical record failed to include an order to consult podiatry.of the admission record indicated Resident R4 was admitted to the facility on 4/10/25, and readmitted 6/30/25.of Resident R4's Minimum Data Set (MDS - a periodic assessment of care needs) dated 7/3/25, indicated diagnoses of urinary tract infection, muscle weakness, and cognitive communication deficit.of Resident R4's physician order dated 8/11/25, indicated to consult podiatry and follow up as needed.by the facility's contracted podiatry provider dated 8/19/25, failed to reveal Resident R4 was seen by podiatry as ordered.

During an interview on 10/14/25, at 11:51 a.m. Registered Nurse Unit Manager, Employee E1 stated all residents should an as needed order to consult podiatry. If a resident needs to be seen by podiatry, the social worker is notified, then the residents are added to the list.with the Director of Nursing (DON) on 10/14/25, at 2:53 p.m. confirmed Resident R1 and R3 failed to have an order to consult podiatry. an interview on 10/14/25, at 3:41 p.m. the Nursing Home Administrator and DON confirmed the facility failed to obtain professional podiatry services for four of six residents reviewed (Resident R1, R2, R3, and R4).

28 Pa. Code 211.12(d)(1)(3)(5) Nursing services

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

R1 and R3 have obtained an order to consult with podiatry. R1 and R3 have received podiatry services.

R2 has received podiatry services.
R4 has discharged from the facility.

Facility NHA will educate DON/Nursing Staff/Social Worker on facility policy of obtaining physician orders for podiatry services. Corrections will be completed at the time of the audit.

DON/Designee will complete an audit to ensure all residents have orders for podiatry services.

DON/Designee will audit new admissions weekly x 2 to ensure an as needed order to consult podiatry is obtained.

Results of these audits will be reviewed in the Quality Improvement Committee for recommendations as needed.

483.12(c)(2)-(4) REQUIREMENT Investigate/Prevent/Correct Alleged Violation:

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.

�483.12(c) In response to allegations of abuse, neglect, exploitation, or mistreatment, the facility must:

�483.12(c)(2) Have evidence that all alleged violations are thoroughly investigated.

�483.12(c)(3) Prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress.

�483.12(c)(4) Report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident, and if the alleged violation is verified appropriate corrective action must be taken.

Observations:
Based on review of facility documents, clinical record reviews and staff interview it was determined that the facility failed to initiate a thorough investigation for injury of unknown origin for one of three residents reviewed (Resident R6)

Findings include:

Resident R6 was admitted to the facility on 5/28/25.

Resident R6 has diagnosis of bipolar disorder (mental health condition that causes extreme mood swings, these include emotional highs and lows also known as depression) , enteropathy (disease of the small intestine), and hypertension (the force of blood pushing against your artery wall is consistently too high).

Review of facility submitted documentation dated 10/9/25, indicated:

On October 8, 2025, a small bulge was observed on R6 left shoulder by her son, leading to a medical evaluation by a facility provider. A subsequent X-ray on October 9, 2025, confirmed that her left shoulder was dislocated. During the evaluation, the cognitively intact R6's (BIMS 13.0 - brief interview mental status) indicated the injury occurred during a fall she had in August. She reported that she had not experienced any pain since the fall, and stated that no one had harmed her. The medical provider, after receiving the X-ray results, verbally ordered a transfer to the emergency room at Shadyside Hospital. Following her hospital visit, a physician from Shadyside reported that the dislocation was already healing and could not be corrected by being put back in place. An orthopedic specialist was consulted for further assessment and a treatment plan. R6's son was informed of the findings and agreed with the planned course of care. "

During an interview on 10/16/25,at 12:00 p.m. Resident R6 Family indicated that they found an area on their mothers shoulder that was not there the previous day's They asked their mother if it hurt and she described it a s bullets going through her shoulder. Resident R6 Family member informed staff.

Review of the clinical record physician orders indicated Resident R6 was to be transferred with the assistance of two people.

Review of the clinical record showing facility task completed for residents indicated Resident R6 was transferred by one staff person. During an interview on 10/16/25, with NHA and DON - they confirmed that they were unaware of the concerns.

During an interview on 10/16/25, at 3:30 p.m. the NHA and DON were informed that the facility failed to complete a thorough investigation for one of three residents (Resident R6).

28 Pa. Code 201.14 (a) Responsibility of Licensee.
28 Pa. Code 201.18 (b)(1)( e) (1) Management.

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

Injury of unknown origin was reported to DOH on 10/09/2025 and investigation was completed.

Facility NHA will educate Director of Nursing/Nursing Staff on facility policy for investigation resident injuries.

NHA/Designee will audit 7 days of ERS to ensure injuries of unknown are thoroughly investigated.

NHA/Designee will audit ERS weekly x 2 to ensure injuries of unknown origins are thoroughly investigated.

Results of these audits will be reviewed in the Quality Improvement Committee for recommendations as needed.

483.30(b)(1)-(3) REQUIREMENT Physician Visits - Review Care/Notes/Order:

�483.30(b) Physician Visits
The physician must-

�483.30(b)(1) Review the resident's total program of care, including medications and treatments, at each visit required by paragraph (c) of this section;

�483.30(b)(2) Write, sign, and date progress notes at each visit; and

�483.30(b)(3) Sign and date all orders with the exception of influenza and pneumococcal vaccines, which may be administered per physician-approved facility policy after an assessment for contraindications.

Observations:
Based on clinical record review and interviews with staff, it was determined that the facility did not ensure that a physician imely wrote, signed, and dated progress notes at each visit for one of four residents reviewed (Resident R4).

Findings include:

Review of the facility "Physician Visits" policy dated 4/2/25, revealed the attending physician must make visits in accordance with applicable state and federal regulations. The attending physician must perform relevant tasks at the time of each visit, including a review of the resident's total program of care and appropriate documentation. A physician visit is considered timely if it occurs not later than ten days after the visit was required.

Review of the admission record indicated Resident R4 was admitted to the facility on 4/10/25, and readmitted 6/30/25.

Review of Resident R4's Minimum Data Set (MDS - a periodic assessment of care needs) dated 7/3/25, indicated diagnoses of urinary tract infection, muscle weakness, and cognitive communication deficit.

Review of late entry progress note effective 7/7/25, entered on 8/3/25, by Medical Director, Employee E2 revealed the resident was seen in follow up care after readmission. The progress note was entered, signed , and dated a total of 27 days later.

Review of late entry progress note effective 7/14/25, entered on 8/14/25, by Medical Director, Employee E2 revealed the resident was seen in follow up care after readmission. The progress note was entered, signed ,and dated a total of 31 days later.

Review of late entry progress note effective 8/13/25, entered on 9/14/25, by Medical Director, Employee E2 revealed the resident was seen in follow up care after readmission. The progress note was entered, signed ,and dated a total of 32 days later. Resident R4 was discharged from the facility on 8/28/25.

During an interview on 10/14/25, at 3:41 p.m. the Nursing Home Administrator and DON confirmed the facility failed to ensure that a physician timely wrote, signed, and dated progress notes at each visit for one of four residents reviewed (Resident R4).

28 Pa. Code: 211.12(d)(5) Nursing services.

28 Pa. Code: 211.2(a) Physician services.

28 Pa. Code: 211.5(f) Clinical records.

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

R4 has discharged from facility.

Baseline audit will be completed to ascertain no other residents were affected.

NHA to educate facility Physician/NP on facility policy physician visit in accordance with applicable state and federal regulations.

DON/Designee will audit physician visits and documentation weekly x2 to ensure visits and documentation are completed in a timely manner.

Results of these audits will be reviewed in the Quality Improvement Committee for recommendations as needed.

483.55(a)(1)-(5) REQUIREMENT Routine/Emergency Dental Srvcs in SNFs:

�483.55 Dental services.
The facility must assist residents in obtaining routine and 24-hour emergency dental care.

�483.55(a) Skilled Nursing Facilities
A facility-

�483.55(a)(1) Must provide or obtain from an outside resource, in accordance with with �483.70(f) of this part, routine and emergency dental services to meet the needs of each resident;

�483.55(a)(2) May charge a Medicare resident an additional amount for routine and emergency dental services;

�483.55(a)(3) Must have a policy identifying those circumstances when the loss or damage of dentures is the facility's responsibility and may not charge a resident for the loss or damage of dentures determined in accordance with facility policy to be the facility's responsibility;

�483.55(a)(4) Must if necessary or if requested, assist the resident;
(i) In making appointments; and
(ii) By arranging for transportation to and from the dental services location; and

�483.55(a)(5) Must promptly, within 3 days, refer residents with lost or damaged dentures for dental services. If a referral does not occur within 3 days, the facility must provide documentation of what they did to ensure the resident could still eat and drink adequately while awaiting dental services and the extenuating circumstances that led to the delay.

Observations:
Based on review of facility policy and clinical records, and staff and resident interviews, it was determined that the facility failed to ensure that a dental appointment was scheduled for two of four residents reviewed (Resident R2 and R5).

Findings include:

Review of the facility's Resident Council Minutes dated 8/25/25, revealed Resident R2 and R5 would like to see the dentist.

Review of the admission record indicated Resident R2 was admitted to the facility on 5/2/25.

Review of Resident R2's Minimum Data Set (MDS - a periodic assessment of care needs) dated 8/9/25, indicated diagnoses of anxiety, depression, and chronic pain syndrome.

Review of Resident R2's physician order dated 5/2/25, indicated to consult dental as needed.

During an interview on 10/14/25, at 2:37 p.m. Resident R2 stated they have not seen a dentist.

Documentation by the facility's contracted dental provider dated 10/9/25, failed to reveal Resident R2 was seen by the dentist.

Review of the admission record indicated Resident R5 was admitted to the facility on 4/19/22.

Review of Resident R5's Minimum Data Set (MDS - a periodic assessment of care needs) dated 8/15/25, indicated diagnoses of high blood pressure, dementia (the loss of cognitive functioning (thinking, remembering, and reasoning) to such an extent that it interferes with a person's daily life and activities), and constipation.

Review of Resident R5's physician orders, failed to include a dental consult.

During an interview on 10/14/25, at 2:40 p.m. Resident R5 stated "I have not seen a dentist." Resident R5 was observed with upper dentures and indicated they have developed a sore on the bottom of their gums from chewing.

Documentation by the facility's contracted dental provider dated 10/9/25, failed to reveal Resident R5 was seen by the dentist.

During an interview on 10/14/25, at 11:51 a.m. Registered Nurse Unit Manager, Employee E1 stated all residents should have an as needed order to consult dental. If a resident needs to be seen by a dentist, the social worker is notified, then the residents are added to the list.

Interview with the Director of Nursing (DON) on 10/14/25, at 2:53 p.m. confirmed Resident R5 failed to have an order to consult dental.

During an interview on 10/14/25, at 3:41 p.m. the Nursing Home Administrator and DON confirmed the facility failed to obtain dental services for two of four residents reviewed (Resident R2 and R5).

28 Pa. Code 211.12(d)(1)(3)(5) Nursing services

28 Pa. Code 211.15(a) Dental Services.

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

Orders have been obtained for R5 to consult dental.

Facility NHA will educate DON/Nursing Staff/Social Worker on facility policy of obtaining physician orders for dental services and scheduling dental appointments.

Oral assessments to be completed on R2 and R5 by 11/24/2025.

R2 and R5 have appointments scheduled to see an outside dentist.

DON/Designee will audit new admissions weeklyx2 to ensure admission orders are obtained for dental services.

Results of these audits will be reviewed in the Quality Improvement Committee for recommendations as needed.

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