Pennsylvania Department of Health
ROCHESTER RESIDENCE AND CARE CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

ROCHESTER RESIDENCE AND CARE CENTER
Inspection Results For:

There are 149 surveys for this facility. Please select a date to view the survey results.

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ROCHESTER RESIDENCE AND CARE CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on a revisit survey completed on February 13, 2024, it was determined that Rochester Residence and Care Center corrected the deficiencies identified during the survey of December 18, 2023, as related to the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities, however, has continued non-compliance with two regulations as related to the requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 211.12(f.1)(2) LICENSURE Nursing services. :

(2) Effective July 1, 2023, a minimum of 1 nurse aide per 12 residents during the day, 1 nurse aide per 12 residents during the evening, and 1 nurse aide per 20 residents overnight.

Observations:

Based on review of nursing time schedules and staff interview, it was determined that the facility administrative staff failed to provide a minimum of one nursing assistant per 12 residents during the day shift on one of seven days (2/11/24).

Findings include:

Review of the facility census data and nursing time schedules from 2/5/24 through 2/11/24 revealed the following nursing assistant staffing shortage:

Day shift:
2/11/24census 100actual hours 59.92hours required 62.50.

During an interview on 2/13/24, at 2:35 p.m. the Nursing Home Administrator confirmed the facility failed to provide a minimum of one nursing assistant per 12 residents during the day shift on one of seven days as required.

Plan of Correction - To be completed: 03/22/2024

The residents had no negative outcome from not meeting a minimum of one nurse aide per twelve residents during day shift on 2/11/24.
NHA/designee will provide the staffing coordinator/HR with re-education on the Pennsylvania staffing requirements.
The NHA, HR, and staffing coordinator attend daily corporate run labor calls that were instituted to track staffing needs and request additional contracted staffing if needed.
Staffing coordinator/designee will audit the ratios weekly x4 weeks and monthly x3 months.
Results of the audits will be submitted to the Quality Assurance and Performance Improvement Meetings.

§ 211.12(i)(1) LICENSURE Nursing services.:

(1) Effective July 1, 2023, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 2.87 hours of direct resident care for each resident.

Observations:

Based on review of nursing time schedules and staff interviews it was determined that the facility administrative staff failed to provide the minimum number of general nursing hours to each resident in a 24 hour period on one of seven days (2/11/24).

Findings include:

Nursing time schedules for the time period of 2/5/24 through 2/11/24 revealed that the facility failed to maintain 2.87 hours of general nursing care to each resident in a 24 hour period on 2/11/24.

Review of nursing time schedules indicated that on 2/11/24, the general hours of nursing care was 2.38.

During an interview on 2/13/24, at 2:35 p.m. the Nursing Home Administrator confirmed the facility failed to meet nursing hours requirements on one of ten days. (2/11/24).

Plan of Correction - To be completed: 03/22/2024

The residents had no negative outcome from not meeting the required PPD on 2/11/24.
NHA/designee will provide the staffing coordinator/HR with re-education on the Pennsylvania staffing requirements.
The NHA, HR director, and staffing coordinator attend daily corporate labor calls that were instituted to track staff and request additional contracted staff if needed. Staffing coordinator/designee will audit the PPD weekly x4 weeks and monthly x3 months. Results of the audits will be submitted and reviewed at the site Quality Assurance and Performance Improvement Meetings.

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