Pennsylvania Department of Health
 LAURELDALE SKILLED NURSING AND REHABILITATION CENTER
Patient Care Inspection Results

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LAURELDALE SKILLED NURSING AND REHABILITATION CENTER
Inspection Results For:

There are  132 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.
LAURELDALE SKILLED 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 a complaint completed on February 29, 2024, it was determined that Laureldale Skilled Nursing and Rehabilitation was not in compliance with the following 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. :State only Deficiency.
(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 a review of nursing time schedules, it was determined that the facility failed to meet the minimum nurse aide (NA) to resident ratios for 16 of 21 days reviewed.

Findings include:

Review of nursing schedules for February 7 through 27, 2024, revealed the following:

The facility failed to meet the minimum NA to resident ratio of one NA for 12 residents on day (7:00 a.m. to 3:00 p.m.) shift on February 8, 9, 13, 14, 22, 24, and 25, 2024.

The facility failed to meet the minimum NA to resident ratio of one NA for 12 residents on evening (3:00 p.m. to 11:00 p.m.) shift on February 11, 22, and 26, 2024.

The facility failed to meet the minimum NA to resident ratio of one NA for 20 residents on night (11:00 p.m. to 7:00 a.m.) shift on February 8, 9, 11, 12, 13, 14, 16, 17, 18, 19, 20, 22, 23, 24, and 25, 2024.


 Plan of Correction - To be completed: 04/16/2024

1,2. Nurse aide staffing ratios will be reviewed for the last 7 days to evaluate if the state minimum CNA ratio is met.

3. Nursing Administration and scheduler will be reeducated on the CNA staffing ratios requirements.

4. Weekly audit of CNA staffing ratios will be conducted for 60 days by NHA/designee to ensure minimal CNA ratios are met. Tracking and trends to be submitted to the QAA Committe and issues to be addressed if/when needed.
§ 211.12(f.1)(4) LICENSURE Nursing services. :State only Deficiency.
(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.
Observations:
Based on a review of nursing time schedules, it was determined that the facility failed to meet the minimum licensed practical nurse (LPN) to resident ratios for 14 of 21 days reviewed.

Findings include:

Review of nursing schedules from February 7 through 27, 2024, revealed the following:

The facility failed to meet the minimum LPN to resident ratio of one LPN for 25 residents on day (7:00 a.m. to 3:00 p.m.) shift on February 11, 24, and 25, 2024.

The facility failed to meet the minimum LPN to resident ratio of one LPN for 30 residents on evening (3:00 p.m. to 11:00 p.m.) shift on February 18, and 23, 2024.

The facility failed to meet the minimum LPN to resident ratio of one LPN for 40 residents on night (11:00 p.m. to 7:00 a.m.) shift on February 7, 8, 10, 11, 12, 13, 16, 17, 18, 19, 23, 24, 25, and 26, 2024.


 Plan of Correction - To be completed: 04/16/2024

1,2. LPN ratios will be reviewed for the last 7 days to evaluate if the state minimum ratio for LPNs is met.

3. Nursing Administration and scheduler will be reeducated on LPN ratio requirements.

4. Weekly audit of LPN ratios will be conducted to ensure minimum LPN ratio is met. Tracking and trends to be submitted to the QAA Committee and issues addressed if/when needed.
§ 211.12(i)(1) LICENSURE Nursing services.:State only Deficiency.
(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 a review of nursing time schedules, it was determined that the facility failed to provide a minimum of 2.87 hours of direct care for each resident for nine of 21 days reviewed.

Findings include:

Review of nursing schedules from February 7 through 27, 2024, revealed the following:

On February 10, 2024, the total nursing care hours was 2.80 per resident.
On February 11, 2024, the total nursing care hours was 2.46 per resident.
On February 13, 2024, the total nursing care hours was 2.71 per resident.
On February 14, 2024, the total nursing care house was 2.79 per resident.
On February 16, 2024, the total nursing care hours was 2.73 per resident.
On February 17, 2024, the total nursing care hours was 2.78 per resident.
On February 18, 2024, the total nursing care hours was 2.65 per resident.
On February 23, 2024, the total nursing care hours was 2.61 per resident.
On February 24, 2024, the total nursing care hours was 2.48 per resident.


 Plan of Correction - To be completed: 04/16/2024

1,2. HPPD will be reviewed for the last 7 days to evaluate if the state minimum PPD 2.87 is met.

3. Nursing Administration and scheduler will be reeducated on PPD requirements.

4. Weekly audit of HPPD will be conducted for 60 days by NHA/designee to ensure minimal HPPD is met. Tracking and trends to be submitted to the QAA Committee and issues will be addressed if/when needed.

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