Pennsylvania Department of Health
BELLE TERRACE
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

BELLE TERRACE
Inspection Results For:

There are 107 surveys for this facility. Please select a date to view the survey results.

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BELLE TERRACE - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Based on a Revisit survey completed on January 16, 2026, regarding Belle Terrace, it was determined that the facility had corrected all the deficiencies cited during the survey of December 5, 2025, under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. It was determined that the facility had not corrected the deficiencies cited under the 28 Pa. Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 211.12(f.1)(4) LICENSURE Nursing services. :

(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 two of two days reviewed.

Findings include:

Review of nursing schedules for two days from January 13 through 14, 2026, revealed the following:

The facility failed to meet the minimum LPN to resident ratio of one LPN for 25 residents on the day shift (7:00 a.m. to 3:00 p.m.) on January 13 and 14, 2026.

The facility failed to meet the minimum LPN to resident ratio of one LPN for 40 residents on the night shift (11:00 p.m. to 7:00 a.m.) on January 13 and 14, 2026.

Plan of Correction - To be completed: 01/29/2026

1. Facility to focus on recruitment practices to help bring on more LPN staff. The facility to add more LPN's to day shift and night shift to help with the LPN ratio. This position to be posted on advertising websites and agency websites to cover shift until filled.
2. NHA/designee will reeducate the scheduler, Nurse Supervisors and Nursing Management on the correct LPN ratios.
4. NHA/designee will audit the nursing schedules in advance daily x3 weeks to ensure LPN's are staffed at the proper ratio.
5. Results will be shared at QAPI until substantial compliance is met

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