Pennsylvania Department of Health
WECARE AT MONROEVILLE REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

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WECARE AT MONROEVILLE REHABILITATION AND NURSING CENTER
Inspection Results For:

There are  204 surveys for this facility. Please select a date to view the survey results.

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WECARE AT MONROEVILLE REHABILITATION AND NURSING CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:


Based on a revisit survey completed on May 29, 2025, it was determined that Wecare At Monroeville Rehabilitation and Nursing Center failed to correct the deficiencies cited during the survey of April 18, 2025, under the requirements of the 28 Pa, Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.
















 Plan of Correction:


§ 211.12(f.1)(3) LICENSURE Nursing services. :State only Deficiency.
(3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight.

Observations:


Based on a review of staffing documents provided by the facility and staff interview it was determined that the facility failed to provide one nurse assistant (NA) per 10 residents on the day shift on two of nine days (5/20/25 and 5/26/25) one NA per 11 residents on the second shift on two of nine days (5/24/25 and 5/26/25) and one NA per 15 residents on the night shift on seven of nine days (5/18/25 through 5/22/25 and 5/24/25 and 5/26/25) as required.

Findings include:

A review of facility staffing documents provided by the facility from 5/18/25 through 5/26/25, revealed the facility failed to provide NA on the following shifts as required:

Day shift:

DateCensusActual hoursHours required
5/20/259572.5076.00
5/26/259272.0073.60

Evening shift:

DateCensusActual hoursHours required

5/24/259260.0066.91
5/26/259062.0065.45

Night shift:

DateCensusActual hoursHours required

5/18/259449.0050.13
5/19/259449.0050.13
5/20/259549.0050.67
5/21/259448.0050.13
5/22/259349.0049.60
5/24/259249.0049.07
5/25/259242.0049.07

During an interview on 5/28/25 at 1:05 p.m., the Nursing Home Administrator confirmed that the facility failed to provide NA's in the facility on the above shifts as required.




 Plan of Correction - To be completed: 06/24/2025

The facility cannot retroactively correct cited deficiencies.

The facility will continue to maintain the required ratios and implement a contingency plan if needed by calling in off duty staff, calling sister facilities or utilizing bonuses as needed to ensure sufficient nursing staff. Additionally, the facility will continue to maintain efforts to recruit and retain staff to meet care needs and ensure residents are receiving appropriate care and services.

The regional staff educated NHA/DON/ on ensuring sufficient nursing staff to meet residents' needs and ensure that the facility is holding daily staffing meetings.

To monitor and maintain ongoing compliance the NHA/DON/scheduler will complete staffing meetings 5x weekly x4 weekly then monthly x2 to ensure sufficient nursing staff.

The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations.

§ 211.12(i)(2) LICENSURE Nursing services.:State only Deficiency.
(2) Effective July 1, 2024, 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 3.2 hours of direct resident care for each resident.

Observations:


Based on a review of nursing time schedules and staff interview, it was determined that the facility failed to provide a minimum of 3.20 PPD (per patient daily) hours of direct care for each resident on three of nine days (5/20/25, 5/25/25 and 5/26/25).

Findings include:

Review of staffing documents and nursing staff schedules from 5/18/25 through 5/26/25, indicated that the State required PPD minimum hours of 3.20 was not met on the following days:

5/20/25= 3.08 PPD.
5/25/25= 3.13 PPD.
5/26/25= 3.11 PPD.

During an interview on 5/29/25 at 1:05 p.m. the Nursing Home Administrator confirmed that the facility failed to provide a minimum of 3.20 PPD hours of direct care on the above dates as required.




 Plan of Correction - To be completed: 06/24/2025

The facility cannot retroactively correct cited deficiencies

The facility will continue to maintain the required ratios and implement a contingency plan if needed by calling in off duty staff, calling sister facilities or utilizing bonuses as needed to ensure sufficient nursing staff. Additionally, the facility will continue to maintain efforts to recruit and retain staff to meet care needs and ensure residents are receiving appropriate care and services.

The regional staff educated NHA/DON/ on ensuring sufficient nursing staff to meet residents' needs and ensure that the facility is holding daily staffing meetings. The RDO educated NHA/DON/ on ensuring sufficient nursing staff and ensuring a minimum of 3.20 PPD.

To monitor and maintain ongoing compliance the NHA/DON/scheduler will complete staffing meetings 5x weekly x4 weekly then monthly x2 to ensure sufficient nursing staff.

The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations.


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