Pennsylvania Department of Health
BRYN MAWR EXTENDED CARE CENTER
Patient Care Inspection Results

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BRYN MAWR EXTENDED CARE CENTER
Inspection Results For:

There are  230 surveys for this facility. Please select a date to view the survey results.

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BRYN MAWR EXTENDED CARE CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an Abbreviated Survey in response to two complaints, completed on March 21, 2024 at Bryn Mawr Extended Care Center, it was determined that there were no federal deficiencies identified under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care; however, the facility was not in compliance with 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.





 Plan of Correction:


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 the review of nursing time schedules and staff interview, it was determined that the facility did not meet the minimum of 2.87 hours of direct resident care for each resident for four days. (Februray 25, 2024; March 2, 2024; March 11, 2024 and March 12, 2024)

Findings include:

A review of nursing time schedules from February 25, 2024 to March 2, 2024, revealed that staffing was 2.73 hours of direct resident care for each resident on February 25, 2024 and 2.77 hours of direct resident care for each resident on March 2, 2024.

A review of nursing time schedules from March 10, 2024 to March 16, 2024, revealed staffing was 2.7 hours of direct resident care for each resident on March 11, 2024 and 2.79 hours of direct resident care for each resident on March 12, 2024.

An interview with the Nursing Home Administrator on August 16, 2023, confirmed that the facility did not meet the minimum of 2.87 hours for direct resident care on the above dates.


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

-Staffing coordinator miscalculated staffing PPD
-Staffing coordinator received in-service for proper calculation of the PPD
-Staffing coordinator audit performed audited daily
-Staffing coordinator confirming PPD daily to nsg designee

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