Pennsylvania Department of Health
BEAVER VALLEY HEALTHCARE AND REHABILITATION CENTER
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

BEAVER VALLEY HEALTHCARE AND REHABILITATION CENTER
Inspection Results For:

There are 155 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.


BEAVER VALLEY HEALTHCARE 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 two complaints completed on May 14, 2024, at Beaver Valley Healthcare and Rehabilitation 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 Facilities; however, the facility was not in compliance with 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 schedule documents, resident and staff interviews, it was determined that the facility failed to provide a minimum of one nurse aide per 12 residents during the daylight shift for one out of 21 days (5/10/24).

Findings include:

A review of 3-week nursing staffing documents (2/18/24-2/24/24; 3/30/24-4/5/24, 5/7/24-5/13/24) did not include a minimum of one Nurse aide (NA) per 12 residents during the day shift on the following date: 5/10/24

During an interview on 5/14/24, at 1:06 p.m. Resident R1 stated: "yes, sometimes there is not enough help. Most of the time there are enough. The worst shift is the 3-11 shift."

During an interview on 5/14/24, at 1:09 p.m. Resident R2 stated: "sometimes when they are short staff, we have to wait a long time to get help."

During an interview on 5/14/24, at 1:32 p.m. the Nursing Home Administrator (NHA) confirmed that the facility failed to provide a minimum of one nurse aide per 12 residents during the daylight shift on 5/10/24 as required.

Plan of Correction - To be completed: 06/30/2024

The facility will continue to take measures to adequately staff and meet the hours of direct nursing care per resident day.
The NHA or designee will conduct daily labor meeting and audit daily schedules to ensure minimum number of direct nursing care per resident are scheduled to meet the needs of the residents.
To help increase staffing facility has Agency contracts, recruitment efforts with social media and partnership with local schools.
Education completed 05/16/24 on staffing ratios with nurses, scheduler and nursing management.
These audits will be conducted daily for 14 days and weekly for 3 weeks. The results will be reviewed at Quality Assurance and Process Improvement meetings until substantial compliance has been met.

§ 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 review of nursing time schedule documents, resident and staff interviews, it was determined that the facility failed to provide a minimum of one Licensed Practical Nurse (LPN) per 30 residents during the evening shift for one out of 21 days (2/22/24) and failed to provide a minimum of one Licensed Practical Nurse (LPN) per 40 residents during the overnight shift six out of 21 days (2/22/24, 2/24/24, 3/30/24, 4/1/24, 4/5/24, and 5/13/24).

Findings include:

A review of 3-week nursing staffing documents (2/18/24-2/24/24; 3/30/24-4/5/24, 5/7/24-5/13/24) did not include a minimum of one Licensed Practical Nurse (LPN) per 30 residents during the evening shift on the following dates: 2/22/24

A review of 3-week nursing staffing documents (2/18/24-2/24/24; 3/30/24-4/5/24, 5/7/24-5/13/24) did not include a minimum of one Licensed Practical Nurse (LPN) per 40 residents during the overnight shift on the following dates: 2/22/24, 2/24/24, 3/30/24, 4/1/24, 4/5/24, and 5/13/24.

During an interview on 5/14/24, at 1:06 p.m. Resident R1 stated: "yes, sometimes there is not enough help. Most of the time there are enough. The worst shift is the 3-11 shift."

During an interview on 5/14/24, at 1:09 p.m. Resident R2 stated: "sometimes when they are short staff, we have to wait a long time to get help."

During an interview on 5/14/24, at 1:32 p.m. the Nursing Home Administrator (NHA) confirmed that the facility failed to provide a minimum of one Licensed Practical Nurse (LPN) per 30 residents during the evening shift for one out of 21 days (2/22/24 ) and failed to provide a minimum of one Licensed Practical Nurse (LPN) per 40 residents during the overnight shift six out of 21 days (2/22/24, 2/24/24, 3/30/24, 4/1/24, 4/5/24, and 5/13/24) as required.

Back to County Map

Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance

Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement