Pennsylvania Department of Health
STONERIDGE TOWNE CENTRE
Patient Care Inspection Results

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STONERIDGE TOWNE CENTRE
Inspection Results For:

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STONERIDGE TOWNE CENTRE - 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 January 8, 2024, it was determined that Stoneridge Towne Centre 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 four of 21 days reviewed.

Findings include:

Review of nursing schedules from November 19 through 25, 2023, December 19 through 25, 2023, and January 1 through 7, 2024, revealed the following:

The facility failed to meet the minimum NA to resident ratio of one NA for 12 residents on day shift (7:00 a.m. to 3:00 p.m.) on December 23, 2023.

The facility failed to meet the minimum NA to resident ratio of one NA for 12 residents on evening shift (3:00 p.m. to 11:00 p.m.) on December 24, 2023.

The facility failed to meet the minimum NA to resident ratios of one NA for 20 residents on night shift (11:00 p.m. to 7:00 a.m.) on November 19 and December 23, 2023, and January 3, 2024.

In an interview on January 8, 2024, at 1:30 p.m., the Administrator confirmed that the facility did not meet the minimum nurse aide to resident ratios for the above-mentioned dates.



 Plan of Correction - To be completed: 01/15/2024

1. Education to staff on new staffing ratios. Which will include direction to the Charge Nurses that they need to find coverage for all call-offs to maintain the current facility ratio need. Additionally, if the Charge Nurses cannot find coverage, they will need to notify the DON immediately to provide coverage.
2. Daily audits of schedules x 2 weeks
3. Weekly audits of three random schedule days x 2 weeks
4. Monthly audits of two random days x 2 months
5. All variances will be presented to QAPI.

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