Pennsylvania Department of Health
 ABINGTON MANOR
Patient Care Inspection Results

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ABINGTON MANOR
Inspection Results For:

There are  112 surveys for this facility. Please select a date to view the survey results.

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ABINGTON MANOR - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on a revisit survey completed on January 16, 2025 it was determined that Abington Manor corrected the federal deficiencies cited during the survey ending November 15, 2024 under 42 CFR Part 483 Subpart B Requirements for Long Term Care however remained out of compliance under the 28 PA Code of PA 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 nurse staffing, resident census, and staff interview, it was determined the facility failed to ensure the minimum nurse aide staff to resident ratio was provided on each shift for 6 shifts out of 21 reviewed.

Findings include:

A review of the facility's weekly staffing records revealed that on the following dates the facility failed to provide minimum nurse aide staff of 1:10 on the day shift, 1:11 on the evening shift, and 1:15 on the night shift based on the facility's census.

January 7, 2025 - 4.88 nurse aides on the night shift, versus the required 6.67 for a census of 100.

January 8, 2025 - 5.93 nurse aides on the night shift, versus the required 7.00 for a census of 105.

January 9, 2025 - 6.26 nurse aides on the night shift, versus the required 7.00 for a census of 105.

January 11, 2025 - 8.51 nurse aides on the day shift, versus the required 10.60 for a census of 106.

January 12, 2025 - 8.62 nurse aides on the day shift, versus the required 10.70 for a census of 107.

January 13, 2025 - 5.92 nurse aides on the night shift, versus the required 6.87 for a census of 103.

An interview with the Nursing Home Administrator on January 15, 2025, at approximately 11:39 AM confirmed the facility had not met the required nurse aide to resident ratios on the above dates.


 Plan of Correction - To be completed: 04/02/2025

1. The facility will provide staffing at a minimum of 1 nurse aid per 10 residents during the day, 1 nurse aid per 11 residents during the evening, and 1 nurse aid per 15 residents overnight to meet the needs of the residents. The facility Administrator, Director of Nursing, and Nursing Scheduler will review the nursing schedule and deployment sheets daily Monday-Friday, to include projected weekend ratios, to validate appropriate direct resident care ratios. Adjustments will be made as necessary.
2. Schedule is completed daily and staffed with a minimum of 1 nurse aid per 10 residents during the day, 1 nurse aid per 11 residents during the evening, and 1 nurse aid per 15 residents overnight. When absences occur, every effort is made to replace staff.
A new agency contract has been signed by the facility to have additional staff to schedule.
3. The Administrator, the Nursing Management team, and the nursing scheduler will be re-educated concerning minimum CNA ratios and the appropriate response to unplanned variations in ratios. Ratios will be audited by the Nursing Home Administrator/designee during the daily review of nursing schedules and deployment sheets to ensure that correct CNA ratios are maintained.
4. The Administrator/designee will present the results of these audits at the Quality Assurance and Performance Committee monthly 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 nurse staffing, resident census, and staff interview, it was determined that the facility failed to consistently provide minimum general nursing care hours to each resident daily.

Findings include:

A review of the facility's staffing levels, and resident census revealed that on the following date the facility failed to provide minimum nurse staffing of 3.2 hours of general nursing care to each resident:

January 7, 2025- 3.05 direct care nursing hours per resident.
January 10, 2025 - 3.12 direct care nursing hours per resident
January 11, 2025 - 3.10 direct care nursing hours per resident
January 12, 2025 - 3.03 direct care nursing hours per resident
January 13, 2025 - 3.08 direct care nursing hours per resident
September 2, 2024 - 2.89 direct care nursing hours per resident
September 3, 2024 - 2.50 direct care nursing hours per resident
September 4, 2024 - 2.89 direct care nursing hours per resident
September 5, 2024 - 3.06 direct care nursing hours per resident

The facility's general nursing hours were below minimum required levels on the dates noted above.

An interview with the Nursing Home Administrator on January 15, 2025, at approximately 11:39 AM confirmed the facility failed to consistently provide minimum general nursing care hours to each resident daily.



 Plan of Correction - To be completed: 04/02/2025

1. The facility will provide staffing at a minimum of 3.2 hour per patient day to meet the needs of the residents. The facility Administrator, Director of Nursing, and Nursing Scheduler will review the nursing schedule and deployment sheets daily Monday through Friday, to include projected weekend hours, to validate appropriate direct resident care hours. Adjustments will be made as necessary.
2.Schedule is completed daily and staffed with a minimum of 3.2 PPD. When absences occur, every effort is made to replace staff.
A new agency contract has been signed by the facility to have additional staff to schedule.
3.The Administrator, the Nursing Management team, and the nursing scheduler will be re-educated concerning minimum nursing staffing hours and the appropriate response to unplanned variations in hours. Direct care hours will be audited by the Nursing Home Administrator/designee during the daily review of nursing schedules and deployment sheets to ensure that 3.2 hours of direct resident care is maintained.
4.The Administrator/designee will present the results of these audits at the Quality Assurance and Performance Committee monthly for further review and recommendations.


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