Pennsylvania Department of Health
ABINGTON MANOR
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

ABINGTON MANOR
Inspection Results For:

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

Initial comments:

Findings of a state revisit and an abbreviated complaint survey completed on May 27, 2026, at Abington Manor identified no deficient practice, related to the reported complaint allegations, under the requirements of 42 CFR Part 483 Subpart B Requirements for Long Term Care however the facility continued to be out of compliance with the following requirements of 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 211.12(f.1)(3) LICENSURE Nursing services. :

(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 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 4 shifts out of 21 shifts 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 per the regulation that was effective July 1, 2024.

April 19, 2026- 7.07 nurse aides on the night shift, versus the required 7.33 for a census of 110.

April 20, 2026- 9.77 nurse aides on the evening shift, versus the required 9.91 for a census of 109.

April 21, 2026- 7.13 nurse aides on the night shift, versus the required 7.20 for a census of 108.

April 22, 2026- 10.73 nurse aides on the day shift, versus the required 10.80 for a census of 108.

On the above dates mentioned no additional excess higher-level staff were available to compensate for this deficiency.

An interview with the Nursing Home Administrator on May 27, 2025, at 2:15 PM, revealed the facility had not met the required nurse aide to resident ratios on the above dates.

Plan of Correction - To be completed: 08/01/2026

1. Facility cannot retroactively correct past CNA ratios.
2. Facility is utilizing agency staff for call offs, continuing to recruit for open positions, and following internal programs for retention.
3. Facility implemented new process that a daily scheduling/labor meeting happens daily where CNA ratios are reviewed. NHA/designee educated nursing scheduler on this new process.
4. NHA/designee will audit CNA ratios weekly for 4 weeks and then monthly for 2 months.
5. Audits will be submitted to QAPI for review.

§ 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 a review of nurse staffing and staff interview, it was determined the facility failed to ensure the minimum licensed practical nurse (LPN) ratio to resident ratio was provided on each shift for 5 shifts out of 21 shifts reviewed.

Findings include:

A review of the facility's weekly staffing records revealed that on the following dates the facility failed to provide minimum licensed practical nurse (LPN) staff of 1:30 on the evening shift, and 1:40 on the night shift based on the facility's census.

April 19, 2026 -4.03 LPNs on the day shift, versus the required 4.40, for a census of 110.

April 20, 2026 -4.22 LPNs on the day shift, versus the required 4.36, for a census of 109.

April 20, 2026 -2.53 LPNs on the night shift, versus the required 2.73, for a census of 109.

April 24, 2026 -4.09 LPNs on the day shift, versus the required 4.40, for a census of 110.

April 25, 2026 -4.34 LPNs on the day shift, versus the required 4.36, for a census of 109.

An interview with the Nursing Home Administrator (NHA) on May 27, 2026 at 2:15 PM, confirmed that the facility had not met the required LPN to resident ratios on the day and evening shifts on the above dates.

Plan of Correction - To be completed: 08/01/2026

1. Facility cannot retroactively correct past LPN ratios.
2. Facility is utilizing agency staff for call offs, continuing to recruit for open positions, and following internal programs for retention.
3. Facility implemented new process that a daily scheduling/labor meeting happens daily where LPN ratios are reviewed. NHA/designee educated nursing scheduler on this new process.
4. NHA/designee will audit LPN ratios weekly for 4 weeks and then monthly for 2 months.
5. Audits will be submitted to QAPI for review.

§ 211.12(i)(2) LICENSURE Nursing services.:

(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 the facility failed to consistently provide minimum general nursing care hours to each resident daily for 1 out of 7 days reviewed.

Findings include:

A review of the facility's staffing levels revealed that on the following dates the facility failed to provide minimum nurse staffing of 3.2 hours of general nursing care to each resident per the regulation effective July 1, 2024:

April 25, 2026 - 3.17 direct care nursing hours per resident.

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

An interview with the Director of Nursing on May 27, 2026, at approximately 2:15 PM confirmed the facility failed to consistently provide minimum general nursing care hours to each resident daily.

Plan of Correction - To be completed: 08/01/2026

1. Facility cannot retroactively correct past nursing hours.
2. Facility is utilizing agency staff for call offs, continuing to recruit for open positions, and following internal programs for retention.
3. Facility implemented new process that a daily scheduling/labor meeting happens daily where nursing hours are reviewed. NHA/designee educated nursing scheduler on this new process.
4. NHA/designee will audit nursing hours weekly for weeks and then monthly for 2 months.
5. Audits will be submitted to QAPI for review.

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