Pennsylvania Department of Health
FOREST CITY NURSING AND REHAB CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

FOREST CITY NURSING AND REHAB CENTER
Inspection Results For:

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FOREST CITY NURSING AND REHAB CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Based on an abbreviated complaint survey completed on July 7, 2026, at Forest City Nursing and Rehab Center, it was determined there were no federal deficiencies related to the health portion of the survey process identified under the requirements of 42 CFR Part 483, Subpart B, requirements for Long Term Care as they relate to the health portion of the survey process; 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)(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.

Plan of Correction - To be completed: 08/17/2026

Preparation and/or execution of this plan of correction does not constitute an admission or agreement by the provider of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared solely because it is by the provisions of federal and state law. The plan of correction represents the facility's credible allegation of compliance.
The facility cannot retroactively correct the Nursing Assistant ratios.
The facility focuses on retention of existing nursing assistants and recruitment of new nursing assistants through efforts to include but not limited to the staffing meetings.
Bi-Weekly staffing meetings will be held to address good faith efforts towards meeting Nursing Assistant ratios.
The HR/scheduler will make a good faith effort to recruit higher level staff to accommodate the ratios.
Calculation of the daily nursing assistant ratios will be completed and reviewed for accuracy by the scheduler/designee.
Daily ratios will be audited weekly x4 then monthly x2.
The audits will be reviewed x 2 months at monthly QAPI.

§ 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.

Plan of Correction - To be completed: 08/17/2026

The facility cannot retroactively correct the LPN ratios.
The facility focuses on retention of existing LPNs and recruitment of new LPNs through the efforts of including but not limited to the retention events and staffing meetings.
Bi-Weekly staffing meetings will be held to address good faith efforts towards meeting LPN ratios.
The HR/scheduler will make a good faith effort to recruit higher level staff to accommodate the ratios.
Calculation of the daily LPN ratios will be completed and reviewed for accuracy by the scheduler/designee.
Daily ratios will be audited weekly x4 then monthly x2.
The audits will be reviewed x 2 months at monthly QAPI.

§ 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 and resident census and staff interview, it was determined 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 revealed that on the following dates the facility failed to provide minimum nurse staffing of 3.20 hours of general nursing care to each resident: June 27, 2026 - 2.82 direct care nursing hours per resident. June 28, 2026 - 2.82 direct care nursing hours per resident. June 30, 2026 3.16 direct care nursing hours per resident. July 3, 2026 3.03 direct care nursing hours per resident. July 6, 2026 - 2.96 direct care nursing hours per resident. The facility's general nursing hours were below minimum required levels on the above dates. During an interview with the Nursing Home Administrator (NHA) on July 7, 2026, at 1:30 PM, the above information was reviewed and confirmed the facility failed to consistently provide minimum general nursing care hours to each resident daily.

Plan of Correction - To be completed: 08/17/2026

The facility cannot retroactively correct the nursing hours.
Calculation of daily PPD will be completed and reviewed for accuracy by the scheduler/designee.
The NHA/designee and Human Resources/designee will continue recruitment efforts including but not limited to job postings, working with the facility recruiter, sending needs out to agencies, and continuing to be a clinical site for nursing assistant classes.
The facility focuses on the retention of existing clinical staff and recruitment of new clinical staff through the efforts of the retention events and staff meetings.
Bi-Weekly staffing meetings will be held to address good faith efforts towards meeting nursing hours.
Daily PPD will be audited weekly x4, then monthly x2. The audits will be presented to monthly QAPI x 2 months.

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