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

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BEAVER HEALTHCARE AND REHABILITATION CENTER
Inspection Results For:

There are  133 surveys for this facility. Please select a date to view the survey results.

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BEAVER 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 a complaint, completed on December 26, 2024, it was determined that Beaver Healthcare and Rehabilitation Center was in compliance with the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities; however, the facility was not in compliance with the 28. Pa Code, Commonwealth of Pennsylvania 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 staffing documents provided by the facility and staff interview it was determined that the facility failed to provide one nurse assistant (NA) per 10 residents on the daylight shift for four of 21 days (12/10/24, 12/12/24, 12/16/24, and 12/22/24) one NA per 11 residents on the second shift for two of 21 days (12/12/24 and 12/24/24) and one NA per 15 residents on the night shift on six of 21 days (12/4/24, 12/6/24, 12/7/24, and 12/15/24, 12/16/24, and 12/22/24 ) as required.

Review of facility census data and nursing time schedules from 12/3/24, through 12/24/24, revealed the following nurse assistant (NA) staffing shortages:

Day shift:
Date: Census: Actual hours: Hours required:
12/10/24 47 28.75 34.18
12/12/24 49 38.25 39.20
12/16/24 49 38.50 39.20
12/22/24 47 32.00 37.60

Evening shift:
Date: Census: Actual hours: Hours required:
12/12/24 49 31.00 35.64
12/24/24 48 28.00 34.91

Night Shift:
Date: Census: Actual hours: Hours required:
12/4/24 48 23.50 25.60
12/6/24 47 24.00 25.07
12/7/24 47 23.75 25.07
12/15/24 49 24.00 26.13
12/16/24 49 24.00 26.13
12/24/24 48 28.00 34.91

During an interview completed on 12/26/24, at 2:45 p.m. the Nursing Home Administrator confirmed the facility failed to provide one nurse assistant (NA) per 10 residents on the daylight shift for four of 21 days (12/10/24, 12/12/24, 12/16/24, and 12/22/24) one NA per 11 residents on the second shift for two of 21 days (12/12/24 and 12/24/24), and one NA per 15 residents on the night shift on six of 21 days (12/4/24, 12/6/24, 12/7/24, and 12/15/24, 12/16/24, and 12/22/24) as required.




 Plan of Correction - To be completed: 01/06/2025

NHA has educated Scheduler on minimum staffing hours/regulations on new staffing guidelines effective 07/01/2024.
Facility has advertised for open CNA positions. Interviews will be conducted as applicants apply.
Scheduler will meet with NHA/DON twice daily to review staffing schedule for a period of 1 week to ensure CNA ratios are being met.
NHA/DON/Scheduler will continue to monitor CNA ratios to ensure facility has sufficient staff.
Findings will be reported to QAPI for further review and monitoring.
Date of compliance 01/06/2025.


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