Pennsylvania Department of Health
HARMAR VILLAGE HEALTH & REHAB CENTER
Patient Care Inspection Results

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HARMAR VILLAGE HEALTH & REHAB CENTER
Inspection Results For:

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HARMAR VILLAGE HEALTH & REHAB CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:


Based on a revisit survey completed on February 15, 2024, it was determined that Harmar Village Health and Rehab Center failed to correct the deficiency identified during the survey of January 17, 2024, as related to the requirements 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 review of nursing time schedules and staff interview, it was determined that the facility administrative staff failed to provide a minimum of one nursing assistant per 12 residents on the day shift on one of ten days (2/11/24) and one nursing assistant per 20 residents on the night shift on one of ten days (2/8/24).

Findings include:

Review of the facility census data and nursing time schedules revealed the following nurse aide staffing shortages:

Day shift:
21/11/24census 9156.38 actual hours 60.67 hours required.

Night shift:
2/8/24census 9228.10 actual hours36.80 hours required.

No additional excess higher-level staff were available to compensate for this deficiency.

During an interview on 2/15/24, at 3:20 p.m. the Director of Nursing confirmed the facility failed to provide a minimum of one nursing assistant per 12 residents during the day and one nursing assistant per 20 residents on the night shift as required.



 Plan of Correction - To be completed: 02/26/2024

Preparation and submission of this POC is required by state and federal law. This POC does not constitute an admission for purposes of general liability, professional malpractice or any other court proceeding.

The facility cannot retroactively correct past staffing issues.

Moving forward the facility will utilize on call rotations, sister facilities and staffing agencies to assist in meeting mandated requirements.

To prevent this from reoccurring the Regional Director of Clinical Services will reeducate the NHA and DON on the updated staffing regulations regarding staffing ratios.

Audits of ratio compliance for past and upcoming schedules will occur weekly x 4 and monthly x 2. Ad hoc education will be provided as needed. The results of the audits will be forwarded to the facility QAPI committee for further review and recommendations.


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