Nursing Investigation Results -

Pennsylvania Department of Health
DUNMORE HEALTH CARE CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

DUNMORE HEALTH CARE CENTER
Inspection Results For:
There are 114 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


DUNMORE HEALTH CARE CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Based on an abbreviated complaint and revisit survey completed on September 6, 2019, it was determined that Dunmore Health Care Center corrected the federal deficiencies cited during the survey ending July 31, 2019, but continued to be out of compliance with the following requirement of the 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 211.12(i) LICENSURE Nursing services.:

(i) A minimum number of general nursing care hours shall be provided for each 24-hour period. 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 2.7 hours of direct resident care for each resident.

Observations:

Based on review of nursing time schedules and staff interview, it was determined that the facility failed to provide the minimum number of general nursing care hours to each resident in a 24-hour period on one of the 14 days reviewed.

Findings include:

A review of nursing time schedules revealed that the facility failed to provide 2.7 hours of general nursing care to each resident in a 24-hour period on the following date:

August 5, 2019- 2.66 hours provided

Interview with the Nursing Home Administrator (NHA) on September 6, 2019 at approximately 2:00 p.m. confirmed that the facility failed to provide the minimum nursing hours on the aforementioned day.

Plan of Correction - To be completed: 09/23/2019

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.
1. Facility is unable to retroactively correct the nursing hours for one of the 14 days reviewed. Moving forward the facility will ensure that facility PPD will remain at 2.7 or higher
2. To identify days with the potential to be affected the NHA reviewed nursing hours for the past 7 days. No negative findings were noted
3. To prevent this from recurring the NHA/designee educated Human Resources and the RN supervisors on the minimum numbers of hours of general nursing care required in each 24 hour period per Pennsylvania State Code.
4. To monitor and maintain ongoing compliance Human Resources/designee will complete the PPD spreadsheet to ensure accuracy. Weekly the NHA/designee and DON/designee will complete an audit reviewing the nursing hours for the following week as a projection of future nursing hours to meet the 2.7. Any negative findings will be immediately corrected. The NHA/designee will conduct staffing meetings after morning stand up and complete an audit to monitor the daily ppd. Any negative findings will be immediately corrected.
Results of the audits will be brought to QAPI for review and revision as indicated.

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