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

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DUNMORE HEALTH CARE CENTER
Inspection Results For:

There are  147 surveys for this facility. Please select a date to view the survey results.

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DUNMORE HEALTH CARE CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on a revisit completed on April 9, 2024, it was determined that Dunmore Health Care Center corrected the federal deficiencies cited durng the surveys of January 19, 2024, and February 21, 2024, under the requirements of 42 CFR Part 483 Subpart B Requirements for Long Term Care but continued to be out of compliance with the following requirements of the 28 PA Code Commonwealth of Pennsylvania Long Term 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 it was determined that the facility administrative staff failed to provide a minimum of one nurse aide per 12 residents during the day and evening shifts, and one nurse aide per 20 residents during the night shift on 2 of 7 days reviewed. (4/2/24 and 4/8/24)

Findings include:

Review of facility census data indicated that on 4/2/24, the facility census was 79, which required 4 nurse aides during the night shift.

Review of the nursing time schedules revealed 3 NAs provided care on the night shift on 4/2/24. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data indicated that on 4/8/24, the facility census was 81, which required 4 nurse aides during the night shift.

Review of the nursing time schedules revealed 3 NAs provided care on the night shift on 4/8/24. No additional excess higher-level staff were available to compensate this deficiency.

The facility had not met the required nurse aide to resident ratios on all three shifts during the above dates.



 Plan of Correction - To be completed: 05/01/2024

Correction does not constitute an admission of or agreement with the facts and conclusions set forth on the survey report. Our plan of correction is prepared and executed as a means to continually improve the quality of care and to comply with all applicable state and federal regulatory requirements.
1. The facility cannot retroactively correct the past staffing ratio deficiency.
2. Moving forward, the facility will continue to schedule staff in accordance with the mandated C. N. A ratio requirements. The facility will make all good-faith efforts to utilize both internal and external resources to meet or exceed the staffing ratios.
3. To prevent this from reoccurring, the RDCS reeducated the NHA; DON and Scheduler on the updated staffing regulations in relation to staffing is reviewed each day for the subsequent day(s) by the NHA and/or DON to ensure adequate C.N.A staff to meet the staff/resident ratios. Needs are posted each week for internal staff to pick up extra shifts as well as posted with outside agencies.
4. To monitor and maintain ongoing compliance, the NHA/designee will audit deployment sheets to ensure the facility is staffed in accordance with the mandated requirements. Audits will be completed 5x weekly x4 weeks; 3x weekly x1 month and weekly x1 month. The results of the audits will be forwarded to the facility QAPI committee for further review and recommendations.



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