Pennsylvania Department of Health
HAVEN PLACE REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

HAVEN PLACE REHABILITATION AND NURSING CENTER
Inspection Results For:

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HAVEN PLACE REHABILITATION AND NURSING CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Based on an Abbreviated Survey to investigate three Complaints, completed on March 2, 2026, at Haven Place Rehabilitation and Nursing Center, it was determined that there were no federal deficiencies identified under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care; however, the facility was not in compliance with 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.

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: 05/01/2026

1. The facility cannot retroactively correct the NA ratio; since the staffing citation

2. An in-service will be conducted, and a weekly audit of upcoming nursing schedules will be conducted to ensure compliance with the nurse aide to resident ratios.

3. 3 new NA's have been hired since the citation.

4. Facility will make reasonable attempts to acquire new staff and to continue improving staff retention.

5. Facility increased rates and sign on bonuses to increase the amount of applicants and new hires.

5.The NHA/Designee will review nurse aide to resident ratios weekly to ensure regulatory compliance. Any concerns/issues will be reviewed monthly to the facility's QAPI Committee

§ 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.

Observations: Based on a review of nursing staffing hours and staff interview, it was determined that the facility failed to ensure a minimum of one licensed practical nurse (LPN) per 25 residents during the day shift for two of 21 days reviewed, and one LPN per 40 residents during the overnight shift for one of 21 days reviewed. Findings include: A review of nursing care hours provided by the facility from February 9, 2026, through March 1, 2026, revealed the following LPNs scheduled for resident census: Day shift (requires one LPN per 25 residents): February 18, 2026, 3.00 LPNs for a census of 84; requires 3.36 LPNs February 27, 2026, 3.00 LPNs for a census of 84; requires 3.36 LPNs Overnight shift (requires one LPN per 40 residents): February 22, 2026, 2.00 LPNs for a census of 83; requires 2.08 LPNs Interview with the Nursing Home Administrator and Director of Nursing on March 2, 2026, at 2:45 PM confirmed that the facility did not meet regulatory LPN-to-resident ratios as evidenced above.

Plan of Correction - To be completed: 05/01/2026

1. The facility cannot retroactively correct the LPN ratio; since the staffing citation

2. An in-service will be conducted, and a weekly audit of upcoming nursing schedules will be conducted to ensure compliance with the LPN to resident ratios.

3. 2 new LPN's have been hired since the citation.

4. Facility will make reasonable attempts to acquire new staff and to continue improving staff retention.

5. Facility has increased sign on bonus and increased rates to attract new applicants for new hires.

6.The NHA/Designee will review LPN to resident ratios weekly to ensure regulatory compliance. Any concerns/issues will be reviewed monthly to the facility's QAPI Committee

§ 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.

Plan of Correction - To be completed: 05/01/2026

1. The facility cannot retroactively correct the daily HPPD's; since the staffing citation

2. An in-service will be conducted, and a weekly audit of upcoming nursing schedules will be conducted to ensure compliance with the nurse aide to resident ratios.

3. 3 new NA's and 2 LPN's have been hired since the citation.

4. Facility will make reasonable attempts to acquire new staff and to continue improving staff retention.

5. increased sign on bonuses and increased rates to attract more applicants.

6.The NHA/Designee will review nurse aide to resident ratios weekly to ensure regulatory compliance. Any concerns/issues will be reviewed monthly to the facility's QAPI Committee

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