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 review two Complaints, completed on December 1, 2025, 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.

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: 01/26/2026

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. 5 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.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(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.

Observations: Based on review of nursing staffing hours and staff interview, it was determined that the facility failed to ensure the total of nursing care hours provided in each 24-hour period was a minimum of 3.2 hours per patient day (PPD), effective July 1, 2024, for four of the 21 days reviewed. Findings include: A review of nursing care hours provided by the facility from September 22 through 28, 2025; October 27, 2025, through November 2, 2025; and November 24 through 30, 2025, revealed that the facility failed to meet the minimum hours per patient day for the following days: October 30, 2025, 3.17 hours PPD October 31, 2025, 3.02 hours PPD November 1, 2025, 2.96 hours PPD November 2, 2025, 2.88 hours PPD Interview with the Nursing Home Administrator on December 1, 2025, at 12:25 PM confirmed that the facility did not meet regulatory PPD hours as evidenced above.

Plan of Correction - To be completed: 01/26/2026

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. 5 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.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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