Nursing Investigation Results -

Pennsylvania Department of Health
Patient Care Inspection Results

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Severity Designations

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
Inspection Results For:

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MANORCARE HEALTH SERVICES-EASTON - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on an Abbreviated survey in response to a complaint completed on January 3, 2019, it was determined that Manor Care Health Services- Easton had deficiencies that have the potential for minimal harm to residents as related to the requirements of 42 CFR Part 483 Subpart B Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

 Plan of Correction:

483.35(g)(1)-(4) REQUIREMENT Posted Nurse Staffing Information:Least serious deficiency but was found to be widespread throughout the facility and/or has the potential to affect a large portion or all the residents. This deficiency has the potential for causing no more than a minor negative impact on the resident.
483.35(g) Nurse Staffing Information.
483.35(g)(1) Data requirements. The facility must post the following information on a daily basis:
(i) Facility name.
(ii) The current date.
(iii) The total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift:
(A) Registered nurses.
(B) Licensed practical nurses or licensed vocational nurses (as defined under State law).
(C) Certified nurse aides.
(iv) Resident census.

483.35(g)(2) Posting requirements.
(i) The facility must post the nurse staffing data specified in paragraph (g)(1) of this section on a daily basis at the beginning of each shift.
(ii) Data must be posted as follows:
(A) Clear and readable format.
(B) In a prominent place readily accessible to residents and visitors.

483.35(g)(3) Public access to posted nurse staffing data. The facility must, upon oral or written request, make nurse staffing data available to the public for review at a cost not to exceed the community standard.

483.35(g)(4) Facility data retention requirements. The facility must maintain the posted daily nurse staffing data for a minimum of 18 months, or as required by State law, whichever is greater.
Based on observation, it was determined that the facility failed to post accurate and current nurse staffing.

Findings include:

During a tour of the facility conducted on January 3, 2019, at 11:20 a.m., the staffing information that was posted in the lobby was dated for January 2, 2019.

 Plan of Correction - To be completed: 01/13/2020

1. The identified missing nurse staffing information was posted on January 3, 2020 at 12:05 pm.
2. The facility will post accurate and current nurse staffing information on a daily basis.
3. Nurse scheduler to be in-serviced on Focus on F Tag 732 related to nurse staffing information data requirements and posting requirements.
4. NHA/Designee will conduct random audits of staffing posting to validate that the facility is posting the necessary staffing information on a daily basis. Trends will be reported to the QAPI Committee for further action.

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