Pennsylvania Department of Health
BRIDGEVILLE REHABILITATION & CARE CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

BRIDGEVILLE REHABILITATION & CARE CENTER
Inspection Results For:

There are 153 surveys for this facility. Please select a date to view the survey results.

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BRIDGEVILLE REHABILITATION & CARE CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Findings of an abbreviated, complaint survey completed on January 21, 2026, at Bridgeville Rehabilitation and Care Center identified no deficient practice, related to the reported complaint allegations, under the requirements of 42 CFR part 483, Subpart B Requirements for Long Term Care Facilities but is out of compliance with the 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.

Observations: Based on review of nursing time schedules and staff interviews, it was determined that the facility administrative staff failed to provide a minimum of one nurse aide (NA) per 10 residents during the day shift for 3 of 21 days (1/3/26, 1/17/26, and 1/18/26). Findings include: Review of the facility census data, nursing time schedules, and deployment sheets for the weeks of 1/2/26 to 1/22/26, revealed the following nurse aide staffing shortages: On 1/3/26 the census was 164, which required 16.40 NAs during the day shift. Review of the nursing time schedules revealed 14.89 NAs provided care on the day shift. No additional excess higher-level staff were available to compensate for this deficiency. On 1/17/26 the census was 166, which required 16.60 NAs during the day shift. Review of the nursing time schedules revealed 16.04 NAs provided care on the day shift. No additional excess higher-level staff were available to compensate for this deficiency. On 1/18/26 the census was 166, which required 16.60 NAs during the day shift. Review of the nursing time schedules revealed 15.09 NAs provided care on the day shift. No additional excess higher-level staff were available to compensate for this deficiency. During an interview on 1/23/26, at 4:00 p.m. the Director of Nursing (DON) confirmed that the facility failed to provide a minimum of one nurse aide per 10 residents during the day shift for 3 of 21 days.

Plan of Correction - To be completed: 02/25/2026

1. All residents received care in accordance with their plan of care and attending physician orders.

2. The Clinical Leadership Team and scheduler review the schedule daily. In the event of call offs the facility follows staffing policies including exhausting all possible replacements from internal staffing pool and contracted agency staff. Facility continues to offer incentives, coordinate staffing schedules, and replace call-offs per policy while actively continuing to hire for all open positions and additional pool staff.

3. Nursing Administration have been educated on the 7/1/2024 Nursing Ratios and the importance of maintaining the schedule as posted.

4. To monitor and maintain ongoing compliance the DON or designee will audit staffing weekly x4 weeks then monthly for two months.
Results will be taken to the QAPI for review and revision as needed.

§ 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 time schedules and staff interviews it was determined that the facility administrative staff failed to provide the minimum number of general nursing hours to each resident in a 24-hour period on 1 of 21 days (1/4/26). Findings include: Review of the nursing schedules and census information for the weeks of 1/2/26 through 1/22/26, revealed that the facility failed to maintain 3.20 hours of general nursing care to each resident in a 24-hour period on the following dates: -1/4/26, Census 164. PPD 2.96. During an interview on 1/23/26, at approximately 4:00 p.m. the Director of Nursing (DON) confirmed that the facility failed to provide the minimum number of general nursing hours to each resident in a 24-hour period on 1 of 21 days.

Plan of Correction - To be completed: 02/25/2026

1. All residents received care in accordance with their plan of care and attending physician orders.

2. The Clinical Leadership Team and scheduler review the schedule daily. In the event of call offs the facility follows staffing policies including exhausting all possible replacements from internal staffing pool and contracted agency staff. Facility continues to offer incentives, coordinate staffing schedules, and replace call-offs per policy while actively continuing to hire for all open positions and additional pool staff.

3. Nursing Administration have been educated on the 7/1/2024 minimum HPPD and the importance of maintaining the schedule as posted.

4. To monitor and maintain ongoing compliance the DON or designee will audit staffing weekly x4 weeks then monthly for two months.
Results will be taken to the QAPI for review and revision as needed.

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