Pennsylvania Department of Health
MANATAWNY CENTER FOR REHABILITATION AND NURSING
Patient Care Inspection Results

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MANATAWNY CENTER FOR REHABILITATION AND NURSING
Inspection Results For:

There are  112 surveys for this facility. Please select a date to view the survey results.

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MANATAWNY CENTER FOR REHABILITATION AND NURSING - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on an abbreviated survey completed on April 10, 2024, in response to 1 complaint at Manatawny Center for Rehabilitation and Nursing, it was determined that Manatawny Center for Rehabilitation and Nursing was not in compliance with the following requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care and the PA 28 Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations for the Health portion of the survey process.


 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 and staff interviews it was determined that the facility administrative staff failed to provide a minimum of one nurse aide per twelve residents during the morning sift, on two of twenty-one days (March 10, 2024, and March 30, 2024)
.
Findings include:

Review of facility census data indicated that on March 10, 2024, the facility census was 121, which required 10.08 nurse aides during the evening shift.

Review of nursing time schedules and deployment sheets revealed 8.91 nurse aides provided care that morning. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data indicated that on March 30, 2024, the facility census was 121, which required 10.08 nurse aides during the evening shift.

Review of nursing time schedules and deployment sheets revealed 8.28 nurse aides provided care that morning. No additional excess higher-level staff were available to compensate this deficiency.

During an interview on March 10, 2024, at 10:30 a.m. the Nursing Home Administrator (NHA) confirmed the facility failed to provide a minimum of one nurse aide per twelve residents during the morning, on two of twenty-one days.



 Plan of Correction - To be completed: 05/07/2024

Preparation and/or execution of this plan does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth on the statement of deficiencies. This plan of correction is prepared and/or executed solely because it is required.

1.No residents were identified as being affected by this alleged deficient practice.

2.NHA/Designee will educate facility and agency RN Shift Supervisors, Administrative Nursing team members, Staffing coordinator and Interdisciplinary team members on the regulatory requirements for RN/LPN/NA shift ratios, the process for monitoring current staff shift schedules, and staffing processes which are in place to meet the ratio requirements.

3.RN Shift Supervisor/Staffing Coordinator will monitor current and upcoming shifts to validate regulatory staffing requirements are met. RN Shift Supervisor/Staffing Coordinator will immediately notify the DON/NHA/Designee if they encounter a situation where required staffing ratios cannot be met. Director of Nursing/NHA/Designee will assist in coordinating additional support from nursing staff and interdisciplinary team members to achieve regulatory requirements.

4.NHA/Designee will audit staffing assignments daily for one month and three times a week for two months to ensure that the facility has been adequately staffed per regulation. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee monthly.

5.Date of Compliance will be 5/7/2024.

211.12(i)(1) LICENSURE Nursing services.:State only Deficiency.
(1) Effective July 1, 2023, 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 2.87 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 one of twenty-one days (March 30, 2024).

Findings include:

Nursing time schedules for the time period of March 10, 2024 through March 30, 2024, revealed that the facility failed to maintain 2.87 hours of general nursing care to each resident in a 24 hour period on the following dates:

March 10, 2024- 2.81

During an interview on March 10, 2024,, at 10:30 a.m. the Nursing Home Administrator (NHA) confirmed the facility failed to meet nursing hours requirements on one of twenty-one days.


 Plan of Correction - To be completed: 05/07/2024

Preparation and/or execution of this plan does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth on the statement of deficiencies. This plan of correction is prepared and/or executed solely because it is required.

1.No residents were identified as being affected by this alleged deficient practice.

2.NHA/Designee will educate facility and agency RN Shift Supervisors, Administrative Nursing team members, Staffing coordinator and Interdisciplinary team members on the regulatory requirements for general nursing care provided in a 24-hour period must be a minimum of 2.87 hours of direct resident care for each resident.

3.RN Shift Supervisor/Staffing Coordinator will monitor current and upcoming shifts to validate daily minimum staffing requirements are met. RN Shift Supervisor/Staffing Coordinator will immediately notify the DON/NHA/Designee if they encounter a situation where minimum daily staffing requirements cannot be met. Director of Nursing/NHA/Designee will assist in coordinating additional support from nursing staff and interdisciplinary team members to achieve regulatory requirements.

4.NHA/Designee will audit staffing assignments daily for one month and three times a week for two months to ensure that the facility has met the daily minimum staffing requirements for residents. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee monthly.

5.Date of Compliance will be 5/7/2024.


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