Pennsylvania Department of Health
WECARE AT MURRYSVILLE REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

WECARE AT MURRYSVILLE REHABILITATION AND NURSING CENTER
Inspection Results For:

There are 190 surveys for this facility. Please select a date to view the survey results.

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WECARE AT MURRYSVILLE REHABILITATION AND NURSING CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on a revisit survey completed on March 5, 2025, it was determined that Wecare At Murrysville Rehab and Nursing failed to correct the deficiencies cited during the survey of January 24, 2025, under the requirements of the 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.

Observations:

Based on a review of staffing documents provided by the facility and staff interview it was determined that the facility failed to provide one nurse assistant (NA)per 10 residents on the day shift on three of six days (2/25/25, 2/27/25 and 3/2/25), one NA per 11 residents on the second shift on six of six days (2/25/25 through 3/2/25) and one NA per 15 residents on the night shift on six of six days (2/25/25 through 3/2/25) as required.

Findings include:

A review of facility staffing documents provided by the facility from 2/25/25 through 3/2/25, revealed the facility failed to provide NA on the following shifts as required:

Day shift:

DateCensusActual hoursHours required

2/25/258744.2565.25
2/27/258757.0065.25
3/2/258545.7563.75

Evening shift:

DateCensusActual hoursHours required

2/25/258759.2559.32
2/26/258654.0058.64
2/27/258759.2559.32
2/28/258758.5059.32
3/1/258645.0058.64
3/2/258530.7557.95

Night Shift:

2/25/258716.0043.50
2/26/258630.0043.00
2/27/258737.5043.50
2/28/258730.0043.50
3/1/258630.7543.00
3/2/258524.0042.50

During an interview on 3/5/24 at 8:50 a..m., the Nursing Home Administrator confirmed that the facility failed to provide NA's in the facility on the above shifts as required.

Plan of Correction - To be completed: 04/02/2025

The facility cannot retroactively correct cited deficiencies.
The facility will continue to maintain the required ratios and implement a contingency plan if needed by calling in off duty staff, calling sister facilities or utilizing agency as needed to ensure sufficient nursing staff meets PA Regulation.
The RDO re-educated NHA/DON/ on ensuring sufficient nursing staff and a minimum of 3.20 PPD.
To monitor and maintain ongoing compliance the NHA/DON/scheduler will complete staffing meetings 5x daily for x4 weeks; then Weekly x2 Months and then Monthly X 2 months; to ensure required PPD and ratios are met.
The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations.

§ 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 review of nursing time schedules and staff interview it was determined that the facility administrative staff failed to provide a minimum of one licensed practical nurse (LPN) per 30 residents on the evening shift on two of six days (2/27/25 and 3/1/25), and one LPN per 40 residents on the night shift on one of six days (2/28/25).

Findings include:

Review of facility census data, nursing time schedules from 2/25/25 through 3/2/25, revealed the following LPN staffing shortage:

Evening shift:CensusActual hoursHours required

2/27/258722.4023.20
3/1/258619.2022.93

Night shift:

2/28/258714.4017.40

During an interview on 3/4/25, at 8:50 a.m. the Nursing Home Administrator confirmed the facility failed to provide the minimum of LPN's on the above day as required.

Plan of Correction - To be completed: 04/02/2025

The facility cannot retroactively correct cited deficiencies.
The facility will continue to maintain the required LPN ratios and implement a contingency plan if needed by calling in off duty LPN staff, calling sister facilities or utilizing agency as needed to ensure sufficient Cart nurse staff meets PA Regulation.
The RDO re-educated NHA/DON/ on ensuring sufficient nursing staff.
To monitor and maintain ongoing compliance the NHA/DON/scheduler will complete staffing meetings 5x per week for x4 weeks; then Weekly x2 Months and then Monthly X 2 months; to ensure LPN ratios are met.
The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations.

§ 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 a review of nursing time schedules and staff interview, it was determined that the facility failed to provide a minimum of 3.20 PPD (per patient daily) hours of direct care for each resident on five of six days ( 2/25/25, 2/27/25, 2/28/25, 3/1/25 and 3/2/25).

Findings include:

Review of staffing documents and nursing staff schedules from 2/25/25 through 3/2/25, indicated that the State required PPD minimum hours of 3.20 was not met on the following days:

2/25/25= 2.56 PPD.
2/27/25= 2.96 PPD.
2/28/25= 2.90 PPD.
3/1/25= 2.82 PPD.
3/2/25= 2.50 PPD.

During an interview on 3/5/25, at 8:50 a.m. the Nursing Home Administrator confirmed that the facility failed to provide a minimum of 3.20 PPD hours of direct care on the above dates as required.

Plan of Correction - To be completed: 04/02/2025

The facility cannot retroactively correct cited deficiencies.
The facility will continue to maintain the required ratios and implement a contingency plan if needed by calling in off duty staff, calling sister facilities or utilizing agency as needed to ensure sufficient nursing staff meets PA Regulation.
The RDO re-educated NHA/DON/ on ensuring sufficient nursing staff and a minimum of 3.20 PPD.
To monitor and maintain ongoing compliance the NHA/DON/scheduler will complete staffing meetings 5x per week for x4 weeks; then Weekly x2 Months and then Monthly X 2 months; to ensure required PPD and ratios are met.
The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations.

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