Pennsylvania Department of Health
AVENTURA AT TERRACE VIEW
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

AVENTURA AT TERRACE VIEW
Inspection Results For:

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AVENTURA AT TERRACE VIEW - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Based on an abbreviated complaint survey completed on July 31, 2024, it was determined that the facility was not in compliance with the following 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 review of nursing time schedules and staff interviews, it was determined the facility failed to provide a minimum of one nurse aide per 10 residents during the dayshift, one nurse aide per 11 residents during the evening and one nurse aide per 15 residents during the night shift on 2 of 4 days reviewed (July 29, 2024 and July 31, 2024 ).

Findings include:

Review of facility census data indicated that on July 29, 2024, the facility census was 128, which required 8.53 nurse aides during the night shift.

Review of the nursing time schedules and time punch documentation revealed 8 nurse aides provided care on the night shift on July 29, 2024. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data indicated that on July 31, 2024, the facility census was 128, which required 11.64 nurse aides during the evening shift.

Review of the nursing time schedules and time punch documentation revealed 11 nurse aides provided care on the evening shift on July 31, 2024. No additional excess higher-level staff were available to compensate this deficiency.

During an interview conducted on July 30, 2024, at 2 P.M., the Nursing Home Administrator confirmed that the facility did not meet minimum staffing ratios for nurse aides on the above dates.

Plan of Correction - To be completed: 08/12/2024

The facility continues to staff at state staffing ratio requirements

2. The facility cannot retroactively correct this alleged deficient practice

3. Nursing scheduler will be re-educated on staffing ratios for the facility. Facility scheduled a staffing meeting 5 days a week which the Administrator, Human Resources and Staffing attend to review the previous days, the current day and the following day staffing. Facility staff will be asked to pick up open shifts, all open shifts will be offered to agency.

4. Administrator/designee will audit staffing ratios 5x/wk x 4 weeks then weekly x 8 weeks and report findings to QA&A committee

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