Pennsylvania Department of Health
PHOENIX CENTER FOR REHABILITATION AND NURSING, THE
Patient Care Inspection Results

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PHOENIX CENTER FOR REHABILITATION AND NURSING, THE
Inspection Results For:

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PHOENIX CENTER FOR REHABILITATION AND NURSING, THE - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:


Based on a follow-up survey completed on May 14, 2025, for abbreviated complaint survey of December 31, 2024 and subsequent revisit surveys of February 20, 2025 and April 2, 2025, it was determined that Phoenix Center for Rehabilitation & Nursing continues to be out of compliance with the following requirements of the Commonwealth of Pennsylvania Long Term Care Licensure Regulations for the Health portion of the survey process.




 Plan of Correction:


§ 211.12(f.1)(3) LICENSURE Nursing services. :State only Deficiency.
(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 facility staffing data, it was determined that the facility failed to ensure a minimum of one nurse aide per 10 residents on the day shift for six days for the period from May 2 through May 11, 2025.

Findings include:

Review of facility staffing data from May 2 through May 11, 2025, revealed the following dates and shifts that did not meet the requirement of one nurse aide per 10 residents on the day shift.

Day shift
5/2/2025
5/4/2025
5/6/2025
5/8/2025
5/9/2025
5/11/2025

The aforementioned data was conveyed to the Nursing Home Administrator in a telephone interview on May 14, 2025.


 Plan of Correction - To be completed: 07/03/2025

1. Scheduler will continue to schedule sufficient staffing for shift.

2. If a call off occurs, the Scheduler or Shift Supervisor will check to see who can stay late or come early and also post shift(s) with agency.

3. If aide position cannot be filled in time, Schedule or Shift Supervisor will check to see if any nurses can stay late or come in early and will adjust staffing sheet to indicate any hours a nurse may have filled in as an aide.

4. Facility will continue to work on staff recruitment and retention as identified in our Facility Assessment.

5. The facility will schedule additional staffing through staffing resources available to the facility.

§ 211.12(i)(2) LICENSURE Nursing services.:State only Deficiency.
(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 facility staffing data, it was determined that the facility failed to meet the required Per Patient Day (PPD) for three days for the period from May 2 through May 11, 2025.

Findings include:

A review of facility staffing data from May 2 through May 11, 2025, revealed that on the following days the facility had a PPD below 3.20.

5/3/2025 - 3.16
5/4/2025 - 2.96
5/11/2025 - 3.15

The aforementioned data was conveyed to the Nursing Home Administrator in a telephone interview on May 14, 2025.


 Plan of Correction - To be completed: 07/03/2025

1. Scheduler will continue to schedule sufficient staffing for shift.

2. If a call off occurs, the Scheduler or Shift Supervisor will check to see who can stay late or come early and also post shift(s) with agency.

3. If aide position cannot be filled in time, Schedule or Shift Supervisor will check to see if any nurses can stay late or come in early and will adjust staffing sheet to indicate any hours a nurse may have filled in as an aide.

4. Facility will continue to work on staff recruitment and retention as identified in our Facility Assessment.

5. The facility will schedule additional staffing through staffing resources available to the facility.


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