Nursing Investigation Results -

Pennsylvania Department of Health
Patient Care Inspection Results

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Severity Designations

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Inspection Results For:

There are  186 surveys for this facility. Please select a date to view the survey results.

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PHILADELPHIA NURSING HOME - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an Abbreviated Survey in response to two complaints and a reportable incident completed on December 9, 2021, at Philadelphia Nursing Home, identified no deficient practice under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. However a deficient practice was identified under 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations related to the health portion of the survey process.

 Plan of Correction:

211.12(j) LICENSURE Nursing services.:State only Deficiency.
(j) Nursing personnel shall be provided on each resident floor.

Based on nursing staffing records reviewed and staff interviews, it was determined that the facility failed to maintain the minimum of 2.7 nursing care hours per patient per day (PPD) for 11 of 21 days reviewed. (October 10 through 16, 2021; October 30 and 31, 2021; November 28, 2021; December 4, 2021)

Findings include:

Review of facility nursing staffing records for October 10 through 16, 2021; October 30 and 31, 2021; November 28, 2021; December 4, 2021 revealed a PPD below the minimum State required hours of 2.7 hours per patient day as follow:
October 10- 2.39 PPD
October 11- 2.58 PPD
October 12- 2.46 PPD
October 13- 2.50 PPD
October 14- 2.36 PPD
October 15- 2.24 PPD
October 16- 2.48 PPD
October 30- 2.33 PPD
October 31- 2.29 PPD
November 28- 2.39 PPD
December 4- 2.65 PPD

Interview with Nursing Home Administrator and Director of Nursing revealed that they were aware of the staffing shortages. They stated that it has been difficult to schedule sufficient people to compensate for call offs and no-shows.

 Plan of Correction - To be completed: 12/23/2021

No resident was affected by the deficient practice.

All residents have the potential to be affected by the deficient practice.

Corrective action has been taken to help enhance staffing by developing an appropriate Master schedule and signing contracts with nine nursing agencies to assist the facility with staffing needs during the pandemic.

Education was provided to the staff regarding call offs and how it affects the facility, the residents', and their peers. Facility has created a bonus structure for recruitment to encourage staff to assist in recruiting.

DON or designee will monitor PPD daily to ensure compliance with minimum State required hours of 2.7 hours per patient day.
Data will be summarized and presented to the facility QAPI committee meeting monthly x2 by the Director of Nursing or designee. Any issues or trends identified will be addressed by the QAPI committee as they arise and the plan will be revised to ensure continued compliance.

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