Pennsylvania Department of Health
SCRANTON HEALTH CARE CENTER
Patient Care Inspection Results

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SCRANTON HEALTH CARE CENTER
Inspection Results For:

There are  79 surveys for this facility. Please select a date to view the survey results.

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SCRANTON HEALTH CARE CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on a revisit survey completed on February 7, 2024, it was determined that Scranton Health Care Center corrected the federal deficiencies cited during the survey of December 21, 2023, under the requirements of 42 CFR Part 483, Subpart B Requirements for Long Term Care Facilities, but continued to be out of compliance with the following requirements of 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations.





 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 a review of nurse staffing and staff interview, it was determined that the facility failed to ensure the minimum nurse aide staff to resident ratio was provided on each shift for 16 shifts out of 42 reviewed.

Findings include:

A review of the facility's weekly staffing records revealed that on the following dates the facility failed to provide minimum nurse aide staff of 1:12 on the day and evening shift and 1:20 on the night shift based on the facility's census.

January 24, 2024 - 2 nurse aides on the night shift, versus the required 2.1 for a census of 42.
January 25, 2024 - 2 nurse aides on the night shift, versus the required 2.15 for a census of 43.
January 26, 2024 - 3.00 nurse aides on the day shift, versus the required 3.5 for a census of 42.
January 26, 2024 - 2 nurse aides on the night shift, versus the required 2.1 for a census of 42.
January 27, 2024 - 3 nurse aides on the day shift, versus the required 3.33 for a census of 76.
January 27, 2024 - 3 nurse aides on the evening shift, versus the required 3.33 for a census of 40.
January 28, 2024 - 3.25 nurse aides on the day shift, versus the required 3.33 for a census of 40.
January 28, 2024 - 3 nurse aides on the evening shift, versus the required 3.33 for a census of 40.
January 30, 2024 - 2 nurse aides on the night shift, versus the required 2.05 for a census of 41.
February 1, 2024 - 3 nurse aides on the evening shift, versus the required 3.5 for a census of 42.
February 1, 2024 - 2 nurse aides on the night shift, versus the required 2.1 for a census of 42.
February 3, 2024 - 3 nurse aides on the day shift, versus the required 3.33 for a census of 40.
February 4, 2024 - 3.25 nurse aides on the day shift, versus the required 3.33 for a census of 40.
February 5, 2024 - 3 nurse aides on the evening shift, versus the required 3.42 for a census of 41.
February 6, 2024 - 3.38 nurse aides on the day shift, versus the required 3.42 for a census of 41.
February 6, 2024 - 2 nurse aides on the night shift, versus the required 2.05 for a census of 41.

An interview with the Nursing Home Administrator on February 7, 2024, at 11:00 AM, confirmed the facility had not met the required nurse aide to resident ratios on the shifts and dates above.



 Plan of Correction - To be completed: 03/01/2024

The facility cannot retroactively correct past staffing. No issues were noted with residents.
The facility cannot retroactively correct past staffing issues. Moving forward the facility will continue to make good faith effort utilizing internal resources in the event of unforeseen staffing requirement deficits to make a good faith effort to ensure CNA staffing mandate is followed.
To prevent this from reoccurring the RVPO/designee will reeducate the NHA/DON on updated staffing regulations regarding staffing ratios and ensure a staffing meeting is held between the Don and NHA 5 days a week to ensure staffing ratios are met.
To monitor and maintain ongoing compliance the NHA/designee will audit deployment sheets to ensure the facility is staffed in accordance with the mandated requirements 5X's weekly X4, then weekly X2 months. The results of the audits will be forwarded to facility QAPI committee for further review and recommendations.

211.12(f.1)(4) LICENSURE Nursing services. :State only Deficiency.
(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 a review of nurse staffing and staff interview, it was determined that the facility failed to ensure the minimum licensed practical nurse staff to resident ratio was provided on each shift for 9 shifts out of 42 reviewed.

Findings include:

A review of the facility's weekly staffing records revealed that on the following dates the facility failed to provide minimum licensed practical nurse (LPN) staff of 1:25 on the day shift, 1:30 on the evening shift, and 1:40 on the night shift based on the facility's census.

January 26, 2024 - 1 LPN on the night shift, versus the required 1.05 for a census of 42.
January 27, 2024 - 1 LPN on the day shift, versus the required 1.6 for a census of 40.
January 31, 2024 - 1 LPN on the night shift, versus the required 1.05 for a census of 42.
February 1, 2024 - 1 LPN on the night shift, versus the required 1.05 for a census of 42.
February 3, 2024 - 1 LPN on the evening shift, versus the required 1.33 for a census of 40.
February 4, 2024 - 1 LPN on the evening shift, versus the required 1.33 for a census of 40.
February 5, 2024 - 1 LPN on the evening shift, versus the required 1.37 for a census of 41.
February 6, 2024 - 1 LPN on the evening shift, versus the required 1.37 for a census of 41.
February 6, 2024 - 1 LPNs on the night shift, versus the required 1.03 for a census of 41.

An interview with the Nursing Home Administrator on February 7, 2024, at 11:00 AM confirmed the facility had not met the required LPN to resident ratios on the above dates.




 Plan of Correction - To be completed: 03/01/2024


The facility cannot retroactively correct past staffing. No issues were noted with residents.
The facility cannot retroactively correct past staffing issues. Moving forward the facility will continue to make good faith effort utilizing internal resources in the event of unforeseen staffing requirement deficits to make a good faith effort to ensure LPN staffing mandate is followed.
To prevent this from reoccurring the RVPO/designee will reeducate the NHA/DON on updated staffing regulations regarding staffing ratios and ensure a staffing meeting is held between the Don and NHA 5 days a week to ensure staffing ratios are met.
To monitor and maintain ongoing compliance the NHA/designee will audit deployment sheets to ensure the facility is staffed in accordance with the mandated requirements 5X's weekly X4, then weekly X2 months. The results of the audits will be forwarded to facility QAPI committee for further review and recommendations.

211.12(f.1)(5) LICENSURE Nursing services. :State only Deficiency.
(5) Effective July 1, 2023, a minimum of 1 RN per 250 residents during all shifts.
Observations:

Based on a review of nurse staffing and staff interview, it was determined that the facility failed to ensure the minimum registered nurse staff to resident ratio was provided on each shift for 13 shifts out of 42 shifts reviewed.

Findings include:

A review of the facility's staffing records revealed that on the following dates the facility failed to provide minimum registered nurse (RN) staff of 1:250 and based on the facility census of 59 or less failed to substitute a licensed practical nurse for a registered nurse on the night (overnight) shift if an RN is on call and located within a 30-minute drive of the facility.

January 24, 2024 - 0 RN on night shift versus, the required 1 for a census of 42.
January 25, 2024 - 0 RN on night shift versus, the required 1 for a census of 43.
January 26, 2024 - 0 RN on night shift versus, the required 1 for a census of 42.
January 27, 2024 - 0 RN on night shift versus, the required 1 for a census of 40.
January 28, 2024 - 0 RN on night shift versus, the required 1 for a census of 40.
January 30, 2024 - 0 RN on night shift versus, the required 1 for a census of 41.
January 31, 2024 - 0 RN on night shift versus, the required 1 for a census of 42.
February 1, 2024, - 0 RN on night shift versus, the required 1 for a census of 42.
February 2, 2024, - 0 RN on night shift versus, the required 1 for a census of 40.
February 3, 2024, - 0 RN on night shift versus, the required 1 for a census of 40.
February 4, 2024, - 0 RN on night shift versus, the required 1 for a census of 40.
February 5, 2024, - 0 RN on night shift versus, the required 1 for a census of 41.
February 6, 2024, - 0 RN on night shift versus, the required 1 for a census of 41.

An interview with the Director of Nursing (DON) on February 7, 2024, at approximately 11:00 AM, confirmed that the facility had not met the required RN to resident ratios on the above shifts.





 Plan of Correction - To be completed: 03/01/2024

The facility cannot retroactively correct past staffing. No issues were noted with residents.
The facility cannot retroactively correct past staffing issues. Moving forward the facility will continue to make good faith effort utilizing internal resources in the event of unforeseen staffing requirement deficits to make a good faith effort to ensure the staffing mandate is followed.
To prevent this from reoccurring the RVPO/designee will reeducate the NHA/DON on updated staffing regulations regarding staffing ratios and ensure a staffing meeting is held between the Don and NHA 5 days a week to ensure staffing ratios are met.
To monitor and maintain ongoing compliance the NHA/designee will audit deployment sheets to ensure the facility is staffed in accordance with the mandated requirements 5X's weekly X4, then weekly X2 months. The results of the audits will be forwarded to facility QAPI committee for further review and recommendations.


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