Nursing Investigation Results -

Pennsylvania Department of Health
RIVERSTREET MANOR
Patient Care Inspection Results

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RIVERSTREET MANOR
Inspection Results For:

There are  104 surveys for this facility. Please select a date to view the survey results.

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RIVERSTREET MANOR - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an abbreviated complaint survey completed on June 29, 2022, it was determined Riverstreet Manor was not in compliance with the following requirements of 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations.



 Plan of Correction:


211.12(i) LICENSURE Nursing services.:State only Deficiency.
(i) A minimum number of general nursing care hours shall be provided for each 24-hour period. 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 2.7 hours of direct resident care for each resident.
Observations:


Based on review of facility nurse staffing data, it was determined that the facility failed to maintain a minimum of 2.7 hours of direct resident care for each resident.

Findings include:

A review of facility nurse staffing data, including deployment sheets for the week of May 4, 2022, through May 10, 2022, and June 22, 2022, through June 28, 2022, the facility's 24 hour daily nurse staffing nurse staffing was below 2.7 hours per resident on the following day:

June 23, 2022, nursing hours of direct resident care for each resident was 2.68.

Interview with the Nursing Home Administrator (NHA) on June 29, 2022, at approximately 2:10 P.M. confirmed the nursing hours indicated above.




 Plan of Correction - To be completed: 07/20/2022

The facility will provide staffing at a minimum of 2.7 hour per patient day or higher to meet the needs of the residents. The nursing schedule and deployment sheets will be reviewed daily Monday through Friday, to include projected weekend hours, by the Administrator, Director of Nursing, and Center Scheduling Manager to validate appropriate direct resident care hours are being met and adjustments will be made if necessary.

Facility residents have the potential to be affected by this practice.

The Administrator, Nursing Management team, and Center Scheduling Manager will be re-educated concerning minimum nursing staffing hours, the calculation of direct resident care hours, and the appropriate response to unplanned variations in hours.

Administrator/designee will audit the direct care hours during the daily review of nursing schedules and deployment sheets to ensure that 2.7 hours of direct resident care or more is maintained.

Administrator/designee will present the results of these audits at the Quality Assurance and Performance Committee monthly for further review and recommendations.



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