Pennsylvania Department of Health
ROSE VIEW NURSING AND REHABILITATION CENTER
Patient Care Inspection Results

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ROSE VIEW NURSING AND REHABILITATION CENTER
Inspection Results For:

There are  175 surveys for this facility. Please select a date to view the survey results.

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ROSE VIEW NURSING AND REHABILITATION CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an Abbreviated Survey in response to a Complaint, completed on May 15, 2025, at Rose View Nursing and Rehabilitation Center, it was determined that there were no federal deficiencies identified under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care; however, the facility was not in compliance with 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.


 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 nursing staffing hours and staff interview, it was determined that the facility failed to ensure a minimum of one nurse aide (NA) per 10 residents during the day shift for 14 of 21 days reviewed; failed to ensure a minimum of one NA per 11 residents during the evening shift for eight of 21 days reviewed; and failed to ensure a minimum of one NA per 15 residents during the overnight shift for 21 of 21 days reviewed.

Findings include:

Review of nursing staff care hours provided by the facility for April 20 through 26, 2025, April 27 to May 3, 2025, and May 8 to 14, 2025, revealed the following NAs scheduled for resident census:

Day shift (requires one NA per 10 residents):

April 20, 2025, 9.87 NAs for a census of 112; requires 11.20 NAs
April 22, 2025, 9.00 NAs for a census of 111; requires 11.10 NAs
April 24, 2025, 11.00 NAs for a census of 116; requires 11.60 NAs

April 28, 2025, 10.00 NAs for a census of 112; requires 11.20 NAs
April 29, 2025, 10.08 NAs for a census of 112; requires 11.20 NAs
April 30, 2025, 11.02 NAs for a census of 112; requires 11.20 NAs
May 3, 2025, 9.50 NAs for a census of 113; requires 11.30 NAs

May 8, 2025, 9.56 NAs for a census of 114; requires 11.40 NAs
May 9, 2025, 10.00 NAs for a census of 114; requires 11.40 NAs
May 10, 2025, 9.23 NAs for a census of 113; requires 11.30 NAs
May 11, 2025, 10.00 NAs for a census of 114; requires 11.40 NAs
May 12, 2025, 11.00 NAs for a census of 114; requires 11.40 NAs
May 13, 2025, 10.00 NAs for a census of 113; requires 11.30 NAs
May 14, 2025, 10.37 NAs for a census of 112; requires 11.20 NAs

Evening shift (requires one NA per 11 residents):

April 23, 2025, 10.12 NAs for a census of 115; requires 10.45 NAs

May 1, 2025, 10.20 NAs for a census of 114; requires 10.36 NAs

May 8, 2025, 9.59 NAs for a census of 114; requires 10.36 NAs
May 9, 2025, 9.13 NAs for a census of 114; requires 10.36 NAs
May 10, 2025, 8.82 NAs for a census of 114; requires 10.36 NAs
May 11, 2025, 7.70 NAs for a census of 114; requires 10.36 NAs
May 12, 2025, 8.98 NAs for a census of 114, requires 10.36 NAs
May 14, 2025, 10.00 NAs for a census of 112, requires 10.18 NAs

Overnight shift (requires one NA per 15 residents):

April 20, 2025, 6.00 NAs for a census of 110; requires 7.33 NAs
April 21, 2025, 6.00 NAs for a census of 110; requires 7.33 NAs
April 22, 2025, 6.24 NAs for a census of 113; requires 7.53 NAs
April 23, 2025, 6.08 NAs for a census of 116; requires 7.73 NAs
April 24, 2025, 6.08 NAs for a census of 115; requires 7.67 NAs
April 25, 2025, 6.00 NAs for a census of 112; requires 7.47 NAs
April 26, 2025, 6.12 NAs for a census of 113; requires 7.53 NAs

April 27, 2025, 6.58 NAs for a census of 112; requires 7.47 NAs
April 28, 2025, 7.24 NAs for a census of 112; requires 7.47 NAs
April 29, 2025, 6.37 NAs for a census of 112; requires 7.47 NAs
April 30, 2025, 6.43 NAs for a census of 113; requires 7.53 NAs
May 1, 2025, 6.12 NAs for a census of 112; requires 7.47 NAs
May 2, 2025, 6.37 NAs for a census of 112; requires 7.47 NAs
May 3, 2025, 5.81 NAs for a census of 113; requires 7.53 NAs

May 8, 2025, 6.37 NAs for a census of 114; requires 7.60 NAs
May 9, 2025, 6.00 NAs for a census of 113; requires 7.53 NAs
May 10, 2025, 5.98 NAs for a census of 114; requires 7.60 NAs
May 11, 2025, 6.16 NAs for a census of 114; requires 7.60 NAs
May 12, 2025, 6.37 NAs for a census of 113; requires 7.53 NAs
May 13, 2025, 5.57 NAs for a census of 112; requires 7.47 NAs
May 14, 2025, 5.23 NAs for a census of 111; requires 7.40 NAs

During a meeting with the Nursing Home Administrator and Director of Nursing on May 15, 2025, at 12:52 PM they confirmed that the facility did not meet regulatory nurse aide ratios as evidenced above.


 Plan of Correction - To be completed: 07/10/2025

Preparation and/or execution of this plan of correction does not constitute an admission or agreement by the provider of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by the provisions of Federal and State Law. The plan of correction represents the facility's credible allegation of compliance.

P5520
1. Findings of nurse aide nursing staff care ratios cannot be retroactively corrected.
2. Facility will provide a minimum of one nurse aide per 10 residents during day shift and one nurse aide per 11 residents on evening shift and one nurse aide per 15 residents on overnight shift. Staffing team will meet daily Monday-Friday to review staffing needs and create plans to ensure nurse aide coverage.
3. Scheduling manager will be educated on the requirements there must be a minimum of one nurse aide per 10 residents during day shift and a minimum of one nurse aide per 11 residents on evening shift and one nurse aide per 15 residents on overnight shift.
4. Director of Nursing or Designee will conduct random audits to verify that nurse aide day shift, evening shift ratios and overnight shift meet the requirements weekly for 4 weeks and then monthly for 2 months thereafter. Audit results will be presented at the QAPI meeting for 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 nursing staffing hours and staff interview, it was determined that the facility failed to ensure a minimum of one licensed practical nurse (LPN) per 25 residents during the day shift for five of 21 days reviewed, and one LPN per 40 residents during the overnight shift for 19 of 21 days reviewed.

Findings include:

Review of nursing staff care hours provided by the facility for April 20 through 26, 2025, April 27 to May 3, 2025, and May 8 to 14, 2025, revealed the following NAs scheduled for resident census:

Day shift (requires one LPN per 25 residents):

April 20, 2025, 4.04 LPNs for a census of 112; requires 4.48 LPNs.
April 24, 2025, 4.30 LPNs for a census of 116; requires 4.64 LPNs.
April 25, 2025, 4.00 LPNs for a census of 114; requires 4.56 LPNs.

April 28, 2025, 4.00 LPNs for a census of 112; requires 4.48 LPNs.
May 3, 2025, 4.00 LPNs for a census of 113; requires 4.52 LPNs.

Overnight shift (requires one LPN per 40 residents):

April 20, 2025, 2.00 LPNs for a census of 110; requires 2.75 LPNs.
April 21, 2025, 2.00 LPNs for a census of 110; requires 2.75 LPNs.
April 22, 2025, 1.21 LPNs for a census of 113; requires 2.83 LPNs.
April 23, 2025, 2.00 LPNs for a census of 116; requires 2.90 LPNs.
April 24, 2025, 2.00 LPNs for a census of 115; requires 2.88 LPNs.
April 25, 2025, 2.00 LPNs for a census of 112; requires 2.80 LPNs.
April 26, 2025, 2.00 LPNs for a census of 113; requires 2.83 LPNs.

April 27, 2025, 2.00 LPNs for a census of 112; requires 2.80 LPNs.
April 28, 2025, 2.00 LPNs for a census of 112; requires 2.80 LPNs.
April 29, 2025, 1.81 LPNs for a census of 112; requires 2.80 LPNs.
April 30, 2025, 1.59 LPNs for a census of 113; requires 2.83 LPNs.
May 1, 2025, 2.00 LPNs for a census of 112; requires 2.80 LPNs.
May 2, 2025, 2.00 LPNs for a census of 112; requires 2.80 LPNs.
May 3, 2025, 2.00 LPNs for a census of 113; requires 2.83 LPNs.

May 8, 2025, 2.03 LPNs for a census of 114; requires 2.85 LPNs.
May 9, 2025, 2.00 LPNs for a census of 113; requires 2.83 LPNs.
May 10, 2025, 2.00 LPNs for a census of 114; requires 2.85 LPNs.
May 11, 2025, 2.00 LPNs for a census of 114; requires 2.85 LPNs.
May 12, 2025, 2.00 LPNs for a census of 113; requires 2.83 LPNs.

During a meeting with the Nursing Home Administrator and Director of Nursing on May 15, 2025, at 12:52 PM they confirmed that the facility did not meet regulatory licensed practical nurse ratios as evidenced above.


 Plan of Correction - To be completed: 07/10/2025

P5530
1. Findings of LPN nursing staff care ratios cannot be retroactively corrected.
2. Facility will provide a minimum of one Licensed Practical Nurse per 25 residents during the day shift and a minimum of one LPN per 40 residents during the night shift. Staffing team will meet daily Monday-Friday to review staffing needs and create plans to ensure LPN coverage.
3. Scheduling manager will be educated on the requirements of one Licensed Practical Nurse per 25 residents during the day shift and a minimum of one LPN per 40 residents during the night shift.
4. Director of Nursing or Designee will conduct random audits to verify that LPN day shift and night shift meet the requirements weekly for 4 weeks and then monthly for 2 months thereafter. Audit results will be presented at the QAPI meeting for review and recommendations.

§ 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 review of nursing staffing hours and staff interview, it was determined that the facility failed to ensure the total of nursing care hours provided in each 24-hour period was a minimum of 3.2 hours per patient day (PPD), effective July 1, 2024, for 21 of 21 days reviewed.

Findings include:

Review of nursing staff care hours provided by the facility for April 20 through 26, 2025, April 27 to May 3, 2025, and May 8 to 14, 2025, revealed the following nurse aides scheduled for the resident census:

April 20, 2025, with 2.78 hours per resident per day.
April 21, 2025, with 3.12 hours per resident per day.
April 22, 2025, with 2.89 hours per resident per day.
April 23. 2025, with 2.82 hours per resident per day.
April 24, 2025, with 2.90 hours per resident per day.
April 25, 2025, with 2.89 hours per resident per day.
April 26, 2025, with 3.02 hours per resident per day.

April 27, 2025, with 3.05 hours per resident per day.
April 28, 2025, with 2.93 hours per resident per day.
April 29, 2025, with 2.92 hours per resident per day.
April 30, 2025, with 2.87 hours per resident per day.
May 1, 2025, with 2.88 hours per resident per day.
May 2, 2025, with 3.02 hours per resident per day.
May 3, 2025, with 2.80 hours per resident per day.

May 8, 2025, with 2.73 hours per resident per day.
May 9, 2025, with 2.71 hours per resident per day.
May 10, 2025, with 2.62 hours per resident per day.
May 11, 2025, with 2.64 hours per resident per day.
May 12, 2025, with 2.81 hours per resident per day.
May 13, 2025, with 2.93 hours per resident per day.
May 14, 2025, with 2.88 hours per resident per day.

During a meeting with the Nursing Home Administrator and Director of Nursing on May 15, 2025, at 12:52 PM they confirmed that the facility did not meet regulatory daily hours PPD as evidenced above.


 Plan of Correction - To be completed: 07/10/2025

P5640
1. Findings of nursing staff care hours cannot be retroactively corrected.
2. Facility will provide a minimum of 3.2 hours nursing care hours per patient day.
3. Scheduling manager will be educated on the requirement of providing a minimum of 3.2 nursing care hours per patient per day. Staffing team will meet daily Monday-Friday to review staffing needs and create plans to ensure adequate coverage.
4. Director of Nursing or Designee will conduct random audits to verify that facility is providing a minimum of 3.2 nursing care hours per patient per day weekly for 4 weeks and then monthly for 2 months thereafter. Audit results will be presented at the QAPI meeting for review and recommendations.


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