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  168 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
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 September 10, 2024, 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 seven of 21 days reviewed, one NA per 11 residents during the evening shift for one of the 21 days reviewed, and one NA per 15 residents during the night shift for 14 of 21 days reviewed.

Findings include:

Review of nursing staff care hours provided by the facility revealed the following staff scheduled for the following resident census:

Day shift (requires one NA per 10 residents):

August 18, 2024, 10.73 NAs for a census of 115; requires 11.50 NAs
August 20, 2024, 11.38 NAs for a census of 117; requires 11.70 NAs
August 21, 2024, 11.39 NAs for a census of 116; requires 11.60 NAs
September 4, 2024, 11.23 NAs for a census of 115; requires 11.50 NAs
September 6, 2024, 10.89 NAs for a census of 117; requires 11.70 NAs
September 7, 2024, 10.79 NAs for a census of 118; requires 11.80 NAs
September 8, 2024, 10.72 NAs for a census of 117; requires 11.70 NAs

Evening shift (requires one NA per 11 residents):

September 7, 2024, 10.28 NAs for a census of 118; requires 10.73 NAs

Night shift (requires one NA per 15 residents):

August 18, 2024, 6.49 NAs for a census of 115; requires 7.67 NAs
August 19, 2024, 6.53 NAs for a census of 116; requires 7.73 NAs
August 20, 2024, 7.47 NAs for a census of 117; requires 7.80 NAs
August 21, 2024, 6.38 NAs for a census of 116; requires 7.73 NAs
August 22, 2024, 7.05 NAs for a census of 115; requires 7.67 NAs
August 23, 2024, 6.45 NAs for a census of 116; requires 7.73 NAs
August 24, 2024, 6.92 NAs for a census of 116; requires 7.73 NAs
September 3, 2024, 6.27 NAs for a census of 116; requires 7.73 NAs
September 4, 2024, 6.62 NAs for a census of 114; requires 7.60 NAs
September 5, 2024, 6.59 NAs for a census of 116; requires 7.73 NAs
September 6, 2024, 6.26 NAs for a census of 118; requires 7.87 NAs
September 7, 2024, 6.95 NAs for a census of 118; requires 7.87 NAs
September 8, 2024, 6.13 NAs for a census of 116; requires 7.73 NAs
September 9, 2024, 6.69 NAs for a census of 115; requires 7.67 NAs

An interview with the Nursing Home Administrator on September 10, 2024, at 1:14 PM confirmed the facility did not meet the minimum regulatory NA-to-resident ratio as evidenced above.

The findings were reviewed with the Nursing Home Administrator and Director of Nursing on September 10, 2024, at 1:23 PM.


 Plan of Correction - To be completed: 10/30/2024

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.


5520
1. Findings of nursing aide nursing staff care ratios cannot be retroactively corrected.
2. Facility will provide a minimum of 1 nurse aide per 10 residents on the day, one nurse aide per 11 residents during evening and one nurse aide per 15 residents overnight.
3. Scheduler will be educated on the requirements of 1 nurse aide of per 10 residents on the day, one nurse aide per 11 residents during evening and one nurse aide per 15 residents overnight.
4. NHA/designee will conduct random audits to verify that nurse aide dayshift, evening and overnight ratios meet the requirements weekly for 4 weeks. Audit results will be presented to 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 on the day shift for two of 21 days reviewed and one LPN per 40 residents during the night shift on 13 of 21 days reviewed.

Findings include:

Review of nursing staff care hours provided by the facility revealed the following staff scheduled for the following resident census:

Day Shift (requires one LPN per 25 residents):

August 18, 2024, 4.27 LPNs for a census of 115; requires 4.60 LPNs
September 8, 2024, 4.44 LPNs for a census of 117; requires 4.68 LPNs

Night Shift (requires on LPN per 40 residents):

August 18, 2024, 2.13 LPNs for a census of 115; requires 2.88 LPNs
August 19, 2024, 2.13 LPNs for a census of 116; requires 2.90 LPNs
August 20, 2024, 2.18 LPNs for a census of 117; requires 2.93 LPNs
August 21, 2024, 2.13 LPNs for a census of 116; requires 2.90 LPNs
August 22, 2024, 2.42 LPNs for a census of 115; requires 2.88 LPNs
August 23, 2024, 2.13 LPNs for a census of 116; requires 2.90 LPNs
August 24, 2024, 2.23 LPNs for a census of 116; requires 2.90 LPNs
September 3, 2024, 2.13 LPNs for a census of 116; requires 2.90 LPNs
September 4, 2024, 2.19 LPNs for a census of 114; requires 2.85 LPNs
September 5, 2024, 2.13 LPNs for a census of 116; requires 2.90 LPNs
September 7, 2024, 2.31 LPNs for a census of 118; requires 2.95 LPNs
September 8, 2024, 2.24 LPNs for a census of 116; requires 2.90 LPNs
September 9, 2024, 2.13 LPNs for a census of 115; requires 2.88 LPNs

An interview with the Nursing Home Administrator on September 10, 2024, at 1:14 PM confirmed the facility did not meet the regulatory LPN-to-resident ratio as evidence above.

The findings were reviewed with the Nursing Home Administrator and Director of Nursing on September 10, 2024, at 1:23 PM.


 Plan of Correction - To be completed: 10/30/2024

5530
1. Findings of LPN staff care ratios cannot be retroactively corrected.
2. Facility will provide a minimum of one LPN per 25 residents during dayshift and a minimum of one LPN per 40 residents during the overnight.
3. Scheduler will be educated on the requirements of one LPN per 25 residents during the day shift and a minimum of one LPN per 40 residents during the overnight shift.
4. NHA/designee will conduct random audits to verify that LPN dayshift, evening shift and overnight shift ratios meet the requirements weekly for 4 weeks. 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 16 of 21 days reviewed.

Findings include:

Review of nursing staff care hours revealed that the facility failed to meet the minimum hours per patient day for the following days:

July 5, 2024, with 3.13 hours per resident per day.
July 6, 2024, with 3.15 hours per resident per day.
August 18, 2024, with 2.82 hours per resident per day.
August 19, 2024, with 2.83 hours per resident per day.
August 20, 2024, with 2.88 hours per resident per day.
August 21, 2024, with 2.88 hours per resident per day.
August 22, 2024, with 2.91 hours per resident per day.
August 23, 2024, with 2.82 hours per resident per day.
August 24, 2024, with 2.96 hours per resident per day.
September 3, 2024, with 2.82 hours per resident per day.
September 4, 2024, with 2.90 hours per resident per day.
September 5, 2024, with 2.91 hours per resident per day.
September 6, 2024, with 2.86 hours per resident per day.
September 7, 2024, with 2.73 hours per resident per day.
September 8, 2024, with 2.84 hours per resident per day.
September 9, 2024, with 2.85 hours per resident per day.

An interview with the Nursing Home Administrator on September 10, 2024, at 1:14 PM confirmed the facility did not meet the regulatory minimum 3.2 hours per patient day as evidenced above.

The findings were reviewed with the Nursing Home Administrator and Director of Nursing on September 10, 2024, at 1:23 PM.


 Plan of Correction - To be completed: 10/30/2024

5640
1. Findings of PPDs cannot be retroactively corrected.
2. The facility will provide a minimum of 3.20 hours of direct care for residents.
3. The scheduler will be educated on maintaining 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.
4. NHA/designee will conduct random audits to verify that the minimum of 3.20 hours of direct care for residents is provided daily weekly for 4 weeks. Audit results will be presented at the QAPI meeting for review and recommendations.


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