Pennsylvania Department of Health
 SPRING HILL REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations

Click here for definitions Click here for definitions Click here for definitions Click here for definitions
Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
SPRING HILL REHABILITATION AND NURSING CENTER
Inspection Results For:

There are  174 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.
SPRING HILL REHABILITATION AND NURSING CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:


Based on a revisit survey completed on May 29, 2024, it was determined that Spring Hill Rehabilitation and Nursing Center failed to correct the deficiency identified during the survey of March 19, 2024, as related to the requirements of the 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 review of nursing time schedules and staff interview, it was determined that the facility administrative staff failed to provide a minimum of one nursing assistant per 12 residents during the day shift on five of eight days (5/20/24, and 5/23/24 through 5/26/24), one nursing assistant per 12 residents during the evening shift on four of eight days (5/23/24 through 5/25/24 and 5/27/24), and one nursing assistant per 20 residents on the night shift for two of eight days ( 5/20/24 and 5/24/24).

Findings include:

Review of the facility census data and nursing time schedules revealed the following nursing assistant staffing shortages:

Day shift:
5/20/24census 6536.05 actual hours40.63 hours required.
5/23/24census 6436.79 actual hours40.00 hours required.
5/24/24census 6439.97 actual hours40.00 hours required.
5/25/24census 6428.47 actual hours40.00 hours required.
5/26/24census 6437.71 actual hours40.00 hours required.

Evening shift:
5/23/24census 6427.95 actual hours40.00 hours required.
5/24/24census 6434.80 actual hours40.00 hours required.
5/25/24census 6434.83 actual hours40.00 hours required.
5/27/24census 6436.50 actual hours40.00 hours required.

Night shift:
5/20/24census 6522.45 actual hours24.38 hours required.
5/24/24census 6415.48 actual hours24.00 hours required.

During an interview on 5/29/24, at 4:18 p.m. the Nursing Home Administrator confirmed the facility failed to provide a minimum of one nursing assistant per 12 residents during the day and evening shifts and one per 20 residents on the night shift as required.



 Plan of Correction - To be completed: 07/15/2024

1. The residents had no negative outcome from not meeting a minimum of one nurse aide per twelve residents during the day and/or evening shift, and/or one nurse aide per twenty residents on night.
2. NHA/designee will provide the staffing coordinator/HR with re-education on the Pennsylvania staffing requirements.

3. The facility had increased wages, attend daily corporate labor calls, and instituted staffing meetings to track staffing.

4. The facility will use the ratio spreadsheet and NHA/Designee will educate scheduler and licensed nurses to alert NHA/DON to shortages/call offs.

5. Staffing coordinator/designee will audit the ratios weekly x4 weeks and monthly x3 months.

6. Results of audits will be submitted to QAPI committee for tracking and further recommendations

Back to County Map


  
Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance


Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement
Visit the PA Power Port