Pennsylvania Department of Health
ABBEYVILLE SKILLED NURSING AND REHABILITATION CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

ABBEYVILLE SKILLED NURSING AND REHABILITATION CENTER
Inspection Results For:

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ABBEYVILLE SKILLED NURSING AND REHABILITATION CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Findings of an Abbreviated Complaint Survey completed on June 30, 2026, at Abbeyville Skilled Nursing and Rehabilitation Center, identified deficient practice, related to the reported complaint allegations, under the requirements of 42 CFR Part 483, Subpart B Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.

Plan of Correction:

� 211.12(f.1)(3) LICENSURE Nursing services. :

(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 review of facility staffing data, it was determined that the facility failed to ensure a minimum of one nurse aide per 10 residents on day shift, and one nurse aide per 15 residents on night shift for three of three weeks of facility staffing reviewed (weeks of May 24, 2026, June 7, 2026, and June 21, 2026). Findings include: Review of the weeks of May 24, 2026, June 7, 2026, and June 21, 2026 , revealed the following dates on day shift did not meet the requirement of one nurse aide per 10 residents: May 25, May 26, May 27, June 8, June 9, June 10, June 12, June 13, June 21, June 22, June 23, June 25, and June 26, 2026. Review of the weeks of September 4, 2025, December 24, 2025, and March 26, 2026, revealed the following dates on night shift did not meet the requirement of one nurse aide per 15 residents: May 25, May 26, May 27, May 28, June 21, June 22, June 25, and June 26, 2026. Interview with Employee E2 on June 30, 2026, at 1:00 p.m. confirmed that the nurse aide staffing ratios were not met on the above shifts,

Plan of Correction - To be completed: 07/28/2026

1.The facility attempts to meet the state required hours of nurse aide staff and ratios per current regulations. There were no I'll effects to any residents.
2. An active recruitment campaign is ongoing including shift differentials and employee referral bonuses. The facility utilizes staffing agencies to fill in shifts as needed.
3. The facility NHA or designee will re-educate the DON, HR director and scheduler to the latest guidelines for nurse aide staffing ratios.
4. The facility NHA, DON, HR, and scheduler will meet to review staffing deployment sheets to ensure proper nurse aide staffing ratios daily x 5 and then weekly x 4, with the results reported at facility QAPI meetings.
5. Date of compliance: 7/28/2026.

� 211.12(f.1)(5) LICENSURE Nursing services. :

(5) Effective July 1, 2023, a minimum of 1 RN per 250 residents during all shifts.

Observations: Based on review of facility staffing data, it was determined that the facility failed to ensure a minimum of one registered nurse per 250 residents during all shifts for three of three weeks of facility staffing reviewed (weeks of May 24, 2026, June 7, 2026, and June 21, 2026). Findings include: Review of the weeks of May 24, 2026, June 7, 2026, and June 21, 2026, revealed the following dates onevening shift did not meet the requirement of one registered nurse per 250 residents: May 28, June 7, June 11, June 21, June 22, June 26, and June 27, 2026. Review of the weeks of May 24, 2026, June 7, 2026, and June 21, 2026, revealed the following dates on night shift did not meet the requirement of one registered nurse per 250 residents: May 24, May 25, May 28, May 30, June 13, June 23, and June 27, 2026. Interview with Employee E2 on June 30, 2026, at 1:00 p.m. confirmed that the registered nurse staffing ratios were not met on the above shifts.

Plan of Correction - To be completed: 07/28/2026

1.The facility attempts to meet state required hours of Registered Nurse staff and ratios per current regulations. There were no ill effects to any residents.
2.An active recruitment campaign is ongoing including shift differentials and employee referral bonuses. The facility utilizes staffing agencies to fill in shifts as needed.
3.The facility Nursing Home Administrator or designee will re-educate the Director of Nursing, Human Resource Director and facility nursing scheduler the latest guidelines for Registered Nurse staffing ratios.
4.The facility Nursing Home Administrator, Director of Nursing, Human Resource Director and facility nursing scheduler will meet to review staffing deployment sheets to ensure proper Registered Nurse staffing ratios daily x five and then weekly x four with results reported to the facility Quality Assurance Performance Improvement meetings.
5. Date of compliance: July 28, 2026

� 211.12(i)(2) LICENSURE Nursing services.:

(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 facility staffing, it was determined that the facility failed to ensure the total number of general nursing care hours provided in each 24-hour period was a minimum of 3.20 hours per patient day (PPD) for 12 of twenty-one days of staffing reviewed (weeks of May 24, 2026, June 7, 2026, and June 21, 2026). Findings include: Review of facility staffing revealed the following PPD for the weeks of May 24, 2026, June 7, 2026, and June 21, 2026: May 24, 2026 - PPD 3.09 May 25, 2026 - PPD 3.14 May 26, 2026 - PPD 2.94 May 27, 2026 - PPD 2.94 June 7, 2026 - PPD 3.11 June 8, 2026 - PPD 3.17 June 12, 2026 - PPD 3.09 June 21, 2026 - PPD 3.10 June 22, 2026 - PPD 3.09 June 25, 2026 - PPD 3.00 June 26, 2026 - PPD3.04 June 27, 2026 - PPD 3.04 Interview with Employee E2 on June 30, 2026, at 1:00 p.m. confirmed that the PPD was not met on the above dates.

Plan of Correction - To be completed: 07/28/2026

1.The facility attempts to staff to meet state required hours of nursing staff per current regulations. There were no ill effects to any residents.
2.An active recruitment campaign is ongoing including shift differentials and employee referral bonuses. The facility utilizes staffing agencies to fill in shifts as needed.
3.The facility Nursing Home Administrator or designee will re-educate the Director of Nursing, Human Resource Director and facility nursing scheduler the latest guidelines for current regulations regarding minimum hours of direct resident care for each resident.
4.The facility Nursing Home Administrator, Director of Nursing, Human Resource Director and facility nursing scheduler will meet to review staffing deployment sheets to ensure state required hours of nursing staff are met daily x five and then weekly x four with results reported to the facility Quality Assurance Performance Improvement meetings.
5.Date of compliance: July 28, 2026

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