Pennsylvania Department of Health
Patient Care Inspection Results

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Severity Designations

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
Inspection Results For:

There are  217 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.
Number of Residents Affected
By Deficient Practice
Initial comments:
Findings of an Abbreviated Complaint Survey completed on April 10, 2024, at Abbeyville Skilled Nursing and Rehabilitation 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:

483.90(i)(4) REQUIREMENT Maintains Effective Pest Control Program:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
483.90(i)(4) Maintain an effective pest control program so that the facility is free of pests and rodents.
Based on observation and interview, it was determined that the facility failed to have an effective pest control system on the facility's dementia unit (Arcadia).

Findings include:

Interview with Employee E4 on April 10, 2024, at 12:00 p.m. revealed mice were a "big issue" on the dementia unit, and that seeing mice running around day and night was a common occurrence.

Tour of the Arcadia unit on April 10, 2024, at 12:00 p.m. revealed mouse droppings on the nightstand next to Resident 1's bed.

Interview with Resident 2 on April 10, 2024, at approximately 12:15 p.m. revealed that the resident frequently sees mice running around the unit and the room, and the last time the resident saw a mouse was the prior night running around the resident's room.

Review of pest control logs revealed the facility's pest control company last came to the facility on March 29, 2024.

Interview with the Nursing Home Administrator on April 10, 2024, at approximately 2:30 p.m. confirmed the facility was aware of an ongoing mice problem.

28 Pa. Code 201.14(a) Responsibility of licensee

28 Pa. Code 201.18(a) Management

28 Pa. Code 201.18(b)(3) Management

 Plan of Correction - To be completed: 05/29/2024

1.Resident 1's bedroom was deep cleaned by housekeeping immediately.
2.The facility obtained a contract with a new pest control company on 4.13.24. The company will treat the facility with the service technician who will maintain and inspect any interior bait stations or traps (15) placed strategically around the interior perimeter of the facility. Technician will maintain exterior tamper proof bait stations (40) that have been strategically placed around the exterior of the facility and courtyards on a monthly basis.
3.Staff will report observations of pest into TELS. After areas of the building are identified, as an areas of concern and treated, the Maintenance Director and/or Administrator will recheck the area 72-hours post-treatment and one week post treatment to determine the effectiveness of the treatment. Any areas identified as still having concerns will be immediately addressed. Director of Maintenance will monitor focus areas at least 5 times a week for 4 weeks then 3 x week for 4 weeks.
4. The Director of Maintenance and/or Administrator will review audit logs monthly to identify patterns/trends and will adjust plan as necessary. The plan will be reviewed during monthly QAPI and will continue at the discretion of the QAPI committee. Completion Date: 5.29.24

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