Pennsylvania Department of Health
HAIDA HEALTHCARE AND REHABILITATION 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
HAIDA HEALTHCARE AND REHABILITATION CENTER
Inspection Results For:

There are  86 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.
HAIDA HEALTHCARE AND REHABILITATION CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:


Based on a complaint survey completed on April 5, 2024, it was determined that Haida Healthcare and Rehabilitation Center was not in compliance with the following 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.






 Plan of Correction:


483.25(d)(1)(2) REQUIREMENT Free of Accident Hazards/Supervision/Devices:This is a less serious (but not lowest level) deficiency and is isolated to the fewest 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.
483.25(d) Accidents.
The facility must ensure that -
483.25(d)(1) The resident environment remains as free of accident hazards as is possible; and

483.25(d)(2)Each resident receives adequate supervision and assistance devices to prevent accidents.
Observations:


Based on review of facility policies, clinical records, and facility investigative documents, as well as staff interviews, it was determined that the facility failed to ensure that each resident received adequate supervision by failing to ensure that care-planned interventions were in place for one of four residents reviewed (Resident 2).

Findings include:

A quarterly Minimum Data Set (MDS) assessment (a federally-mandated assessment of a resident's abilities and care needs) for Resident 2, dated March 21, 2024, indicated that the resident could usually understand, was usually understood, was cognitively intact, and required extensive assistance from staff for daily care.

Resident 2's care plan, dated June 14, 2023, revealed that she was to have an extensive assist of two when providing care.

A witness statement from Nurse Aide 1, dated March 27, 2024, revealed that she provided incontinence care to Resident 2 by herself around 12:00 a.m..

A witness statement from Licensed Practical Nurse 2, dated March 27, 2024, revealed that Tylenol was administered to Resident 2 at 1:00 a.m. due to the resident complaining of pain.

A witness statement from Nurse Aide 3, dated March 27, 2024, revealed that at around 3:30 a.m. to 4:00 a.m. she asked Resident 2 if she needed incontinence care, and the resident refused to roll due to severe pain.

A witness statement from Licensed Practical Nurse 4, dated March 27, 2024, revealed that she observed a bruise to Resident 2's forehead during the 7:30 a.m. medication administration and notified the registered nurse.

A nursing note for Resident 2, dated March 27, 2024, revealed that the resident had a raised, bruised area on her forehead; the resident stated she rolled out of bed but was not able to tell staff how she got back into bed; the resident's right hip was swollen; and the resident complained of pain to her right hip. The physician and Director of Nursing were notified. New orders were given for the resident to receive an x-ray, and the Director of Nursing notified the resident's responsible party.

A nursing note for Resident 2, dated March 27, 2024, revealed that the physician and responsible party were notified of the x-ray results, and the resident was sent to the emergency room for evaluation.

A nursing note for Resident 2, dated March 27, 2024, revealed that the family called and notified the facility that the resident was being admitted to the hospital with a diagnosis of a right hip fracture, and she was scheduled for surgery.

Interview with Resident 2 on April 5, 2024, at 10:54 a.m. revealed that she fell out of bed, but when asked if she notified staff, she denied it and stated, "It's my little secret."

Interview with Licensed Practical Nurse 5 on April 5, 2024, at 10:56 a.m. revealed that if Resident 2 fell out of bed she would be unable to get back into bed on her own.

Interview with the Director of Nursing on April 5, 2024, at 11:42 a.m. confirmed that Nurse Aide 1 did provide care to Resident 2 on March 27, 2024, by herself at midnight when she should have had assistance.

28 Pa. Code 201.18(e)(1) Management.

28 Pa. Code 211.10(d) Resident Care Policies.

28 Pa. Code 211.12(d)(5) Nursing Services.





 Plan of Correction - To be completed: 04/26/2024

1. Resident 2 care plan/ kardex has been reviewed to ensure two for care is correct.

2. Current residents care plan/ kardex will reflect the level of assistance required for care.

3. Education and Corrective action completed regarding following the care plan/kardex with the certified nurse aid who was noted to have performed care assist of one. The certified nurse aides will be educated on the importance of following the residents care plan/ kardex.

4. The Director of Nursing/ designee will audit 3 random care plans/ kardex 3X a week for 2 weeks, then monthly for 2 months to ensure the care plans/ kardex meet level of assistance required for care. The results of the audits will be reviewed by the Quality Assurance Performance Improvement Committee until substantial compliance is achieved.


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