Pennsylvania Department of Health
TUCKER HOUSE NURSING AND REHABILITATION CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

TUCKER HOUSE NURSING AND REHABILITATION CENTER
Inspection Results For:

There are 160 surveys for this facility. Please select a date to view the survey results.

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

Initial comments:

Based on a State Licensure Monitoring survey on June 5, 2024, it was determined that Tucker House Nursing and Rehabilitation Center was not in compliance with the following 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. :

(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 nurse staffing schedules and staff interview, it was determined that the facility failed to meet the minimum nursing staff to resident ratios for nurse aides for two of 42 days reviewed. (July 4, 2024)

Findings include:

Review of nursing schedules from weeks July 3-July 9, 2023; December 20-December 26, 2023 and January 24-January 30, 2024 revealed that the facility failed to meet the minimum nurse aid to resident ratio.

Review of July 4, 2023 schedule on the evening shift revealed the nurse aide hour requirement was 110 hours and the actual hours worked was 104 hours.

Interview on June 5, 2024 at 2:30 p.m. with Director of Nursing and nurse scheduler confirmed that the nurse aide staffing requirement was not met on the above date.

Plan of Correction - To be completed: 06/20/2024

Facility will ensure that we will abide by DOH guidelines for CNA staffing ratios.
The staffing director will be educated to staff to ensure that we are abiding with DOH guidelines for CNA staffing ratios.
NHA/designee will audit weekly X3 then monthly X4 to ensure that facility is abiding with DOH CNA staffing ratios.
Results will be reviewed during the facilities monthly QAPI meeting to determine the need for further review.

§ 211.12(f.1)(4) LICENSURE Nursing services. :

(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 review of nurse staffing hours and staff interviews, it was determined that the facility failed to maintain required staff ratios related to LPN (licensed practical nurse) coverage for 7 of twenty-one days reviewed. (July 3, 4, 6, 8, 9, 2024)

Findings include:

Review of nursing schedules for week of July 3-9, 2023 revealed:

July 3, 2023 had a night shift LPN requirement of 35 hours, actual hours worked 33.18 hours with a census of 175 residents

July 4, 2023 had a night shift LPN requirement of 35.20 hours, actual hours worked 33.50 hours with a census of 176 residents

July 6, 2023 had a night shift LPN requirement of 34.80 hours, actual hours worked 34.20 hours with a census of 174 residents

July 8, 2023 had a night shift LPN requirement of 35 hours, actual hours worked 34.01 with a census of 175 residents

July 9, 2023 had a night shift LPN requirement of 34.40 hours, actual hours worked 33.89 with a census of 175 residents

Review of nursing schedules for week of December 20-26, 2023 revealed:

December 22, 2023 had a night shift LPN requirement of 33 hours, actual hours worked 31.58 with a census of 165 residents

December 24, 2023 had a night shift LPN requirement of 32.40 hours, actual hours worked 31.82 with a
census of 162 residents

Interview on June 5, 2024 at 2:30 pm with Director of Nursing and nurse scheduler confirmed that the required staffing ratios were not met on the above dates.

Plan of Correction - To be completed: 06/20/2024

Facility will staff per DOH guidelines for LPN staffing ratios.
The staffing director will be educated to staff per DOH guidelines for LPN staffing ratios.
NHA/designee will do random audits weekly X4 then monthly X2 to ensure that facility is staffing per DOH LPN staffing ratios.
Results will be reviewed during the facilities monthly QAPI meeting to determine the need for further review.

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