Pennsylvania Department of Health
LAUREL RIDGE CENTER
Patient Care Inspection Results

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LAUREL RIDGE CENTER
Inspection Results For:

There are  62 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.
LAUREL RIDGE CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on an Abbreviated Survey completed on March 29, 2024 at Laurel Ridge Center, it was determined that there were no federal deficiencies, related to the Health portion of the survey process, identified under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities as it relates to the Health portion of the survey process; however, the facility was not in compliance with 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 interviews, it was determined that the facility administrative staff failed to provide a minimum of one nurse aide per 12 residents during the day and/or evening shifts, and one nurse aide per 20 residents during the night shift on 16 of 21 days (3/3/24, 3/5/24, 3/6/24, 3/7/24, 3/11/24, 3/12/24, 3/13/24, 3/14/24, 3/16/24, 3/17/24, 3/18/24, 3/19/24, 3/20/24, 3/21/24, 3/22/24, and 3/23/24).

Findings include:

Review of the nursing schedules and census information for 3/3/24, through 3/23/24, revealed that the facility failed to meet the following:

3/3/24: Evening shift required 36.81 hours of nurse aide care, facility provided 36.00; Night shift required 22.09 hours of nurse aide care, facility provided 22.00.
3/5/24: Evening shift required 36.81 hours of nurse aide care, facility provided 35.70.
3/6/24: Evening shift required 36.81 hours of nurse aide care, facility provided 32.80.
3/7/24: Evening shift required 36.81 hours of nurse aide care, facility provided 36.00.
3/11/24: Day shift required 36.17 hours of nurse aide care, facility provided 31.00; Evening shift required 36.17 hours of nurse aide care, facility provided 31.00.
3/12/24: Day shift required 36.17 hours of nurse aide care, facility provided 31.00; Evening shift required 36.17 hours of nurse aide care, facility provided 31.00.
3/13/24: Day shift required 36.81 hours of nurse aide care, facility provided 31.00.
3/14/24: Evening shift required 36.81 hours of nurse aide care, facility provided 31.00.
3/16/24: Evening shift required 36.81 hours of nurse aide care, facility provided 31.00; Night shift required 22.09 hours of nurse aide care, facility provided 21.50.
3/17/24: Evening shift required 36.81 hours of nurse aide care, facility provided 31.00; Night shift required 22.09 hours of nurse aide care, facility provided 19.50.
3/18/24: Evening shift required 36.17 hours of nurse aide care, facility provided 31.00; Night shift required 21.70 hours of nurse aide care, facility provided 19.50.
3/19/24: Evening shift required 35.52 hours of nurse aide care, facility provided 31.00; Night shift required 21.31 hours of nurse aide care, facility provided 19.50.
3/20/24: Day shift required 34.23 hours of nurse aide care, facility provided 31.00; Evening shift required 34.23 hours of nurse aide care, facility provided 31.00; Night shift required 20.54 hours of nurse aide care, facility provided 19.50.
3/21/24: Night shift required 20.15 hours of nurse aide care, facility provided 19.50.
3/22/24: Night shift required 20.15 hours of nurse aide care, facility provided 19.50.
3/23/24: Day shift required 33.58 hours of nurse aide care, facility provided 31.00; Evening shift required 33.58 hours of nurse aide care, facility provided 31.00; Night shift required 20.15 hours of nurse aide care, facility provided 19.50.

During an interview on 2/29/24, at 11:16 a.m., the Nursing Home Administrator was confirmed that the facility administrative staff failed to provide a minimum of one nurse aide per 12 residents during the day and/or evening shifts, and one nurse aide per 20 residents during the night shift on 16 of 21 days.


 Plan of Correction - To be completed: 04/12/2024

There were no adverse effects to the residents of our facility as a result of decreased staffing ratios on 3/3/24, 3/5/24, 3/6/24, 3/7/24, 3/11/24, 3/12/24, 3/13/24, 3/14/24, 3/16/24,
3/17/24, 3/18/24, 3/19/24, 3/20/24, 3/21/24, 3/22/24, and 3/23/24.
The Administrator, Director of Nursing, Scheduler and Human Resource Director will be re-educated on the state requirement for nurse aide to resident staffing ratios by the RN Nurse educator/designee.
Staffing meetings will be held 5 days a week to review HPPD from the previous day
and the projected HPPD and nursing aide staff ratios for the current day, as well as the upcoming week to ensure appropriate staffing levels. If projected staffing levels are below the 2.87 minimum, then the facility will reach out to current staff and local
staffing agencies to enlist to meet the minimum requirement. Facility will continue to recruit staff through all platforms.
Audits of HPPD and nursing aide staff ratios will be completed weekly x4 by the
NHA/designee to ensure HPPD meets the state minimums. Results of the audits will be forwarded to our QAPI committee for review and recommendations.

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