Pennsylvania Department of Health
WESLEY ENHANCED LIVING MAIN LINE REHAB AND SKD NURSING
Patient Care Inspection Results

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WESLEY ENHANCED LIVING MAIN LINE REHAB AND SKD NURSING
Inspection Results For:

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WESLEY ENHANCED LIVING MAIN LINE REHAB AND SKD NURSING - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Based on a Medicare/Medicaid Recertification, State Licensure and Civil Rights Compliance, survey completed on March 12 2026, it was determined that Wesley Enhanced Living Main Line was not in compliance with the following the requirements of 42 CFR, Subpart B, Requirements for Nursing Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as it relates to the Health portion of the survey process.


 Plan of Correction:


§ 211.12(f.1)(3) LICENSURE Nursing services. :State only Deficiency.
(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 the day shift for 1 day , a minimum of one nurse aide per 11 residents on the evening shift for 2 days and a minimum of one nurse aide per 15 residents on the overnight shift for 6 days for the three weeks reviewed. (August 31-September 6,2025; December 21-27,2025 and March 5-11 ,2026)

Findings include:

Review of staffing documentation revealed the facility failed to meet the nurse aide ratios on the following dates and shifts:

Day shift:
December 27, 2025

Evening shift:
December 25, 2025
March 9, 2026

Night shift:
September 6, 2025
December 21, 2025
March 5, 2026
March 6, 2026
March 9, 2026
March 10, 2026

The above information was conveyed to the Nursing Home Administrator on March 16, 2026.





 Plan of Correction - To be completed: 04/01/2026

The facility continues to strive to cover all open shifts with staff by calling those staff members that are off duty. The facility utilizes On-shift (3rd party staffing/scheduling platform) to allow staff members to view the open shifts and sign up to work those shifts. Additionally, staffing agencies will be used to fill any additional gaps in staffing. Director of Nursing will monitor daily to ensure minimum ratio's are maintained.

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