Pennsylvania Department of Health
SCHUYLKILL CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

SCHUYLKILL CENTER
Inspection Results For:

There are 92 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.


SCHUYLKILL CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Based on an Abbreviated survey in response to a complaint completed on February 20, 2024, it was determined that Schuylkill 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 a review of nursing time schedules, it was determined that the facility failed to meet the minimum nurse aide (NA) to resident ratios for two of eight days reviewed.

Findings include:

Review of nursing schedules from February 12 through 19, 2024, revealed the following:

The facility failed to meet the minimum NA to resident ratio of one NA to 12 residents on day (7:00 a.m. to 3:00 p.m.) shift on February 13, 2024.

The facility failed to meet the minimum NA to resident ratio of one NA to 12 residents on evening (3:00 p.m. to 11:00 p.m.) shift on February 19, 2024.

Plan of Correction - To be completed: 04/24/2024

1. C.N.A. ratios for the dates noted in the survey cannot be corrected as this is a past event.
2. Calculation of shift C.N.A. ratios will be completed and reviewed daily for accuracy by the scheduler.
3. The facility has developed internal incentives to retain and attract new staff. The facility has also initiated a Nurse Aide training program with an approved Nurse Aide training provider to develop new nursing assistants. Agency staff are being utilized in an effort to reach daily shift ratios. The scheduler will look ahead for a minimum of 1 week at projected staffing patterns to enable more time to achieve appropriate C.N.A. ratios as needed.
4. C.N.A. ratios will be audited by scheduler and DON daily for 4 weeks, then 3 days per week x 2 months or until substantial compliance is achieved. Results will be reported to QAPI committee.
5. Date of correction is 4/24/2024.

§ 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 a review of nursing time schedules, it was determined that the facility failed to meet the minimum licensed practical nurse (LPN) to resident ratios for six of eight days reviewed.

Findings include:

Review of nursing schedules from February 12 through 19, 2024, revealed the following:

The facility failed to meet the minimum LPN to resident ratio of one LPN for 25 residents on the day (7:00 a.m. to 3:00 p.m.) shift on February 17 and 18, 2024.

The facility failed to meet the minimum LPN to resident ratio of one LPN for 30 residents on the evening (3:00 p.m. to 11:00 p.m.) shift on February 13, 2024.

The facility failed to meet the minimum LPN to resident ratio of one LPN for 40 residents on the night (11:00 p.m. to 7:00 a.m.) shift on February 12, 13, 14, 16, and 18, 2024.

Plan of Correction - To be completed: 04/24/2024

1. LPN ratios for the dates noted in the survey cannot be corrected as this is a past event.
2. Calculation of shift LPN ratios will be completed and reviewed daily for accuracy by the scheduler.
3. The facility has developed internal incentives to retain and attract new staff. Agency staff are being utilized in an effort to reach daily shift ratios. The scheduler will look ahead for a minimum of 1 week at projected staffing patterns to enable more time to achieve appropriate LPN ratios as needed.
4. LPN ratios will be audited by scheduler and DON daily for 4 weeks, then 3 days per week x 2 months or until substantial compliance is achieved. Results will be reported to QAPI committee.
5. Date of correction is 4/24/2024.

§ 211.12(i)(1) LICENSURE Nursing services.:

(1) Effective July 1, 2023, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 2.87 hours of direct resident care for each resident.

Observations:
Based on a review of nursing time schedules, it was determined that the facility failed to provide a minimum of 2.87 hours of direct care for each resident for two of eight days reviewed.

Findings include:

Review of nursing schedules from February 12 through 19, 2024. revealed the following:

On February 13, 2024, the total nursing care hours was 2.62 per resident.
On February 16, 2024, the total nursing care hours was 2.58 per resident.

Plan of Correction - To be completed: 04/24/2024

1. Nursing hours noted in the survey cannot be corrected as this is a past event.
2. Calculation of daily PPD will be completed and reviewed daily for accuracy by the scheduler.
3. The facility has developed internal incentives to retain and attract new staff. A nurse aide training program has been implemented to develop new nursing assistants. Agency contracts are in place in an effort to reach daily PPD requirements. The scheduler will look ahead for a minimum of 1 week to determine projected PPD to allow more time to achieve PPD hours requirements.
4. PPD hours will be audited by scheduler and DON daily for 4 weeks, then 3 days per week x 2 months, or until substantial compliance is achieved. Results will be reviewed at QAPI meeting.
5. Date of compliance is 4/24/2024.

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