Pennsylvania Department of Health
 SWEDEN VALLEY MANOR
Patient Care Inspection Results

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SWEDEN VALLEY MANOR
Inspection Results For:

There are  72 surveys for this facility. Please select a date to view the survey results.

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SWEDEN VALLEY MANOR - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Based on an Abbreviated Survey in response to a Complaint Investigation completed on January 17, 2026, at Sweden Valley Manor, it was determined that there were no federal deficiencies identified under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care; however, the facility was not in compliance with 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate 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 a review of nursing staffing hours and staff interview, it was determined that the facility failed to ensure a minimum of one nurse aide (NA) per 10 residents during the day shift for 11 of 21 days reviewed, failed to ensure a minimum of one NA per 11 residents during the evening shift for three of 21 days reviewed, and failed to ensure a minimum of one NA per 15 residents during the overnight shift for 20 of the 21 days reviewed. Findings include: A review of nursing care hours provided by the facility from December 28, 2025, through January 17, 2026, revealed the following NAs scheduled for resident census: Day shift (requires one NA per 10 residents): December 29, 2025, 8.50 NAs for a census of 99; requires 9.90 NAs. December 30, 2025, 9.50 NAs for a census of 99; requires 9.90 NAs. January 5, 2026, 9.00 NAs for a census of 98; requires 9.80 NAs. January 6, 2026, 9.50 NAs for a census of 98; requires 9.80 NAs. January 10, 2026, 8.75 NAs for a census of 99; requires 9.90 NAs. January 11, 2026, 8.00 NAs for a census of 99; requires 9.90 NAs. January 12, 2026, 9.50 NAs for a census of 100; requires 10.00 NAs. January 13, 2026, 8.00 NAs for a census of 100; requires 10.00 NAs. January 15, 2026, 8.75 NAs for a census of 101; requires 10.10 NAs. January 16, 2026, 8.00 NAs for a census of 103; requires 10.30 NAs. January 17, 2026, 8.50 NAs for a census of 103; requires 10.30 NAs. Evening shift (requires one NA for 11 residents): January 9, 2026, 7.50 NAs for a census of 100; requires 9.09 NAs. January 11, 2026, 8.00 NAs for a census of 99; requires 9.00 NAs. January 12, 2026, 8.50 NAs for a census of 100; requires 9.09 NAs. Night shift (requires one NA per 15 residents): December 28, 2025, 3.50 NAs for a census of 99; requires 6.60 NAs. December 29, 2025, 5.00 NAs for a census of 99; requires 6.60 NAs. December 31, 2025, 5.50 NAs for a census of 100; requires 6.67 NAs. January 1, 2026, 4.00 NAs for a census of 99; requires 6.60 NAs. January 2, 2026, 4.00 NAs for a census of 99; requires 6.60 NAs. January 3, 2026, 4.00 NAs for a census of 99; requires 6.60 NAs. January 4, 2026, 4.50 NAs for a census of 99; requires 6.60 NAs. January 5, 2026, 5.00 NAs for a census of 98; requires 6.53 NAs. January 6, 2026, 4.00 NAs for a census of 98; requires 6.53 NAs. January 7, 2026, 5.00 NAs for a census of 99; requires 6.60 NAs. January 8, 2026, 5.00 NAs for a census of 100; requires 6.67 NAs. January 9, 2026, 5.00 NAs for a census of 100; requires 6.67 NAs. January 10, 2026, 4.00 NAs for a census of 99; requires 6.60 NAs. January 11, 2026, 4.00 NAs for a census of 99; requires 6.60 NAs. January 12, 2026, 5.00 NAs for a census of 100; requires 6.67 NAs. January 13, 2026, 4.00 NAs for a census of 100; requires 6.67 NAs. January 14, 2026, 4.50 NAs for a census of 100; requires 6.67 NAs. January 15, 2026, 3.50 NAs for a census of 101; requires 6.73 NAs. January 16, 2026, 4.00 NAs for a census of 103; requires 6.87 NAs. January 17, 2026, 4.50 NAs for a census of 103; requires 6.87 NAs. Interview with the Nursing Home Administrator and Director of Nursing on January 17, 2026, at 1:30 PM confirmed that the facility did not meet regulatory nurse aide ratios as evidenced above.
 Plan of Correction - To be completed: 03/18/2026

This plan of correction has been prepared and executed because the law requires it. This plan does not constitute an admission that any of the citations are either legally or factually correct. This plan of correction is not meant to establish any standard of care, contract, obligation, or position. Sweden Valley Manor reserves the right to raise all possible contestations and defenses in any civil, criminal, claim, action or proceeding. Please accept this plan of correction as Sweden Valley Manor credible allegation of compliance. All residents received appropriate care and services to meet their needs on the identified days and there was no direct correlation to an individual resident

Residents of Sweden Valley Manor will be protected from future staff ratios below the 1:12 nurse aide by a proactive preview of daily staff assignments and schedules to ensure adequate staff coverage by DON/Designee. The nursing scheduler/designee will review projected staffing levels with the DON/designee 3x's a week for a month, then weekly x3 weeks then monthly x2 months until compliance is achieved to ensure that any foreseeable staffing levels below nurse aide ratios are adequately covered. Weekend and Shift Supervisors will immediately contact DON for any day that ratios unexpectedly drop below the nurse aide ratio minimum for immediate review.
Sweden Valley Manor will continue to aggressively advertise externally for recruitment of nursing/C.N.A. applicants to enhance current staffing levels. Sweden Valley Manor will also review potential admissions and reconsider admissions if the facility is unable to meet minimum staffing levels. Sweden Valley Manor has raised all wages for certified aides. Sweden Valley Manor is an approved provider of the Pennsylvania Nurse Aide Training and Competency Evaluation Program and has ongoing class trainings throughout the year. Sweden Valley Manor offers a referral bonus to current employees for recruitment. Sweden Valley Manor also offers extra pay incentives to current staff to cover extra shifts. Staffing ratios will be reviewed by a DON/nursing designee 3x's a week for a month, then weekly x3 weeks then monthly x2 months until compliance is achieved. Results will be reported to the QAPI committee.

§ 211.12(f.1)(4) LICENSURE Nursing services. :State only Deficiency.
(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 staffing hours and staff interview, it was determined that the facility failed to ensure a minimum of one licensed practical nurse (LPN) per 25 residents during the day shift for 10 of the 21 days reviewed, one LPN per 30 residents during the evening shift for six of the 21 days reviewed, and one LPN per 40 residents during the overnight shift for 20 of 21 days reviewed. Findings include: A review of nursing care hours provided by the facility from December 28, 2025, through January 17, 2026, revealed the following LPNs scheduled for resident census: Day shift (requires one LPN per 25 residents): December 28, 2025, 3.00 LPNs for a census of 99; requires 3.96 LPNs. January 3, 2026, 3.00 LPNs for a census of 99; requires 3.96 LPNs. January 4, 2026, 3.00 LPNs for a census of 99; requires 3.96 LPNs. January 8, 2026, 3.00 LPNs for a census of 100; requires 4.00 LPNs. January 10, 2026, 3.00 LPNs for a census of 99; requires 3.96 LPNs. January 11, 2026, 3.00 LPNs for a census of 99; requires 3.96 LPNs. January 12, 2026, 3.00 LPNs for a census of 100; requires 4.00 LPNs. January 15, 2026, 4.00 LPNs for a census of 101; requires 4.04 LPNs. January 16, 2026, 3.00 LPNs for a census of 103; requires 4.12 LPNs. January 17, 2026, 4.00 LPNs for a census of 103; requires 4.12 LPNs. Evening shift (requires one LPN per 30 residents): December 29, 2025, 3.00 LPNs for a census of 99; requires 3.30 LPNs. December 31, 2025, 3.00 LPNs for a census of 100; requires 3.33 LPNs. January 3, 2026, 3.00 LPNs for a census of 99; requires 3.30 LPNs. January 7, 2026, 2.75 LPNs for a census of 99; requires 3.30 LPNs. January 10, 2026, 3.00 LPNs for a census of 99; requires 3.30 LPNs. January 11, 2026, 3.00 LPNs for a census of 99; requires 3.30 LPNs. Overnight shift (requires one LPN per 40 residents): December 28, 2025, 1.00 LPNs for a census of 99; requires 2.48 LPNs. December 29, 2025, 1.00 LPNs for a census of 99; requires 2.48 LPNs. December 31, 2025, 1.00 LPNs for a census of 100; requires 2.50 LPNs. January 1, 2026, 1.00 LPNs for a census of 99; requires 2.48 LPNs. January 2, 2026, 1.00 LPNs for a census of 99; requires 2.48 LPNs. January 3, 2026, 1.00 LPNs for a census of 99; requires 2.48 LPNs. January 4, 2026, 1.00 LPNs for a census of 99; requires 2.48 LPNs. January 5, 2026, 2.00 LPNs for a census of 98; requires 2.45 LPNs. January 6, 2026, 1.00 LPNs for a census of 98; requires 2.45 LPNs. January 7, 2026, 2.00 LPNs for a census of 99; requires 2.48 LPNs. January 8, 2026, 1.00 LPNs for a census of 100; requires 2.50 LPNs. January 9, 2026, 1.00 LPNs for a census of 100; requires 2.50 LPNs. January 10, 2026, 1.00 LPNs for a census of 99; requires 2.48 LPNs. January 11, 2026, 1.00 LPNs for a census of 99; requires 2.48 LPNs. January 12, 2026, 1.00 LPNs for a census of 100; requires 2.50 LPNs. January 13, 2026, 2.00 LPNs for a census of 100; requires 2.50 LPNs. January 14, 2026, 2.00 LPNs for a census of 100; requires 2.50 LPNs. January 15, 2026, 2.00 LPNs for a census of 101; requires 2.53 LPNs. January 16, 2026, 1.00 LPNs for a census of 103; requires 2.58LPNs. January 17, 2026, 1.00 LPNs for a census of 103; requires 2.58 LPNs. Interview with the Nursing Home Administrator and Director of Nursing on January 17, 2026, at 1:30 PM confirmed that the facility did not meet regulatory LPN-to-resident ratios as evidenced above.
 Plan of Correction - To be completed: 03/18/2026

Residents of Sweden Valley Manor will be protected from future staff LPN ratios below minimum by a proactive preview of daily staff assignments and schedules to ensure adequate staff coverage by DON/Designee. The nursing scheduler/designee will review projected staffing levels with the DON/designee 3x's a week for a month, then weekly x3 weeks then monthly x2 months until compliance is achieved to ensure that any foreseeable staffing levels below LPN ratios are adequately covered. Weekend and Shift Supervisors will immediately contact DON for any day that ratios unexpectedly drop below the LPN ratio minimum for immediate review.
Sweden Valley Manor will continue to aggressively advertise externally for recruitment of nursing applicants to enhance current staffing levels including the use of sign on bonuses. Sweden Valley Manor will also review potential admissions and reconsider admissions if the facility is unable to meet minimum staffing levels. Administrative RNs are assigned to an on-call schedule and are available to cover shifts when foreseeable staffing levels are below the ratio minimum levels. Sweden Valley Manor offers a referral bonus to current employees for recruitment. Sweden Valley Manor has raised all wages for licensed nursing staff. Sweden Valley Manor also offers extra payment incentives to current staff to cover extra shifts. Staffing ratios will be reviewed by a DON/nursing designee 3x's a week for a month, then weeklyx3 weeks then monthly x2 months until compliance is achieved. Results will be reported to the QAPI committee.

§ 211.12(i)(2) LICENSURE Nursing services.:State only Deficiency.
(2) Effective July 1, 2024, 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 3.2 hours of direct resident care for each resident.

Observations: Based on review of nursing staffing hours and staff interview, it was determined that the facility failed to ensure the total of nursing care hours provided in each 24-hour period was a minimum of 3.2 hours per patient day (PPD), effective July 1, 2024, for 20 of 21 days reviewed. Findings include: A review of nursing care hours provided by the facility from December 28, 2025, through January 17, 2026, revealed that the facility failed to meet the minimum hours per patient day for the following days: December 28, 2025, with 2.83 hours per resident per day. December 29, 2025, with 2.75 hours per resident per day. December 30, 2025, with 2.99 hours per resident per day. December 31, 2025, with 3.12 hours per resident per day. January 1, 2026, with 3.01 hours per resident per day. January 2, 2026, with 3.00 hours per resident per day. January 3, 2026, with 2.79 hours per resident per day. January 4, 2026, with 2.91 hours per resident per day. January 5, 2026, with 3.10 hours per resident per day. January 6, 2026, with 2.90 hours per resident per day. January 8, 2026, with 3.06 hours per resident per day. January 9, 2026, with 2.76 hours per resident per day. January 10, 2026, with 2.57 hours per resident per day. January 11, 2026, with 2.42 hours per resident per day. January 12, 2026, with 2.72 hours per resident per day. January 13, 2026, with 2.76 hours per resident per day. January 14, 2026, with 3.08 hours per resident per day. January 15, 2026, with 2.83 hours per resident per day. January 16, 2026, with 2.62 hours per resident per day. January 17, 2026, with 2.87 hours per resident per day. Interview with the Nursing Home Administrator and Director of Nursing on January 17,2026, at 1:30 PM confirmed that the facility did not meet regulatory daily hours PPD as evidenced above.
 Plan of Correction - To be completed: 03/18/2026

Residents of Sweden Valley Manor will be protected from future staff ratios below 3.2 by a proactive preview of daily staff assignments and schedules to ensure adequate staff coverage by DON/Designee. The nursing scheduler/designee will review projected staffing levels with the DON/designee daily for 3x's a week for a month, then weeklyx3 weeks then monthly x2 months until compliance is achieved to ensure that any foreseeable staffing levels below 3.2 PPD are adequately covered. Weekend and Shift Supervisors will immediately contact DON for any day that ratios unexpectedly drop below the 3.2 minimum for immediate review.
Sweden Valley Manor will continue to aggressively advertise externally for recruitment of nursing/C.N.A. applicants to enhance current staffing levels. Sweden Valley Manor will also review potential admissions and reconsider admissions if the facility is unable to meet minimum staffing levels. Sweden Valley Manor is an approved provider of the Pennsylvania Nurse Aide Training and Competency Evaluation Program and has ongoing class trainings throughout the year. Administrative RNs are assigned to an on-call schedule and are available to cover shifts when foreseeable staffing levels are below the PPD or ratio minimum levels. Sweden Valley Manor has raised all wages for certified aides and licensed nursing staff. Sweden Valley Manor also offers bonus payments and extra incentives to current staff to cover extra shifts.
Nurse Staffing PPD Hours will be reviewed by a DON/nursing designee 3x's a week for a month, then weekly x3 weeks then monthly x2 months until compliance is achieved. Results will be reported to the QAPI committee.


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