Pennsylvania Department of Health
ST. MARTHA CENTER FOR REHABILITATION & HEALTHCARE
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

ST. MARTHA CENTER FOR REHABILITATION & HEALTHCARE
Inspection Results For:

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ST. MARTHA CENTER FOR REHABILITATION & HEALTHCARE - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Based on a State Licensure Monitoring survey on April 5, 2024, it was determined that St. Martha Center For Rehabilitation was not in compliance with the following requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 201.13c (b) LICENSURE License renewal:

(b) In addition to the application form and fee under subsection (a), a facility shall submit an updated annual financial report that meets the requirements set forth in § 201.12(b)(8) (relating to application for license of a new facility or change in ownership).

Observations:
Based on review of the facility submitted application for renewal of the license, it was determined that the facility failed to submit an annual financial report which shall include the following:

(i) Audited financial statements prepared in accordance with generally accepted accounting principles (GAAP). If GAAP requires consolidated financial statements, then consolidated statements shall be provided. (The GAAP indicates that the following is included in and audited financial statement: Balance Sheet, Cash Flow Statement, Income Statement, Statement of Shareholder Equity Changes and an auditor opinion)
(ii) A visual representation of the current ownership structure, which shall include parent companies, shareholders, and any related parties of the persons identified in paragraphs (1) through (6). (this would be an organizational chart rather than a list)
(iii) A supplemental schedule of annual gross revenues, prepared in accordance with GAAP. The supplemental schedule shall be broken out by payor type.

Findings:
Review of the submitted application revealed that the visual representation of the current ownership structure and audited financial statement was not contained in the application.

The facility failed to meet the requirements as set forth in 28 Pa Code 201.13c.

Plan of Correction - To be completed: 06/05/2024

This provider submits the following plan of correction in good faith and to comply with Federal and State regulations. This plan is not an admission of wrong doing nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies.

1. Audited Financial report and organizational chart of ownership were not available for Fiscal Year 2023 at the time the application was submitted.
2. All other information requested with the license renewal was submitted.
3. Education completed with Administration by Facility Educator regarding new financial reporting requirements when submitting the facility license renewal
4. Administrator or designee will monitor future license submissions to ensure they meet all state requirements

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