Pennsylvania Department of Health
ARMSTRONG REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

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ARMSTRONG REHABILITATION AND NURSING CENTER
Inspection Results For:

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ARMSTRONG REHABILITATION AND NURSING CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:


Based on a revisit survey completed on April 8, 2024, at Armstrong Rehabilitation and Nursing Center, it was determined that the facility failed to correct the deficiency identified on March 14, 2024, and has continued non-compliance according to the 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. :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 interview, it was determined that the facility administrative staff failed to provide a minimum of one nursing assistant per twelve residents during the daylight shift for six of seven days (4/1/24, 4/2/24, 4/3/24, 4/4/24, 4/6/24 and 4/7/24), and on the evening shift on five of seven days (4/1/24, 4/3/24, 4/4/24, 4/5/24, and 4/6/24), and failed to provide a minimum of one nursing assistant per twenty residents on night shift on two of seven days (4/2/24 and 4/4/24).

Findings include:

On the daylight shift:
4/1/24census 7948.95 actual hours49.38 hours required.
4/2/24census 7842.12 actual hours48.75 hours required.
4/3/24census 7846.04 actual hours48.75 hours required.
4/4/24census 7838.60 actual hours48.75 hours required.
4/6/24census 7839.09 actual hours48.75 hours required.
4/7/24census 7839.06 actual hours48.75 hours required.


On the evening shift:
4/1//24census 7943.75 actual hours49.38 hours required.
4/3/24census 7846.65 actual hours48.75 hours required.
4/4/24census 7845.60 actual hours48.75 hours required.
4/5/24census 7940.01 actual hours49.38 hours required.
4/6/24census 7845.76 actual hours48.75 hours required.


On the night shift:
4/2/24census 7823.15 actual hours29.25 hours required.
4/4/24census 7826.96 actual hours29.25 hours required.

During an interview on 4/8/24, at 2:25 p.m. the Director of Nursing confirmed the facility administrative staff failed to provide the required minimum nursing assistants on the above listed dates.




 Plan of Correction - To be completed: 04/22/2024

1. The residents had no negative outcome from not meeting a minimum of one nurse aide per twelve residents during the day, evening and/or shift.
2. DON/designee will provide the Staffing Coordinator/HR with re-education on the Pennsylvania staffing requirements for ratios.

3. The facility has increased wages, continues to hire additional staff, attend daily corporate labor calls, instituted staffing meetings to track staffing, and added additional agency staff for staffing needs. LPNs will drop down to CNAs to meet ratios as well as staffing coordinator will work on the floor as she is also a CNA to meet ratios.

4. Staffing coordinator/designee will audit the ratios weekly x 4 weeks and monthly x 3 months.

5. Results of audits will be submitted to QAPI committee for tracking and further recommendations.

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