Pennsylvania Department of Health
ACCELA REHAB AND CARE CENTER AT SPRINGFIELD
Patient Care Inspection Results

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ACCELA REHAB AND CARE CENTER AT SPRINGFIELD
Inspection Results For:

There are  159 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.
ACCELA REHAB AND CARE CENTER AT SPRINGFIELD - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an Abbreviated Survey in response to four complaints, completed on December 10, 2024, it was determined that Accela Rehabilitation and Care Center at Springfield, was in compliance with the following requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. However the facility was not in compliance with the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations related 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 nursing staff schedules, punch reports and interviews with staff, it was determined that the facility failed to maintain required staffing ratios, including one nurse aide per 10 residents during the day shift, one nurse aide per 11 residents during the evening shift and one nurse aide per 15 residents during the overnight shift, on seven of twenty-one days reviewed (October 20; November 15, 16, 17; and December 4, 7, 8, 2024).

Findings include:

Review of facility census data revealed that on October 20, 2024, the facility census was 88, which required 66.00 hours of nurse aides during the day shift. Review of the nursing time schedules and punch reports revealed 64.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on November 15, 2024, the facility census was 102, which required 69.55 hours of nurse aides during the evening shift. Review of the nursing time schedules and punch reports revealed 68.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on November 16, 2024, the facility census was 102, which required 76.50 hours of nurse aides during the day shift. Review of the nursing time schedules and punch reports revealed 64.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on November 16, 2024, the facility census was 102, which required 69.55 hours of nurse aides during the evening shift. Review of the nursing time schedules and punch reports revealed 64.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on November 17, 2024, the facility census was 102, which required 76.50 hours of nurse aides during the day shift. Review of the nursing time schedules and punch reports revealed 72.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on November 17, 2024, the facility census was 102, which required 69.55 hours of nurse aides during the evening shift. Review of the nursing time schedules and punch reports revealed 52.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on December 4, 2024, the facility census was 94, which required 47.00 hours of nurse aides during the overnight shift. Review of the nursing time schedules and punch reports revealed 40.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on December 7, 2024, the facility census was 98, which required 73.50 hours of nurse aides during the day shift. Review of the nursing time schedules and punch reports revealed 56.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on December 7, 2024, the facility census was 98, which required 66.82 hours of nurse aides during the evening shift. Review of the nursing time schedules and punch reports revealed 62.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on December 8, 2024, the facility census was 98, which required 73.50 hours of nurse aides during the day shift. Review of the nursing time schedules and punch reports revealed 64.00 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Staffing calculations, nursing staff schedules and staff punch reports were reviewed with the Nursing Home Administrator on December 10, 2024, at 5:30 p.m. The Nursing Home Administrator confirmed that the required staffing ratios for nurse aides were not met on the above dates.



 Plan of Correction - To be completed: 01/02/2025

Admin and DON will conduct random audits of resident charts, during those days identified as having fallen below required ratios, to ensure no negative outcomes in care.

The Admin will conduct a random audit weekly to ensure facility is compliant with staffing ratios. Audit will be for x3 weeks.

And monthly audit x4 months.

Results will be reported to QAPI.
§ 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 review of nursing staff schedules, punch reports and interviews with staff, it was determined that the facility failed to maintain required staffing ratios, including one LPN (Licensed Practical Nurse) per 25 residents during the day shift, one LPN per 30 residents during the evening shift, and one LPN per 40 residents during the overnight shift, on three of twenty-one days reviewed (October 20; and November 16, 17, 2024).

Findings include:

Review of facility census data revealed that on October 20, 2024, the facility census was 88, which required 28.16 hours of LPNs during the day shift. Review of the nursing time schedules and punch reports revealed 24.00 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on November 16, 2024, the facility census was 102, which required 32.64 hours of LPNs during the day shift. Review of the nursing time schedules and punch reports revealed 32.00 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on November 16, 2024, the facility census was 102, which required 27.20 hours of LPNs during the evening shift. Review of the nursing time schedules and punch reports revealed 24.00 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on November 17, 2024, the facility census was 102, which required 32.64 hours of LPNs during the day shift. Review of the nursing time schedules and punch reports revealed 32.00 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Staffing calculations, nursing staff schedules and staff punch reports were reviewed with the Nursing Home Administrator on December 10, 2024, at 5:30 p.m. The Nursing Home Administrator confirmed that the required staffing ratios for LPNs were not met on the above dates.



 Plan of Correction - To be completed: 01/10/2025

Admin and DON will conduct random audits of resident charts, during those days identified as having fallen below required ratios, to ensure no negative outcomes in care.

Scheduler will be reeducated on required staffing ratios for LPN's. Scheduler
will be educated for staffing ratios for CNA's as relates to tag 5520.

The Admin will conduct a random audit weekly to ensure facility is compliant with staffing ratios. Audit will be for x3 weeks.

And monthly audit x4 months.

Results will be reported to QAPI.
§ 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 time schedules, punch reports and staff interviews, it was determined that the facility failed to provide a minimum of 3.20 hours of direct nursing care per resident on seven of twenty-one days reviewed (November 15, 16, 17, 19; and December 2, 7, 8, 2024).

Findings include:

Review of facility census data, punch reports and nursing time schedules revealed that on November 15, 2024, the facility census was 102, and a total of 320.00 direct nursing staff hours were provided, which equaled 3.14 hours of direct nursing care per resident.

Review of facility census data, punch reports and nursing time schedules revealed that on November 16, 2024, the facility census was 102, and a total of 296.00 direct nursing staff hours were provided, which equaled 2.90 hours of direct nursing care per resident.

Review of facility census data, punch reports and nursing time schedules revealed that on November 17, 2024, the facility census was 102, and a total of 296.00 direct nursing staff hours were provided, which equaled 2.90 hours of direct nursing care per resident.

Review of facility census data, punch reports and nursing time schedules revealed that on November 19, 2024, the facility census was 101, and a total of 320.00 direct nursing staff hours were provided, which equaled 3.17 hours of direct nursing care per resident.

Review of facility census data, punch reports and nursing time schedules revealed that on December 2, 2024, the facility census was 94, and a total of 296.00 direct nursing staff hours were provided, which equaled 3.15 hours of direct nursing care per resident.

Review of facility census data, punch reports and nursing time schedules revealed that on December 7, 2024, the facility census was 98, and a total of 290.00 direct nursing staff hours were provided, which equaled 2.96 hours of direct nursing care per resident.

Review of facility census data, punch reports and nursing time schedules revealed that on December 8, 2024, the facility census was 98, and a total of 304.00 direct nursing staff hours were provided, which equaled 3.10 hours of direct nursing care per resident.

Staffing calculations, nursing staff schedules and staff punch reports were reviewed with the Nursing Home Administrator on December 10, 2024, at 5:30 p.m. The Nursing Home Administrator confirmed that the required staffing minimum of 3.20 hours of direct nursing care per resident were not met on the above dates.



 Plan of Correction - To be completed: 01/10/2025

Admin and DON will conduct random audits of resident charts, during those days identified as having fallen below required minimum direct care, to ensure no negative outcomes in care.

Scheduler will be reeducated on required staffing for minimum direct care hours per resident.

The Admin will conduct a random audit weekly to ensure facility is compliant with staffing ratios. Audit will be for x3 weeks.

And monthly audit x4 months.

Results will be reported to QAPI.

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