Pennsylvania Department of Health
WEST READING SKILLED NURSING AND REHABILITATION CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

WEST READING SKILLED NURSING AND REHABILITATION CENTER
Inspection Results For:

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WEST READING SKILLED NURSING AND REHABILITATION 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 July 26, 2025, at West Reading Skilled Nursing and Rehabilitation Center, 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 the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 211.12(f.1)(3) LICENSURE Nursing services. :

(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 time schedules, it was determined that the facility failed to meet the minimum nurse aide (NA) to resident ratios for five of 21 days reviewed.

Findings include:

Review of nursing schedules for 21 days from July 5 to 25, 2025, revealed the following:

The facility failed to meet the minimum NA to resident ratio of one NA for 11 residents on evening shift (3:00 p.m. to 11:00 p.m.) on July 9 and 15, 2025.

The facility failed to meet the minimum NA to resident ratio of one NA for 15 residents on night shift (11:00 p.m. to 7:00 a.m.) on July 5, 6 and 8, 2025.

Plan of Correction - To be completed: 08/15/2025

1&2. Nurse Scheduler re-educated on the NA ratio requirements of 1 NA to 10 residents on day shift, 1 NA to 11 residents on evening shift, and 1 NA to 15 residents on night shift.
3. The facility is actively recruiting NAs; utilizing Nurse Agency to supplement NAs; and Mon-Fri staffing meetings conducted in attempts to maintain State Mandated ratios for NAs.
4. The DON and/or designee will randomly audit the staffing schedules to ensure the appropriate number of NAs are scheduled to achieve compliance. The results of the audits will be submitted to the QA Committee to determine if additional action is necessary.

§ 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 eight of 21 days reviewed.

Findings include:

Review of nursing schedules for 21 days from July 5 to 25, 2025, revealed the following:

The facility failed to meet the minimum LPN to resident ratio of one LPN for 25 residents on day shift (7:00 a.m. to 3:00 p.m.) on July 5, 2025.

The facility failed to meet the minimum LPN to resident ratio of one LPN for 30 residents on evening shift (3:00 p.m. to 11:00 p.m.) on July 9 and 11, 2025.

The facility failed to meet the minimum LPN to resident ratio of one LPN for 40 residents on night shift (11:00 p.m. to 7:00 a.m.) on July 5, 6, 7, 8, 12 and 13, 2025.

Plan of Correction - To be completed: 08/15/2025

1&2. Nurse Scheduler re-educated on the LPN ratio requirements of 1 LPN to 25 residents on day shift, 1 LPN to 30 residents on evening shift, and 1 LPN to 40 residents on night shift..
3. The facility is actively recruiting LPNs; utilizing Nurse Agency to supplement LPNs; and Mon-Fri staffing meetings conducted in attempts to maintain State Mandated ratios for LPNs.
4. The DON and/or designee will randomly audit the staffing schedules to ensure the appropriate number of LPNs are scheduled to achieve compliance. The results of the audits will be submitted to the QA Committee to determine if additional action is necessary.

§ 211.12(i)(2) LICENSURE Nursing services.:

(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 a review of nursing time schedules, it was determined that the facility failed to provide a minimum of 3.2 hours of direct care for each resident for five of 21 days reviewed.

Findings include:

Review of nursing schedules for 21 days from July 5 to 25, 2025, revealed the following total nursing care hours below minimum requirements:

Saturday, July 5, 2025: 3.07 care hours per resident.
Sunday, July 7, 2025: 2.91 care hours per resident.
Wednesday, July 9, 2025: 3.03 care hours per resident.
Friday, July 11, 2025: 3.11 care hours per resident.
Saturday, July 12, 2025: 2.98 care hours per resident.

Plan of Correction - To be completed: 08/15/2025

1&2. Nurse Scheduler re-educated on the PPD requirements of 3.2 hours of direct care for each resident.
3. The facility is actively recruiting Nursing staff; utilizing Nurse Agency to supplement Nursing Staff; and Mon-Fri staffing meetings conducted in attempts to maintain State Mandated PPD of 3.2 hours of direct care for each resident.
4. The DON and/or designee will randomly audit the staffing schedules to ensure the appropriate number of Nursing Staff are scheduled to achieve compliance. The results of the audits will be submitted to the QA Committee to determine if additional action is necessary.

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