Nursing Investigation Results -

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

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

SUNNYVIEW NURSING AND REHABILITATION CENTER
Inspection Results For:
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SUNNYVIEW 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 June 14, 2022, it was determined that Sunnyview Rehabilitation and Nursing Center was in compliance with the 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.

Plan of Correction:

§ 211.12(i) LICENSURE Nursing services.:

(i) A minimum number of general nursing care hours shall be provided for each 24-hour period. 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 2.7 hours of direct resident care for each resident.

Observations:

Based on review of nursing care hours and staff interview, it was determined the facility failed to meet state minimum staffing levels of 2.70 hours per resident per day for resident care that could affect resident health and safety for four of 23 days. (5/22/22, 5/28/22, 6/4/22, and 6/11/22).

Findings include:

A review of the facility nursing time schedules (a schedule for Registered Nurses, Licensed Practical Nurses and Certified Nurse Aides) for dates 5/22/22 through 6/11/22, documented the facility failed to meet state required minimum of 2.70 hours of care Per Patient Day (PPD) on the following day:

5/22/22 - 2.48
5/28/22 - 2.60
6/4/22 - 2.63
6/11/22 - 2.42

During an interview on 6/14/22, at 3:30 p.m. the Nursing Home Administrator and Director of Nursing confirmed that the facility failed to meet the state minimum staffing levels of 2.70 hours per resident per day for resident care that could affect resident health and safety on 5/22/22, 5/28/22, 6/4/22, and 6/11/22.

Plan of Correction - To be completed: 07/14/2022

Review of Pa Code 211.12 was completed by NHA and DON. The dates sited were reported in ERS on 6/14/2022. Additional education was then provided to scheduling staff.
The facility has referral and sign-on bonuses, we offer extra shift bonuses for additional shifts worked by employees. We advertise through apploi through social media. We hold job fairs at the facility and have open interviews.
The facility has contacted additional staffing agencies in the Tri-State area to find available nurses and aides. The facility has established a Recruitment and Retention Committee to address staffing challenges and to retain current staff. The Staff Scheduler projects PPD for 2 weeks which is discussed in a staffing meeting that is held at least daily.
The NHA/DON/Staff Scheduler/Human Resources Director will review previous day PPD, actual PPD and address projected 2-week PPD per the schedule daily. The DON/designee will report to the DOH monthly if PPD is below 2.7.

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