Initial Comments:
This report is the result of an unannounced Special Monitoring survey initiated on May 5, 2026 and completed offsite on May 19, 2026, at St. Luke's Hospital- Easton Campus. It was determined that the facility was not in compliance with the requirements of the Pennsylvania Department of Health's Rules and Regulations for Hospitals, 28 Pa Code, Part IV, Subparts A and B, November 1987, as amended June 1998.
Plan of Correction:
51.3 (c) LICENSURE
NOTIFICATION
Name - Component - 00
51.3 Notification
(c) A health care facility shall
provide similar notice at least 60
days prior to the effective date it
intends to cease providing an existing
health care service or reduce it
licensed bed complement.
Observations:
Based on review of facility documents and interview with staff (EMP) it was determined the facility failed to provide at least 60-day notice to the Department of Health, Division of Acute and Ambulatory Care (DAAC), that operations would be ceased on the inpatient rehabilitation unit.
Findings include:
Review on May 19, 2026, of facility documents provided via email, revealed that the Easton Campus inpatient rehabilitation unit had ten (10) licensed beds and the unit was closed on June 26, 2020.
Interview via email on May 19, 2026, with EMP1 confirmed the above findings.
Interview via email on May 5, 2026, with EMP1 confirmed notification of the unit closure was not submitted to the DAAC.
Plan of Correction:The SLUH Network Director, Accreditation and Standards will educate the organization's leadership team regarding the PA DOH notification requirements. Education will be distributed on 06/01/2026 via email distribution with read receipt requests used for validation of receipt.
The SLUH Network Director, Accreditation and Standards will monitor requests for service or location closures to ensure they meet the minimal 60-day requirement. Monitoring will begin on 06/01/2026. Instances of non-compliance will be individually addressed with the service/location leader.
Non-compliance data will be reported to the organization President and the SLUHN East Regional President as it is identified for additional follow-up if necessary.
The organization President is responsible for the plan of correction.
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