Pennsylvania Department of Health
CARBONDALE NURSING & REHABILITATION CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

CARBONDALE NURSING & REHABILITATION CENTER
Inspection Results For:

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CARBONDALE NURSING & REHABILITATION CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on a State Licensure Monitoring survey on January 2, 2024, it was determined that Carbondale Nursing & Rehabilitation Center was not in compliance with the following requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 201.13c (b) LICENSURE License renewal:

(b) In addition to the application form and fee under subsection (a), a facility shall submit an updated annual financial report that meets the requirements set forth in § 201.12(b)(8) (relating to application for license of a new facility or change in ownership).

Observations:

Based on review of the facility submitted application for renewal of the license, it was determined that the facility failed to submit an annual financial report which shall include the following:

(i) Audited financial statements prepared in accordance with generally accepted accounting principles (GAAP). If GAAP requires consolidated financial statements, then consolidated statements shall be provided. (The GAAP indicates that the following is included in and audited financial statement: Balance Sheet, Cash Flow Statement, Income Statement, Statement of Shareholder Equity Changes and an auditor opinion)
(ii) A visual representation of the current ownership structure, which shall include parent companies, shareholders, and any related parties of the persons identified in paragraphs (1) through (6). (this would be an organizational chart rather than a list)
(iii) A supplemental schedule of annual gross revenues, prepared in accordance with GAAP. The supplemental schedule shall be broken out by payor type.

Findings:
Review of the submitted application revealed that there was no visual representation of the ownership structure; no audited financial report and no supplement schedule of annual gross revenues by payer type. Interview with the Nursing Home Administrator on December 7, 2023, indicated that the information was not available at the time the application was submitted and would not be available until Spring 2024.

The facility failed to meet the requirements as set forth in 28 Pa Code 201.13 c.

Plan of Correction - To be completed: 06/30/2024

A certified financial audit for calendar year 2023 will be submitted by June 30, 2024. Visual representation of organization and supplement schedule of annual gross revenues by payer type will be included. Annually, upon renewal of facility licensure, an updated certified financial audit will be completed and submitted.

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