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

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ARMSTRONG REHABILITATION AND NURSING CENTER
Inspection Results For:

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ARMSTRONG REHABILITATION AND NURSING CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:


Based on a revisit survey completed on February 7, 2024, it was determined that Armstrong Rehabilitation and Nursing Center failed to correct the deficiency identified during the survey of December 13, 2023, as related to the requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.



 Plan of Correction:


§ 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 time schedules and staff interview, it was determined that the facility administrative staff failed to provide a minimum of one licensed practical nurse (LPN) per 25 residents during the day shift on two of nine days (2/5/24 and 2/6/24) and one LPN per 40 residents during the night shift on two of nine days (2/1/24 and 2/3/24).

Findings include:

Review of the facility census data and nursing time schedules revealed the following LPN staffing shortages:

7-3 shift:

2/5/24census 7520.00 actual hours22.50 hours required.
2/6/24census 7519.88 actual hours22.50 hours required.

11-7 shift:

2/1/24census 8012.00 actual hours15.00 hours required.
2/3/24census 788.17 actual hours14.63 hours required.

During an interview on 2/7/24, at 5:10 p.m. the Director of Nursing confirmed that the facility failed to provide LPN's on the day shift and on the night shift as required.



 Plan of Correction - To be completed: 03/08/2024

1. The residents had no negative outcome from not meeting a minimum of one LPN per twenty-five residents during the day, and one LPN per 40 residents on night shift.
2. DON/designee will provide the Staffing Coordinator with re-education on the Pennsylvania staffing requirements for ratios.
3. The facility has increased wages, hired additional staff and continue to hire, attend daily staffing meetings to track staffing and have added additional agency staff to utilize for staffing needs.
4. Staffing coordinator/designee will audit the ratios weekly x4 weeks and monthly x3 months.
5. Results of audits will be submitted to QAPI committee for tracking and further recommendations.


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