Pennsylvania Department of Health
HARMAR VILLAGE HEALTH & REHAB CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

HARMAR VILLAGE HEALTH & REHAB CENTER
Inspection Results For:

There are 134 surveys for this facility. Please select a date to view the survey results.

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HARMAR VILLAGE HEALTH & REHAB CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Findings of an Abbreviated Complaint Survey completed on March 17, 2024, at Harmar Village and Health and Rehab Center, identified deficient practice, related to the reported complaint allegations, under the requirements of 42 CFR Part 483, Subpart B Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.

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 review of nursing time schedules and staff interviews, it was determined that the facility administrative staff failed to provide a minimum of one nurse aide per 10 residents during the day shift of March 10, 2024, and one nurse aide per 11 residents during the evening shift of March 12, 2024.

Findings include:

Review of facility census data indicated that on March 10, 2024, the facility census was 84, which required 51.88 hours of nurse aides during the day shift.

Review of the nursing time schedule revealed 6.70 nurse aids provided care on the day shift on March 10, 2024, for a total of 50.25 hours. No additional excess higher-level staff were available to compensate this deficiency.

The above information was relayed and confirmed by the Nursing Home Administrator during a phone interview on March 18, 2024, at 2:36 p.m.

Plan of Correction - To be completed: 04/01/2024

Preparation and submission of this POC is required by state and federal law. This POC does not constitute an admission for purposes of general liability, professional malpractice or any other court proceeding.
The facility cannot retroactively correct past staffing issues.

Moving forward the facility will utilize on call rotations, sister facilities and staffing agencies to assist in meeting mandated requirements.

To prevent this from reoccurring the Regional Director of Clinical Services will reeducate the NHA and DON on the updated staffing regulations regarding staffing ratios.

Audits of ratio compliance for past and upcoming schedules will occur weekly x 4 and monthly x 2. Ad hoc education will be provided as needed. The results of the audits will be forwarded to the facility QAPI committee for further review and recommendations.

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