Pennsylvania Department of Health
BRIDGEVILLE REHABILITATION & CARE CENTER
Patient Care Inspection Results

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BRIDGEVILLE REHABILITATION & CARE CENTER
Inspection Results For:

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BRIDGEVILLE REHABILITATION & CARE CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Findings of an abbreviated complaint survey completed on January 10, 2024, at Bridgeville Rehabilitation & Care Center identified no deficient practice under the requirements of 42 CFR Part 483, Subpart B Requirements for Long Term Care Facilities as it relates to the Health portion of the survey process; however, deficient practice was identified under 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.















 Plan of Correction:


§ 211.12(i)(1) LICENSURE Nursing services.:State only Deficiency.
(1) Effective July 1, 2023, 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 2.87 hours of direct resident care for each resident.

Observations:
Based on review of nursing time schedules and staff interviews it was determined that the facility administrative staff failed to provide the minimum number of general nursing hours to each resident in a 24 hour period on 20 of 21 days (12/10/23, 12/11/23, 12/12/23, 12/13/23, 12/15/23, 12/16/23, 12/17/23, 12/18/23, 12/19/23, 12/20/23, 12/21/23, 12/22/23, 12/23/23, 12/24/23, 12/25/23, 12/26/23, 12/27/23, 12/28/23, 12/29/23, and 12/30/23).

Findings include:

Nursing time schedules for the time period of 9/17/23 through 9/23/23, and 10/1/23 through 10/14/23, revealed that the facility failed to maintain 2.87 hours of general nursing care to each resident in a 24-hour period on the following dates:

-12/10/23, Census 146. PPD 2.84
-12/11/23, Census 146. PPD 2.71
-12/12/23, Census 150. PPD 2.79
-12/13/23, Census 149. PPD 2.56.
-12/15/23, Census 151. PPD 2.61.
-12/16/23, Census 151. PPD 2.62.
-12/17/23, Census 150. PPD 2.49.
-12/18/23, Census 150. PPD 2.49.
-12/19/23, Census 150. PPD 2.76.
-12/20/23, Census 148. PPD 2.75.
-12/21/23, Census 155. PPD 2.60.
-12/22/23, Census 155. PPD 2.71.
-12/23/23, Census 155. PPD 2.18
-12/24/23, Census 155. PPD 2.04
-12/25/23, Census 155. PPD 2.16.
-12/26/23, Census 155. PPD 2.34.
-12/27/23, Census 154. PPD 2.61.
-12/28/23, Census 154. PPD 2.66.
-12/29/23, Census 157. PPD 2.39.
-12/30/23, Census 155. PPD 2.43.

During an interview on 1/12/24, at 12:15 p.m. the Nursing Home Administrator confirmed the facility failed to provide the minimum number of general nursing hours to each resident in a 24-hour period on 20 of 21 days.


 Plan of Correction - To be completed: 02/15/2024

There were no adverse effects to the
residents in the center as a result of
the HPPD of less than 2.87.

The Administrator, Director of
Nursing, and Scheduler will be re-educated
on the state requirement for nursing
hours by the Nurse Professional Educator.

Staffing meetings will be held 5 days
a week to review HPPD from the previous day and the
projected HPPD for the current day,
as well as the upcoming week to
ensure appropriate staffing levels. If
projected staffing levels are below
the 2.87 minimum then
the facility will reach out to current
staff and staffing agencies to
enlist to meet the minimum
requirement. Facility will continue to
recruit staff through all platforms.

Audits of HHPD will be completed weekly x4 by the
NHA/designee to ensure the state HPPD
minimums are met. Results of the audits will
be forwarded to the center QAPI
committee for review and
recommendations.


PRINTED: 7/20/2023

will be completed weekly x4 by the
NHA/designee to ensure HPPD and
staff ratios meets the state
minimums. Results of the audits will
be forwarded to the center QAPI
committee for review and
recomme
There were no adverse effects to the
residents in the center as a result of
the HPPD of less then 2.87 and
decreased staff ratios on July 2, 3, 4,
5, & 6

The Administrator, Director of
Nursing, Scheduler and Human
Resource Director will be educated
on the state requirement for nursing
hours and staff ratios by the Quality
Clinical Consultant/designee.
Staffing meetings will be held 5 days
a week to review HPPD and staff
ratios from the previous day and the
projected HPPD for the current day,
as well as the upcoming week to
ensure appropriate staffing levels. If
projected staffing levels are below
the 2.87 minimum then
the facility will reach out to current
staff and local staffing agencies to
enlist to meet the minimum
requirement. Facility will continue to
recruit staff through all platforms.

Audits of HHPD and staffing ratios State Form



will be completed weekly x4 by the
NHA/designee to ensure HPPD and
staff ratios meets the state
minimums. Results of the audits will
be forwarded to the center QAPI
committee for review and
recommendations.


will be completed weekly x4 by the
NHA/designee to ensure HPPD and
staff ratios meets the state
minimums. Results of the audits will
be forwarded to the center QAPI
committee for review and
recomme


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