Pennsylvania Department of Health
BROOKMONT HEALTHCARE AND REHABILITATION CENTER
Patient Care Inspection Results

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BROOKMONT HEALTHCARE AND REHABILITATION CENTER
Inspection Results For:

There are  138 surveys for this facility. Please select a date to view the survey results.

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

Based on a revisit completed on January 17, 2024, it was determined that Brookmont Healthcare and Rehabilitation Center corrected the federal deficiencies cited during the survey of November 8, 2023, under the requirements of 42 CFR Part 483 Subpart B Requirements for Long Term Care but was out of compliance with the following requirements of 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations.




 Plan of Correction:


§ 211.12(f.1)(2) LICENSURE Nursing services. :State only Deficiency.
(2) Effective July 1, 2023, a minimum of 1 nurse aide per 12 residents during the day, 1 nurse aide per 12 residents during the evening, and 1 nurse aide per 20 residents overnight.

Observations:

Based on review of nursing time schedules and the resident census, it was determined that the facility failed to provide a minimum one nurse aide per 20 residents during the night shift on one of seven days reviewed (January 16, 2024).

Findings include:

Review of facility census data revealed that on January 14, 2024, the resident census was 112, which required 5.60 nurse aides during the night shift.

Review of the nursing time schedules revealed only 5.00 nurse aides on the night shift on January 16, 2024.

The facility failed to meet the required nurse aide to resident ratios on the night shift on the above date.





 Plan of Correction - To be completed: 03/12/2024

Please note that the filing of this plan of correction does not constitute any admission to the alleged violations set for in the statement of deficiencies. This plan of correction is being filed as evidence of the facility continues compliance with all applicable laws.
- Night shift is running with the required number of nurse aides
- Audit schedules to ensure that night shift runs with the required number of nurse aides
- Reeducate the staffing coordinator on providing 1 nurse aid per 20 residents during the night shift
- Monthly auditsX3
- Results will be brought to QAPI

§ 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 the resident census, it was determined that the facility failed to provide a minimum one LPN (licensed practical nurse) per 25 residents during the day shift on one of seven days reviewed (January 14, 2024).

Findings include:

Review of the facility's census indicated that on January 14, 2024, the resident census was111, which required 4.44 LPNs during the day shift.

Review of the nursing time and schedules revealed only 4.00 LPNs on the day shift on January 14, 2024.

No additional excess higher-level staff were available to compensate this deficiency for failing to provide a minimum of 1 LPN per 25 residents on the dayshift.

The facility failed to meet the required LPN to resident ratios on day shift on the above date.





 Plan of Correction - To be completed: 03/12/2024

- Day shift is running with the required number of LPNs
- Audit schedules to ensure that day shift runs with the required number of LPNs
- Reeducate the staffing coordinator on providing 1 LPN per 25 residents during the day shift
- Monthly audits X 3
- Results will be brought to QAPI


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