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

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YORK NURSING AND REHABILITATION CENTER
Inspection Results For:

There are  223 surveys for this facility. Please select a date to view the survey results.

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

Based on an Abbreviated Survey in response to a complaint completed on October 14, 2025, it was determined that York Nursing and Rehabilitation Center was not in compliance with the following Requirements of the 28 Pa. Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations related to the health portion of the survey process





 Plan of Correction:


§ 211.12(f.1)(3) LICENSURE Nursing services. :State only Deficiency.
(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 facility documentation, and nursing schedules, and interviews with staff for the nursing schedules dated August 10-16, September 7-13, and October 5-11, 2025 determined the facility failed to meet the minimum number of nursing staff that includes, one nurse aide per 10 residents during the day, one nurse aide per 11 residents during the evening and one nurse aide per 15 residents overnight for 16 shifts out of three weeks of schedules (August 10, 11, 15, 16, September 7,8,13, and October 5, 6, 9, 11, 2025).


Findings include:

Review of facility census data revealed that on August 10, 2025, the facility census was 215, which required 21.50 nurse aides during the day shift. Review of the nursing staff schedules revealed 17.0 nurse aides provided care during the shift.

Review of facility census data revealed that on August 10, 2025, the facility census was 215, which required 14.33 nurse aides during the night shift. Review of the nursing staff schedules revealed 13.00 nurse aides provided care during the shift.

Review of facility census data revealed that on August 11, 2025, the facility census was 217, which required 21.70 nurse aides during the day shift. Review of the nursing staff schedules revealed 19.0 nurse aides provided care during the shift.

Review of facility census data revealed that on August 15, 2025, the facility census was 214, which required 14.27 nurse aides during the night shift. Review of the nursing staff schedules revealed 13.00 nurse aides provided care during the shift.

Review of facility census data revealed that on August 16, 2025, the facility census was 214, which required 21.40 nurse aides during the day shift. Review of the nursing staff schedules revealed 19.00 nurse aides provided care during the shift.

Review of facility census data revealed that on September 7, 2025, the facility census was 201, which required 20.10 nurse aides during the day shift. Review of the nursing staff schedules revealed 13.0 nurse aides provided care during the shift.

Review of facility census data revealed that on September 7, 2025, the facility census was 201, which required 18.27 nurse aides during the evening shift. Review of the nursing staff schedules revealed 18.00 nurse aides provided care during the shift.

Review of facility census data revealed that on September 7, 2025, the facility census was 201, which required 13.40 nurse aides during the night shift. Review of the nursing staff schedules revealed 12.00 nurse aides provided care during the shift.

Review of facility census data revealed that on September 8, 2025, the facility census was 202, which required 20.20 nurse aides during the day shift. Review of the nursing staff schedules revealed 16.00 nurse aides provided care during the shift.

Review of facility census data revealed that on September 13, 2025, the facility census was 205, which required 13.67 nurse aides during the night shift. Review of the nursing staff schedules revealed 12.00 nurse aides provided care during the shift.

Review of facility census data revealed that on October 5, 2025, the facility census was 204, which required 20.40 nurse aides during the day shift. Review of the nursing staff schedules revealed 18.00 nurse aides provided care during the shift.

Review of facility census data revealed that on October 5, 2025, the facility census was 204, which required 18.55 nurse aides during the evening shift. Review of the nursing staff schedules revealed 18.00 nurse aides provided care during the shift.

Review of facility census data revealed that on October 5, 2025, the facility census was 204, which required 13.60 nurse aides during the night shift. Review of the nursing staff schedules revealed 11.00 nurse aides provided care during the shift.

Review of facility census data revealed that on October 6, 2025, the facility census was 203, which required 13.60 nurse aides during the night shift. Review of the nursing staff schedules revealed 12.00 nurse aides provided care during the shift.

Review of facility census data revealed that on October 9, 2025, the facility census was 199, which required 13.27 nurse aides during the night shift. Review of the nursing staff schedules revealed 13.00 nurse aides provided care during the shift.

Review of facility census data revealed that on October 11, 2025, the facility census was 201, which required 20.10 nurse aides during the day shift. Review of the nursing staff schedules revealed 20.10 nurse aides provided care during the shift.

The above was confirmed with the Director of Nursing on October 15, 2025, at 2:30 p.m.












 Plan of Correction - To be completed: 12/08/2025

1. Facility is currently staffed above state minimum requirements.

2. We are partnering with agencies so last minute call outs and unexpected events can be better managed.

3. Staffing coordinator re-educated on federal and state staffing requirement.

4. NHA or designee will randomly audit weekly x 4 and monthly x 2. Results will be reviewed during the facility's QAPI meeting to determine the need for further review.
§ 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 facility documentation, and nursing schedules, and interviews with staff for the nursing schedules dated August 10-16, September 7-13, and October 5-11, 2025 determined the facility failed to meet the minimum number of nursing staff that includes, 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 for two shifts out of three weeks of schedules (August 15, and September 17, 2025).

Findings include:


Review of facility census data revealed that on August 15, 2025, the facility census was 214, which required 8.56 Licensed Practical Nurses (LPN) during the day shift. Review of the nursing staff schedules revealed 8.25 LPNs provided care during the shift.

Review of facility census data revealed that on September 17, 2025, the facility census was 201, which required 5.03 LPNs during the day shift. Review of the nursing staff schedules revealed 4.13 LPNs provided care during the shift.

This was confirmed with the Director of Nursing on October 15, 2025, at 2:30 p.m.







 Plan of Correction - To be completed: 12/08/2025

1. Facility is currently staffed above state minimum requirements.

2. We are partnering with agencies so last minute call outs and unexpected events can be better managed.

3. Staffing coordinator re-educated on federal and state staffing requirement.

4. NHA or designee will randomly audit weekly x 4 and monthly x 2. Results will be reviewed during the facility's QAPI meeting to determine the need for further review.
§ 211.12(i)(2) LICENSURE Nursing services.:State only Deficiency.
(2) Effective July 1, 2024, 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 3.2 hours of direct resident care for each resident.

Observations:

Based on review facility documentation, and nursing schedules, and interviews with staff for the nursing schedules dated August 10-16, September 7-13, and October 5-11, 2025 determined the facility failed to meet the minimum of 3.2 hours of direct resident care for each resident for four out of 21 days reviewed (August 10, September 7, 8, and October 5, 2025.)

Findings include:


Review of facility census data revealed that on August 10, 2025, the facility census was 215, which required 3.20 hours of direct resident care for each resident. Review of the nursing schedules revealed 3.05 hours per resident was given.

Review of facility census data revealed that on September 7, 2025, the facility census was 201, which required 3.20 hours of direct resident care for each resident. Review of the nursing schedules revealed 2.70 hours per resident was given.

Review of facility census data revealed that on September 8, 2025, the facility census was 202, which required 3.20 hours of direct resident care for each resident. Review of the nursing schedules revealed 3.13 hours per resident was given.

Review of facility census data revealed that on October 5, 2025, the facility census was 204, which required 3.20 hours of direct resident care for each resident. Review of the nursing schedules revealed 3.02 hours per resident was given.

The above was confirmed with the Director of Nursing on October 15, 2025, at 2:30 p.m.





 Plan of Correction - To be completed: 12/08/2025

1. Facility is currently staffed above state minimum requirements.

2. We are partnering with agencies so last minute call outs and unexpected events can be better managed.

3. Staffing coordinator re-educated on federal and state staffing requirement.

4. NHA or designee will randomly audit weekly x 4 and monthly x 2. Results will be reviewed during the facility's QAPI meeting to determine the need for further review.

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