Pennsylvania Department of Health
BRINTON MANOR NURSING AND REHABILITATION
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

BRINTON MANOR NURSING AND REHABILITATION
Inspection Results For:

There are 144 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


BRINTON MANOR NURSING AND REHABILITATION - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on a follow-up survey completed on July 21, 2026, for the Medicare/Medicaid Recertification, State Licensure and Civil Rights Compliance survey and abbreviated complaint survey of May 10, 2024, and subsequent revisit surveys of July 10, 2024, July 31, 2024, September 9, 2024, October 11, 2024, November 22, 2024, January 3, 2025, February 19, 2025, April 7, 2025, May 28, 2025, July 16, 2025, September 8, 2025, November 5, 2025, January 28,2026 and April 20, 2026, it was determined that Brinton Manor Nursing and Rehabilitation Center failed to correct all the deficiencies and continues to be out of compliance for the following requirements of the 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 a review of facility staffing data, it was determined that the facility failed to ensure a minimum of one nurse aide per 10 residents on the day shift for six days, a minimum of one nurse aide per 11 residents on the evening shift for ten days and a minimum of one nurse aide per 15 residents on the night shift for ten days for the period from June 29 through July 8, 2026.

Findings include:

Review of facility staffing data for the period of June 29 through July 8, 2026, revealed the following dates and shifts that did not meet the requirement of one nurse aide per 10 residents on the day shift, one nurse aide per 11 residents on the evening shift and a minimum of one nurse aide per 15 residents on the night shift.

Day shift
6/29/2026
6/30/2026
7/3/2026
7/4/2026
7/5/2026
7/6/2026

Evening shift
6/29/2026
6/30/2026
7/1/2026
7/2/2026
7/3/2026
7/4/2026
7/5/2026
7/6/2026
7/7/2026
7/8/2026

Night shift
6/29/2026
6/30/2026
7/1/2026
7/2/2026
7/3/2026
7/4/2026
7/5/2026
7/6/2026
7/7/2026
7/8/2026

The aforementioned data was conveyed to the Nursing Home Administrator in a telephone interview on July 21, 2026.

Plan of Correction - To be completed: 08/24/2026

Preparation and/or execution of this plan of correction does not constitute an admission or agreement by the provider of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by the provisions of Federal and State Law. The plan of correction represents the facility's credible allegation of compliance.

The facility is unable to retroactively correct the nurse aide (NA) to resident ratios for dates identified in 2567.

The facility will schedule a minimum of 1 nurse aide per 10 residents on day shift, 1 nurse aide per 11 residents on evening shift and 1 nurse aide per 15 residents on night shift.

Nursing Home Administrator (NHA) and Director of Nursing (DON) will be educated on the requirements of nurse aids ratios of 1 nurse aide per 10 residents on day shift, 1 nurse aide per 11 residents on evening shift and 1 nurse aide per 15 residents on night shift.

The facility utilizes three (3) agencies for supplemental staffing.

Call outs will be monitored by Nursing Home Administrator/Director of Nursing and/or designee. Staff will be offered bonuses and staffing agencies will be utilized to facilitate replacement/procurement of staff. A centralized staffing center will be utilized to assist with sourcing staff for call outs.

Audits of nurse aide schedules will be completed by the NHA/designee weekly x3 weeks to ensure that the facility is meeting the required ratio per shift of nurse aides to residents. Findings and records of staffing audits will be summarized and brought to the quality assurance and performance improvement committee and reviewed for any further monitoring or changes needed.

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