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

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

SPRING HILL REHABILITATION AND NURSING CENTER
Inspection Results For:

There are 208 surveys for this facility. Please select a date to view the survey results.

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SPRING HILL REHABILITATION AND NURSING CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on a Revisit Survey completed on September 3, 2025, it was determined that Spring Hill Rehabilitation and Nursing Center failed to correct the deficiency cited during the survey of July 15, 2025, under the requirements of the 28 Pa. Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

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 staffing documents provided by the facility and staff interview it was determined that the facility failed to provide one nurse assistant (NA) per 10 residents on the day shift on three of eight days (8/29/25 through 8/31/25) one NA per 11 residents on the evening shift on four of eight days (8/25/25, 8/27/25 through 8/29/25) and one NA per 15 residents on the night sift on five of eight days (8/25/25 through 8/29/25) as required.

Findings include:

A review of facility staffing documents provided by the facility from 8/25/25 through 9/1/25, revealed the facility failed to provide NA on the following shift as required:

Day shift:CensusActual hoursHours required

8/29/257740.0061.60
8/30/257756.0061.60
8/31/257758.0061.60

Evening shift:CensusActual hoursHours required

8/25/257439.0053.82
8/27/257532.0054.55
8/28/257648.0055.27
8/29/257746.7556.00

Night shift:CensusActual hoursHours required

8/25/257432.0039.47
8/26/257432.0039.47
8/27/257524.0040.00
8/28/257640.0040.53
8/29/257732.0041.07

During an interview on 9/3/25 at 12:10 p.m., the Nursing Home Administrator confirmed that the facility failed to provide NA's in the facility on the above shifts as required.

Plan of Correction - To be completed: 10/06/2025

The facility cannot retroactively correct past staffing issues.
To prevent this from reoccurring the Scheduler will be reeducated on staffing Nurses' Aides to include expectations of HPPD and ratio's by the DON/designee. Scheduler will utilize Apploi scheduling assistant for staff to pick up in addition to calling/texting both agency and facility staff. Facility has begun an employee of the month program, monthly employee meal. Staff that call off on weekends will be made to make up that weekend that coming weekend

The facility will hold staffing meetings 5 days a week, consisting of the NHA, DON, Scheduler and Human Resources to review ratio and PPD compliance for upcoming schedules

DON/designee monitor ratios 5 days a week and ongoing to be provided as needed

Results of the meeting will be forwarded to the facility QAPI committee for further review and recommendations

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