Pennsylvania Department of Health
 AMARYLLIS NURSING AND REHAB CENTER
Patient Care Inspection Results

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AMARYLLIS NURSING AND REHAB CENTER
Inspection Results For:

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

Based on an Abbreviated Complaint Survey completed on June 23, 2026, it was determined that Lakeview Healthcare and Rehab was not in compliance with the following 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. :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 of the facility nursing staffing documents and staff interview, it was determined that the facility failed to ensure a minimum of one Nurse Aide (NA) per 10 residents for the dayshift for four of 21 days (6/05/26, 6/06/26, 6/07/26, and 6/13/26); failed to ensure a minimum of one NA per 11 residents for the evening shift for six of 21 days (6/05/26, 6/06/26, 6/07/26, 6/11/26, 6/13/26, and 6/21/26); and failed to ensure a minimum of one NA per 15 residents for the overnight shift for five of 21 days (6/05/26, 6/06/26, 6/07/26, 6/11/26, and 6/13/26).

Findings include:

Review of facility nursing staffing documents for the time-period from 6/02/26, through 6/22/26, revealed the following NA staffing shortages for the dayshift where the NA ratios were not met:

6/05/26 census of 33 residents 3.0 NA worked and 3.3 were required.
6/06/26 census of 32 residents 2.03 NA worked and 3.2 were required.
6/07/26 census of 32 residents 3.0 NA worked and 3.2 were required.
6/13/26 census of 31 residents 2.09 NA worked and 3.10 were required.

Review of facility nursing staffing documents for the time-period from 6/02/26, through 6/22/26, revealed the following NA staffing shortages for the evening shift where the NA ratios were not met:

6/05/26 census of 33 residents 2.21 NA worked and 3.0 were required.
6/06/26 census of 32 residents 2.03 NA worked and 2.91were required.
6/07/26 census of 32 residents 2.09 NA worked and 2.91 were required.
6/11/26 census of 32 residents 2.75 NA worked and 2.91 were required.
6/13/26 census of 31 residents 2.16 NA worked and 2.82 were required.
6/21/26 census of 32 residents 2.13 NA worked and 2.91 were required.


Review of facility nursing staffing documents for the time-period from 6/02/26, through 6/22/26, revealed the following NA staffing shortages for the overnight shift where the NA ratios were not met:

6/05/26 census of 33 residents 1.0 NA worked and 2.2 were required.
6/06/26 census of 32 residents 2.03 NA worked and 2.13were required.
6/07/26 census of 32 residents 2.06 NA worked and 2.13 were required.
6/11/26 census of 32 residents 1.47 NA worked and 2.13 were required.
6/13/26 census of 31 residents 1.63 NA worked and 2.07 were required.

During an interview on 6/22/26, at 7:00 p.m. the Nursing Home Administrator confirmed the NA ratios were not met for the above days and shifts.




 Plan of Correction - To be completed: 08/31/2026

1. There was no harm to any residents due to the deficiency.

2. Nursing Home Administrator will re-educate Director of Nursing and Scheduler on staffing ratios regulation effective July 1, 2023.


3. Agency staffing has been implemented until we have hired our own staff to cover vacant positions to meet ratio. Human Resources will continue to work on hiring additional Certified Nursing Assistants by placing ads on Indeed and monitoring open CNA positions as they apply and processing applicants in a timely manner. HR will also offer a sign on bonus as well as referral bonus if applicable. Will ask for volunteers to stay over or come in early for their shifts.

4.Director of Nursing or Designee will monitor the daily /weekly staffing sheets weekly x 4 to ensure staffing ratios are being met.

5.Findings will be reported to facility Quality Assurance Performance Improvement for further review and monitoring.

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