Staffing Deficiencies at Beaver Healthcare
Penalty
Summary
Beaver Healthcare and Rehabilitation Center was found to be non-compliant with the 28. Pa Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations regarding nursing services. Specifically, the facility failed to meet the required nurse aide-to-resident ratios on multiple occasions. During the daylight shift, the facility did not provide one nurse aide per 10 residents on four separate days. Similarly, during the evening shift, the facility failed to maintain the required ratio of one nurse aide per 11 residents on two days. Additionally, the night shift was understaffed on six days, not meeting the requirement of one nurse aide per 15 residents. The staffing shortages were confirmed through a review of the facility's census data and nursing time schedules from December 3, 2024, to December 24, 2024. The Nursing Home Administrator acknowledged these deficiencies during an interview. The report details specific dates and the corresponding census, actual hours worked, and the required hours, highlighting the shortfall in staffing levels. These deficiencies indicate a failure to adhere to state regulations for adequate staffing, which is crucial for maintaining the quality of care in the facility.
Plan Of Correction
NHA has educated Scheduler on minimum staffing hours/regulations on new staffing guidelines effective 07/01/2024. Facility has advertised for open CNA positions. Interviews will be conducted as applicants apply. Scheduler will meet with NHA/DON twice daily to review staffing schedule for a period of 1 week to ensure CNA ratios are being met. NHA/DON/Scheduler will continue to monitor CNA ratios to ensure facility has sufficient staff. Findings will be reported to QAPI for further review and monitoring. Date of compliance 01/06/2025.