Non-Compliance with Nursing Care Hour Requirements
Penalty
Summary
Accela Rehab and Care Center at Somerton was found to be non-compliant with the Pennsylvania Long Term Care Licensure Regulations regarding nursing services. Specifically, the facility failed to provide the required minimum of 3.2 hours of direct nursing care per resident per day on 14 out of 21 days reviewed. The deficiency was identified through a review of nursing staffing hours and confirmed by an interview with the Nursing Home Administrator. The facility's staffing levels fell short of the mandated care hours on multiple days in February and March 2025, with care hours per patient per day (PPD) ranging from 2.97 to 3.15, all below the required 3.2 PPD. The report details specific dates and the corresponding care hours and resident census, highlighting the shortfall in nursing care hours. For instance, on February 9, 2025, the facility provided 630.5 care hours for 206 residents, resulting in only 3.06 PPD. Similar deficiencies were noted on other days, such as March 8, 2025, where 635.5 care hours were provided for 214 residents, totaling 2.97 PPD. These findings were corroborated by the Nursing Home Administrator, who acknowledged that the staffing levels did not meet the required minimums.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider of the truths or facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed with federal and state law requirements. Identification of other residents or areas having the potential to be affected due to the nature of the deficiency: The deficient practice has the potential to affect all residents. Corrective action: 1. Staffing coordinator or designee will be re-educated on number of staff and ratios per state guidelines. 2. Nursing supervisor or designee to audit 4 random resident charts of the identified day, to identify any unmet resident needs due to staffing shortages. 3. Staffing coordinator or designee to audit a random day per week for staffing ratios weekly X4 Monthly X3. 4. Results will be reviewed at the quarterly QAPI meeting.