Inspection·July 17, 2024

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Based on review of facility policy and resident interviews and observations, it was determined that the facility failed to ensure sufficient staffing to meet resident need for eight of twelve residents (Resident R1, R2, R3, R4, R5, R6, R7, and R8). Findings include: Review of the facility policy, Answering the Call Light dated 7/13/23, indicated the facility will provide timely responses to the resident's requests and needs. During an interview on 7/15/24, at 10:22 a.m. Resident R1, when asked if she felt the facility had sufficient staff stated, probably not. Observation at this time revealed Resident R1 to have unbrushed, greasy appearing hair. Review of Resident R1's shower record from 6/17/24, through 7/17/24, revealed two showers provided (7/12/24, and 7/17/24). No bed baths were documented, and no refusals of bathing were documented. Review of census information revealed Resident R1 was present in the facility during the review dates. During an interview and observation on 7/15/24, at 10:27 a.m. Resident R2 was noted to be wearing a hospital gown. When asked if she preferred to still be in a nightgown, Resident R2 responded that she would like to be dressed. During an interview on 7/15/24, at 10:29 a.m. Resident R3, when asked if she felt the facility had sufficient staff stated, Sometimes there ' s not enough, it takes forever to get back to bed. Resident R3 further confirmed that call light response takes a long time, stating, Yesterday I waited over an hour. Resident R3 was noted to be wearing a nightgown. When asked if she preferred to still be in a nightgown, Resident R3 responded that she hadn ' t been assisted with personal hygiene yet. During an interview and observation on 7/15/24, at 10:27 a.m. Resident R4, when asked about call light response stated that call light response is long and that staff tell him they will be back to assist him but do not return, She ' s always telling me that. When asked if he preferred to still be in a hospital gown, Resident R4 responded, I will be dressed after a while. During an interview on 7/15/24, at 10:35 a.m. Resident R5, when asked if he felt the facility had sufficient staff stated, No, I would like to see more aides. Resident R5 further confirmed that call light response takes a long time, stating, Sometimes I wait a long time for care, for call lights. Resident R5 stated the he only receives one shower per week, stating, I want more, but I was told I can ' t bet another because there is not enough staff. Observation at this time revealed Resident R5 (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 395266 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395266 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/17/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Beaver Valley Rehabilitation and Healthcare Center 257 Georgetown Road Beaver Falls, PA 15010 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)