Department of Health Highlights August 2020 Nursing Home Inspection, Sanction Information Amidst COVID-19 Pandemic

Harrisburg, PA – In the August 2020 report, Pennsylvania Department of Health nursing home surveyors conducted 635 inspections of nursing homes, including 379 complaint investigations. Of these, 522 were COVID-19 specific. In addition, nine sanctions were finalized against nursing care facilities, which included the issuance of two provisional licenses and civil penalties totaling $84,125.

“We know that congregate care settings, including nursing homes, have been challenged by the COVID-19 pandemic,” Dr. Levine said. “That is why we remain committed to protecting the health and well-being of our most vulnerable Pennsylvanians by continuing to hold nursing home operators accountable, as necessary, to ensure they are providing safe care. If you see something at a nursing home that doesn’t seem right, we encourage you to speak up.”

Individuals with complaints about a nursing home can file that complaint with the department in several ways. Complaints can be made anonymously by calling 1-800-254-5164, filling out the online complaint form, emailing c-ncomplai@pa.gov or sending the complaint in the mail to the department.

The number of newly reported long-term care facility (LTCF) deaths due to COVID-19 has decreased, as reflected in the LTCF graphs on the department’s LTCF data page. New cases have remained steady as facilities continue to test where outbreaks are occurring through mandated universal testing. All DOH-licensed nursing homes and DHS-licensed facilities completed universal testing before the state’s deadline.

The inspections, called surveys, include information on nursing home patient care and building inspections. If a facility is cited for not following regulations during the survey, it must submit a plan of correction that includes what will be done to fix the issue and a completion date. The department will conduct a surprise follow-up inspection to ensure the issue is resolved. Surveys are posted to the website 41 days after the survey is completed.

The Department of Health also conducts surveys on behalf of Centers for Medicaid and Medicare Services (CMS). These surveys include federal certification and recertification, complaint surveys, building safety surveys and others.

The department also may issue a sanction. Possible sanctions include a civil penalty, a ban on admissions, a license being revoked, or a facility being put on a provisional license, which requires, among other things, being subject to additional inspections. A provisional license can be renewed no more than three times. The department can return the facility to a regular license if it is satisfied that all issues have been corrected and it is warranted.

The department maintains a searchable database, which allows the public to view patient care surveys, building safety surveys, size of the nursing home, type of ownership and additional information about each of the nursing homes in the state. The department oversees 692 nursing homes and more than 88,000 beds within nursing homes in Pennsylvania, in addition to other facilities, including hospitals, ambulatory surgical facilities, home care agencies and others.

The Wolf Administration has taken a three-pillar approach to protecting the vulnerable residents living in nursing homes and other long-term living settings from COVID-19:

  • Ensuring resident safety through testing, education and resources;
  • Preventing and mitigating outbreaks; and
  • Working in partnership with state agencies, local health departments and long-term care facility operators.

More information regarding case information for all nursing homes, guidance provided to nursing homes, the orders in place, fact sheets and frequently asked questions documents to assist in regard to what is being done by the state to assist nursing homes can be found on the department’s COVID-19 nursing home page.

The Wolf Administration stresses the role Pennsylvanians play in helping to reduce the spread of COVID-19:

  • Wash your hands with soap and water for at least 20 seconds or use hand sanitizer if soap and water are not available.
  • Cover any coughs or sneezes with your elbow, not your hands.
  • Clean surfaces frequently.
  • Stay home to avoid spreading COVID-19, especially if you are unwell.
  • If you must go out for a life-sustaining reason, please wear a mask.

Updated Coronavirus Links: Press Releases, State Lab Photos, Graphics

All Pennsylvania residents are encouraged to sign up for AlertPA, a text notification system for health, weather, and other important alerts like COVID-19 updates from commonwealth agencies. Residents can sign up online at www.ready.pa.gov/BeInformed/Signup-For-Alerts.