Healthwin Health & Rehabilitation
HEALTHWIN HEALTH & REHABILITATION in SOUTH BEND, IN — inspection on February 19, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a Family meeting with the new corporate representatives and the Director of Nursing, conducted on 2/12/2024 at 2 PM, several resident representatives complained about the lack of staffing to provide care, especially at night and residents not receiving timely showers or medications.
The family representatives queried the new corporate staff and DON about reducing the number of staff and firing the QMAs (Qualified Medication Aides) and shower aides.
The Director of Nursing informed the family members that the staff were not fired but were just not given as many work hours.
The corporate representative informed the family members that the facility was staffed at a 3.5 PPD (hours of direct nursing care per resident per day) which was above the national average.
The meeting ended abruptly when family members became emotional and loud after being told individual concerns would not be directly addressed during the meeting.
During an interview on 2/17/2025 at 11:18 A.M., the DON indicated the facility determined the staffing levels needed to meet each residents' needs each day based on acuity.
The DON indicated in addition, during emergencies they used nursing staffing agencies and staff were allowed to pick up hours through their messaging service.
She indicated the facility was staffed with a nursing supervisors every shift, 7 days a week.
She indicated she had not received any staffing concerns from the families or residents until the newscasters had came to the facility.
She did concede the nursing staff had voiced their concerns and the facility was trying to adjust to the new corporations staffing patterns.
Review of the Facility Assessment, provided on 2/17/2025 at 10:30 A.M. by the DON, regarding nursing staffing needs, dated 1/16/2025, indicated the following staffing needs: RN 14.8 (hours scheduled per day) LPN 18.6 (hours scheduled per day), CNA 63.5 per day (hours scheduled per day).
Using this ratio for a census of 107 residents, the required, facility assessed PPD would be 6.79.
However, after a discussion with the DON, on 2/17/2025 at 1:38 P.M., a corrected facility assessment was provided which indicated the following nursing staff requirements: RN 5.38 (hours per day), LPN 12.55 (hours scheduled per day) and CNA 26.88 (hours scheduled per patient per day).
This ratio, utilizing the current facility census of 98 residents equaled 3.42 PPD of nursing staff. It was unclear if any adjustments had been made to the PPD requirements due to resident acuity.
155153
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 155153 B.
Wing 02/19/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Healthwin Health & Rehabilitation 20531 Darden Rd South Bend, IN 46637