Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0725
F

Staffing Deficiency Leads to Delayed Resident Care

Granville, New York Survey Completed on 12-18-2024

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure sufficient nursing staff to meet the needs of its residents, as evidenced by multiple instances of understaffing from December 1, 2024, to December 18, 2024. The staffing schedule analysis revealed that the facility consistently fell below the required minimum staffing levels, with Certified Nurse Aides (CNAs) providing fewer hours of direct care than necessary for the resident census. This deficiency was corroborated by interviews with nursing staff and residents, who reported inadequate staffing levels leading to delays in care. Residents reported significant delays in receiving assistance, with some waiting over an hour for help. One resident mentioned waiting two hours to be taken to the bathroom, which sometimes resulted in missing therapy sessions. Observations on December 17, 2024, showed multiple call lights activated with no staff present, further indicating insufficient staffing. Interviews with CNAs and a Licensed Practical Nurse (LPN) highlighted the stress and overwork due to the lack of staff, with CNAs frequently working double shifts to cover the shortfall. The facility's administrator acknowledged the staffing issues, attributing them to the remote location and recent staff departures. Despite efforts to employ agency and contract workers, the facility struggled to maintain adequate staffing levels. The administrator expressed optimism about improving staffing levels, but the deficiency persisted during the survey period, impacting the residents' care and well-being.

Plan Of Correction

Plan of Correction: Approved January 17, 2025 1. Immediate corrective action: The facility currently has ads posted online and is offering a sign-on bonus to attract new certified nursing assistants to Granville Center. Due to a lack of certified nursing assistants in the local area, the facility recruits out-of-state certified nursing assistants and houses them nearby. 2. All residents and staff have the ability to be affected by this deficient practice. Plan to prevent reoccurrence: The facility currently has ads posted online and is offering a sign-on bonus to attract new certified nursing assistants to Granville Center. Due to a lack of certified nursing assistants in the local area, the facility recruits out-of-state certified nursing assistants and houses them nearby. 3. The facility systemic changes: Increased their certified nursing assistant pay rates on 12/22/24 in an effort to attract more staff. The facility has recruited additional certified nursing assistants from out-of-state who will begin between (MONTH) and February. Should the certified nursing assistant staffing levels fall below the minimum established levels, the Administrator or Director of Nursing will implement the emergency staffing plan. The Administrator, Director of Nursing, and Scheduler will meet 3 times per week to review upcoming certified nursing assistant schedules. The Administrator will organize a recruitment and retention committee to come up with new ideas to recruit and retain certified nursing assistants. 4. The facility emergency staffing plan and ideas from the recruitment and retention committee will be submitted to the Quality Assurance Performance Improvement Committee monthly for review and recommendations. Responsible Parties: Administrator

An unhandled error has occurred. Reload 🗙