Nurse Aide Staffing Deficiency During Night Shift
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides during the night shift on one occasion. Specifically, on February 8, 2025, the facility had a census of 67 residents, which necessitated the presence of 4.47 nurse aides to meet the regulatory requirement of one nurse aide per 15 residents. However, only 2 nurse aides were available to provide care during that night shift. This staffing shortage was confirmed by the Nursing Home Administrator during an interview conducted on February 12, 2025.
Plan Of Correction
No residents were affected during the day identified in 2567. The Director of Nursing and Staffing Coordinator was re-educated regarding staffing ratios for nursing assistants by the Administrator. The facility has previously reviewed the staffing plan and has assessed wages, provided extra shift pick up bonuses to qualified staff, provided flexible scheduling, and has advertised in several ways for staff including on online help wanted sites. The facility will have each morning the administration staff meets to review the staffing for the day and any critical days in the future, weekly staffing meetings, staffing to include increased employees to cover for any call offs, progressive disciplinary action if necessary and weekly review of new staff that has been hired and will be joining the facility team in the future and any staff that has resigned or has been terminated. Corporate leadership included strategies and any needs of the facility. The Nursing Home Administrator, Director of Nursing, and Staffing Coordinator, or designees, will review the ratios daily and look ahead in the upcoming week schedule. The Director of Nursing or designee will monitor the ratios 5 times a week for 4 weeks then weekly times 4. Results of audits will be reviewed at the facilities quality assurance performance improvement meeting.