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P5520

Non-Compliance with Nurse Aide Staffing Ratios

Philadelphia, Pennsylvania Survey Completed on 12-17-2024

Penalty

No penalty information released
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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 meet the required nurse aide staffing ratios as mandated by Pennsylvania state regulations effective July 1, 2024. Specifically, the facility did not ensure a minimum of one nurse aide per 10 residents during the day, one nurse aide per 11 residents during the evening, and one nurse aide per 15 residents overnight for the period from November 24, 2024, through December 14, 2024. The review of the facility's 'nursing staff ratio' revealed multiple instances of non-compliance across various shifts on specific dates, including November 24, 27, 28, 29, 30, and December 1, 2, 4, 6, 7, 8, 9, 12, and 14. These findings were discussed with the facility's administration on December 16, 2024.

Plan Of Correction

Facility will ensure that we will abide by the DOH guidelines for CNA staffing ratios. Staffing directors will be educated to ensure that we are abiding with DOH guidelines for CNA staffing ratios. NHA/designee will audit 3X weekly X4 weeks and then monthly X2 months to ensure that facility is abiding by DOH CNA staffing ratios. Results will be reviewed during the facilities monthly QAPI Meeting X3 months to determine the need for further review.

See complete original report
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