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P5640

Deficiency in Meeting Minimum Nursing Care Hours

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 regulatory requirement of providing a minimum of 3.2 hours of direct resident care per resident in a 24-hour period. This deficiency was identified through a review of the facility's nursing staffing sheets for the period from August 30, 2024, to September 12, 2024. During this time, the facility did not meet the required staffing hours on four out of fourteen sampled days. Specific days where the staffing hours fell below the required 3.2 hours include November 24, November 27, November 29, November 30, December 1, December 2, December 3, December 5, December 6, December 7, December 8, December 9, December 12, December 13, and December 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 total number of hours of general nursing care provided in each 24-hour period. Staffing directors will be educated to ensure that we are abiding with DOH guidelines for total number of hours of general nursing care provided in each 24-hour period. NHA/designee will audit 3X weekly X4 weeks and then monthly X2 months to ensure that facility is abiding by DOH guidelines for total number of hours of general nursing care provided in each 24-hour period. 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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