Facility Fails to Meet Nurse Aide Staffing Requirements
Penalty
Summary
The facility failed to meet the required nurse aide staffing levels as mandated by the regulation effective July 1, 2024. During the review period from November 10, 2024, to November 30, 2024, the facility did not provide the minimum required number of nurse aides per residents across all shifts. Specifically, the facility did not maintain one nurse aide per 10 residents during the day shift on multiple dates, including November 12, 14, 15, 20, 21, 22, 23, 27, 29, and 30. Similarly, the evening shift was understaffed on all dates from November 10 to November 29, failing to provide one nurse aide per 11 residents. The night shift also experienced staffing shortages on several dates, including November 10, 11, 14, 18, 23, 25, 26, 28, and 30, where the facility did not provide one nurse aide per 15 residents. These deficiencies were confirmed through a review of facility census data, nursing schedules, and staff punch reports, as well as an interview with the Nursing Home Administrator and Staffing Coordinator.
Plan Of Correction
5520 The Provider submits the following plan of correction in good faith and to comply with federal regulations. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1. The facility cannot go back retroactively to correct this issue. 2. The NHA, DON, and staffing coordinator were educated by the regional nurse on the nursing assistant staffing ratios for dayshift, evening shift, and nightshift. 3. The NHA/designee will audit staffing ratios daily as well as projected ratios for the upcoming shifts using the PA FOH staffing grid to ensure the required nursing assistant ratios are met. 4. Results of audits will be submitted to the quality assurance committee to determine if further action is needed.