Facility Fails to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct resident care per patient daily (PPD) for 19 out of 21 days reviewed. This deficiency was identified through a review of the facility's census data, nursing schedules, and staff punch reports over a three-week period. The specific days where the facility did not meet the required hours of care ranged from providing 2.87 to 3.18 hours of care, falling short of the mandated 3.2 hours on most days. Interviews conducted on December 5, 2024, with the Nursing Home Administrator and the Staffing Coordinator confirmed the shortfall in nursing hours provided. The facility's inability to consistently meet the required staffing levels indicates a systemic issue in maintaining adequate nursing care hours, impacting the overall care provided to residents during the specified period.
Plan Of Correction
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 state required PPD of 3.20 per patient day. 3. The NHA/designee will audit the daily PPD as well as the projected PPD for the upcoming day using the PA DOH grid to ensure the required PPD has been met. 4. Results of audits will be submitted to the quality assurance committee to determine if further action is needed.