Failure 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 resident in a 24-hour period. This deficiency was identified during a review of nursing schedules over a 21-day period from January 3 to January 23, 2025. Specifically, on three days—January 5, January 17, and January 19, 2025—the facility provided less than the required hours of care, with 3.19, 3.17, and 2.89 care hours per resident, respectively.
Plan Of Correction
1. The facility is unable to retroactively correct the state general nursing hours for the dates mentioned. 2. The facility will schedule CNA's, LPNs, and RNs to meet state general nursing hours of 3.2 hours of direct care. Call outs will be monitored by NHA/DON and/or designee. 3. NHA or designee will educate the scheduling coordinator on the state general nursing hour requirements. The daily general staffing hours will be monitored weekly x4 weeks. 4. Findings will be summarized and brought to the quality assurance and performance improvement committee and reviewed for any further monitoring or changes needed. 5. Date of compliance 2/20/25