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P5520

Staffing Deficiency in Nurse Aide Ratios

New Castle, Pennsylvania Survey Completed on 01-09-2025

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 (NA) staffing ratios on specific dates for both the evening and overnight shifts. On the evening shift, the facility did not maintain the minimum of one NA per 11 residents on two occasions: November 30, 2024, and January 6, 2025. Specifically, on November 30, 2024, with a census of 100 residents, only 8.63 NAs were available when 9.09 were required. Similarly, on January 3, 2025, with a census of 101 residents, 8.63 NAs were present when 9.18 were needed. For the overnight shift, the facility also failed to meet the minimum requirement of one NA per 15 residents on two occasions: November 26, 2024, and January 3, 2025. On November 26, 2024, with a census of 100 residents, 6.43 NAs were available when 6.73 were required. On January 6, 2025, with a census of 102 residents, 6.43 NAs were present when 6.80 were needed. The Nursing Home Administrator confirmed these staffing shortages during an interview on January 9, 2025.

Plan Of Correction

1. The facility is unable to retroactively correct the CNA staffing ratio for 11/26/24, 11/30/24, 1/3/25 and 1/6/25. 2. Nursing home administrator immediately audited future schedules for compliance with regulatory guidance for staffing of nurse aides. 3. Nursing home administrator/designee will schedule CNA's to meet state ratio. Call outs will be monitored by nursing home administrator/Director of Nursing and/or designee daily. Facility staff and staffing agencies will be utilized to facilitate replacement/procurement of staff. Facility has put into place sign on bonus' to increase applicants as well as pick up bonus' to increase retention. 4. Nursing home administrator/designee will educate the scheduling coordinator, director of nursing, assistant director of nursing, and human resources on the requirements of CNAs. 5. Nursing home administrator and/or designee will monitor staffing ratio weekly x4 weeks. 6. Findings will be summarized and brought to the quality assurance and performance improvement committee and reviewed for any further monitoring and changes needed.

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