Nurse Aide Staffing Deficiency
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides during the day shift on two specific days. On January 16, 2025, the facility had a census of 150 residents, necessitating 15 nurse aides, but only 6.53 nurse aides were available. Similarly, on January 20, 2025, with a census of 145 residents, 14.5 nurse aides were required, yet only 9.6 were present. There were no additional higher-level staff available to compensate for these shortages. This deficiency was confirmed by the Nursing Home Administrator during an interview on February 5, 2025.
Plan Of Correction
DON will educate Administrator and Staffing Coordinator on the staffing ratios. Staffing meetings will be held 5 days per week to review ratios from the prior day(s) and the projected staffing to the upcoming week to ensure appropriate staffing levels are planned. Identified staffing needs will be offered to existing staff and contracted agencies, as needed, by the Administrator/designee. The facility will continue to recruit staff through use of company platforms and recruiter representatives. Audits of staffing ratios will be completed by the NHA/designee to ensure that the facility meets daily hours requirements and nurse aid staffing ratio requirements. Audits will be completed by the administrator during the staffing meetings.