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P5520

Staffing Deficiencies in Nurse Aide Coverage

Pittsburgh, Pennsylvania Survey Completed on 12-27-2024

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 staffing levels for nurse aides (NAs) on multiple shifts over a seven-day period from December 20, 2024, to December 26, 2024. Specifically, the facility did not provide the mandated one NA per 10 residents during the daylight shift on December 22 and December 24, 2024. Additionally, the evening shift was understaffed on December 22, December 23, and December 26, 2024, with fewer NAs than the required one per 11 residents. The night shift also fell short of the required one NA per 15 residents on December 20, December 21, and December 22, 2024. These deficiencies were confirmed through a review of staffing documents and an interview with the Nursing Home Administrator, who acknowledged the staffing shortfalls on the specified dates and shifts.

Plan Of Correction

1. Staffing coordinator will be educated on CNA ratio requirements. 2. A scheduling app has been implemented for direct care staff and staff are acclimating to the procedures of applying for shifts and picking up open shifts/called off shifts. 3. Facility conducts daily labor meetings attended by DON and NHA to manage direct care staff and monitor CNA ratios and track new applicants/new hires. 4. Staffing coordinator/designee to audit daily staffing sheet x 3 weeks to meet CNA ratio requirements. 5. Results reported to QAPI for review and approval.

See complete original report
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