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P5520

Staffing Deficiencies in Nurse Aide Ratios

Christiana, Pennsylvania Survey Completed on 01-06-2025

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 staffing levels for nurse aides across multiple shifts over a period from December 10 through December 19, 2024. Specifically, the facility did not maintain the minimum staffing ratio of one nurse aide per 10 residents during the day shift on five occasions, one nurse aide per 11 residents during the evening shift on two occasions, and one nurse aide per 15 residents during the night shift on four occasions. These deficiencies were identified through a review of the facility's staffing data and were confirmed by the Nursing Home Administrator during a telephone interview on January 6, 2025.

Plan Of Correction

The Cna Day shift Ratio were reviewed for 12/10/2024, 12/11/2024, 12/14/2024, 12/16/2024 and 12/18/2024. The Cna Evening shift ratio were reviewed for 12/16/2024 and 12/17/2024. The Cna Night shift ratio was reviewed for 12/12/2024, 12/16/2024, 12/17/2024 and 12/18/2024. No grievance or residents care were affected due to the staffing. Other Days were reviewed. No residents care were affected due to staffing. Staffing coordinators will be re-educated on correct ratios - one nurse aide per 10 residents on the day shift, one nurse aide per 11 residents on the evening shift and one nurse aide per 15 residents on the night shift. Random Weekly audits will be done by the NHA for 4 weeks. Results will be reviewed in QAPI to see if further action is needed.

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