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P5640

Facility Fails to Meet Minimum Nursing Care Hours

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 minimum of 3.2 hours of direct resident care per patient day (PPD) for nine days between December 10 and December 19, 2024. A review of the facility's staffing data revealed that on these days, the PPD ranged from 2.76 to 3.09, all below the mandated threshold. This deficiency was identified through an analysis of staffing records and was communicated to the Nursing Home Administrator during a telephone interview on January 6, 2025.

Plan Of Correction

The following dates were reviewed as their HPPD were below the required minimum of 3.20: 12/10/2024, 12/11/2024, 12/12/2024, 12/13/2024, 12/14/2024, 12/15/2024, 12/16/2024, 12/17/2024, 12/18/2024. No grievance or residents care were affected. Other dates were reviewed to see the HPPD. Residents care was not affected. Staffing coordinator to be re-educated on need for an HPPD at 3.2 or above. Random weekly audits will be done by the NHA to ensure HPPD is correct. Weekly times 4. Results will be reviewed by QAPI to see if further action is needed.

See complete original report
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