Failure to Meet Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to meet the required nurse aide-to-resident ratios as mandated by the regulation effective July 1, 2024. Specifically, during the day shift, the facility did not provide the minimum of one nurse aide per 10 residents on two occasions. On December 29, 2024, with a census of 97 residents, only 9.55 nurse aides were available, falling short of the required 9.70. Similarly, on January 18, 2025, with a census of 101 residents, only 8.50 nurse aides were present, whereas 10.10 were needed. Additionally, during the night shift, the facility failed to maintain the required one nurse aide per 15 residents on three occasions. On January 1, 2025, with a census of 96 residents, only 4.85 nurse aides were available, while 6.10 were required. On January 19, 2025, with a census of 103 residents, 6.10 nurse aides were present, but 6.87 were needed. Lastly, on January 21, 2025, with a census of 102 residents, only 4.47 nurse aides were available, whereas 6.80 were required. These deficiencies were confirmed through an interview with the Nursing Home Administrator on January 23, 2025.
Plan Of Correction
Cited: Unable to correct staffing ratios for CNA's on the five days selected during the review. • Like: Staffing coordinator/designee will review the last two weeks to ensure staffing ratios are met. The facility is rolling out a new recruitment and retention plan under new ownership. This includes recruiting for regional recruiter, facility wage analysis, mentor program and employee retention initiatives. • Educations: NHA/designee will educate the staffing coordinator to ensure staffing ratios are met. • Audits: Staffing coordinator/designee will audit five random days weekly x 4 weeks then monthly x 2 months to ensure staffing ratios are met.