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P5640

Failure to Meet Minimum Nursing Care Hours

Williamsport, Pennsylvania Survey Completed on 01-24-2025

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 regulatory requirement of providing a minimum of 3.2 hours of direct resident care per patient day (PPD) for three specific days. This deficiency was identified during a review of nursing staff care hours for the periods of November 23, 2024, through November 29, 2024, December 26, 2024, through January 1, 2025, and January 17, 2025, through January 23, 2025. On January 1, 2025, the facility provided 3.05 hours PPD, on January 18, 2025, 3.07 hours PPD, and on January 19, 2025, 3.14 hours PPD. An interview with the Nursing Home Administrator confirmed the facility's failure to meet the required daily hours PPD on these dates.

Plan Of Correction

Cited: Unable to correct the staffing PPD for the three days reviewed. Like: Staffing coordinator/designee will review the last two weeks to ensure staffing PPD 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 PPD are met. Audits: Staffing coordinator/designee will audit five random days weekly x 4 weeks then monthly x 2 months to ensure staffing PPD is met.

See complete original report
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