Failure to Meet Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to meet the required nurse aide-to-resident staffing ratios as mandated by the regulation effective July 1, 2023. Specifically, the facility did not provide the minimum required number of nurse aides per residents during various shifts over a 21-day period. On the day shift, the facility provided one nurse aide per 12 residents on several days, and even one nurse aide per 15 residents on one occasion, instead of the required one nurse aide per 10 residents. During the afternoon shift, the facility provided one nurse aide per 12 to 15 residents on multiple days, failing to meet the required one nurse aide per 11 residents. Additionally, on the overnight shift, the facility provided one nurse aide per 19 residents on two occasions, instead of the required one nurse aide per 15 residents. These deficiencies were confirmed through a review of nursing schedules, staffing information, and staff interviews. The Nursing Home Administrator acknowledged the failure to meet the staffing ratios during an interview conducted on December 5, 2024.
Plan Of Correction
The Administrator, Director of Nursing, Scheduler and Human Resource Director will be educated on the state requirement for nurse aide hours including the nurse aide to resident ratios by the Clinical Consultant/designee. Staffing meetings will be held 5 days a week to review the nurse aide ratio for the current day and the projected nurse aide ratio for the upcoming day to ensure appropriate staffing levels by the Nursing Home Administrator/ designee. Audits of ratios will be reviewed at quality assurance and performance improvement meeting x3 months. If projected staffing ratios do not meet minimum, then the facility will reach out to current staff and local staffing agencies to enlist to meet the minimum requirement. Facility will continue to recruit staff through all platforms.