Deficiency in Required Nursing Care Hours
Penalty
Summary
The facility failed to meet the required minimum of 3.20 hours of direct resident care per resident for eight out of 21 days reviewed. Specifically, the nursing time schedules from November 13 through December 3, 2024, showed that the facility provided less than the required hours on several days. On November 16, 2024, the facility provided 3.10 hours, on November 23, 2024, 3.13 hours, on November 24, 2024, 3.11 hours, on November 27, 2024, 3.19 hours, on November 28, 2024, 3.00 hours, on November 29, 2024, 3.05 hours, on December 1, 2024, 3.16 hours, and on December 2, 2024, 3.17 hours of direct care per resident. This deficiency was confirmed during an interview with the Nursing Home Administrator on December 5, 2024, at 9:24 a.m.
Plan Of Correction
Administrator, Director of Nursing, Scheduler, and Human Resources will have a morning and afternoon staffing meeting 5 days per week to go over the current day's Per Patient Day hours and the upcoming day's PPD to ensure minimum number of direct care hours is met. If minimum number of hours is not met, facility will reach out to current staff and staffing agencies to obtain direct care staff and increase hours. PPD will be audited at quality assurance and performance improvement meeting x3 months.