Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct nursing care per resident per day on four specific days in January 2025. A review of nursing staffing hours revealed that on January 3, 2025, the facility provided 509 care hours for 164 residents, resulting in 3.1 hours per patient day (PPD). On January 4, 2025, 502 care hours were provided for 165 residents, totaling 3.04 PPD. On January 5, 2025, 524.5 care hours were provided for 165 residents, resulting in 3.18 PPD. On January 6, 2025, 507.5 care hours were provided for 161 residents, totaling 3.15 PPD. These staffing levels were confirmed by the Nursing Home Administrator, Employee E1, as not meeting the required minimums.
Plan Of Correction
The multidisciplinary team has reviewed the dates: January 3rd, 4th, 5th, and 6th. There were no resident negative outcomes as a result of substandard staffing on those days. DON or designee will calculate PPD daily for accuracy prior to the start of the day. Daily PPD will be documented and kept on file for ongoing review and reporting. DON or designee will review all PPDs for the past 3 months to ensure none were below the current required minimum of 3.2. Results will be reported in Monthly QAPI.