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P5520

Non-Compliance with Nurse Aide Staffing Ratios

Rosemont, Pennsylvania Survey Completed on 12-26-2024

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 comply with the mandated nurse aide (NA) to resident ratios as specified by the regulation effective July 1, 2024. During the review period from December 20, 2024, to December 26, 2024, the facility did not meet the required staffing levels on six out of seven days. Specifically, the facility was understaffed on the day shift from December 23 to December 25, 2024, where the ratio of one NA per 10 residents was not maintained. Additionally, the night shift was understaffed on December 20, 21, and from December 23 to December 26, 2024, failing to meet the ratio of one NA per 15 residents. This deficiency was confirmed by Employee E1, the Administrator, on December 26, 2024, at approximately 12:45 p.m.

Plan Of Correction

Preparation and/or execution of his plan does not constitute admission or agreement by the provider of the truths or facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed in accordance with federal and state law requirements. Nursing schedules were reviewed to ensure the proper nursing assistant ratio on the day and overnight shifts. NHA/designee will reeducate the scheduler, Nurse Supervisors and Nursing Management on the correct Nursing Assistant ratio. NHA/designee will audit the nursing schedules in advance daily x4 weeks to ensure nursing assistants are being staffed at the proper ratio. Results will be shared at QA monthly until substantial compliance is met.

See complete original report
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