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P5520

Failure to Meet Nurse Aide Staffing Ratios

Hatboro, Pennsylvania Survey Completed on 12-12-2024

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 meet the required nurse aide-to-resident ratios as mandated by the regulation effective July 1, 2024. Specifically, the facility did not provide the minimum of one nurse aide per 10 residents during the day shift, one nurse aide per 11 residents during the evening shift, and one nurse aide per 15 residents during the night shift on multiple occasions across three separate weeks. These deficiencies were identified through a review of facility census data, nursing schedules, and staff punch reports. The specific dates of non-compliance included July 3, 5, 6, and 7, 2024; October 31, 2024, through November 2, 2024; and December 5, 7, 8, and 9, 2024. An interview with the Scheduler, Employee E7, confirmed the failure to meet the required staffing ratios on these dates.

Plan Of Correction

Director of Nursing will conduct a random audit of 15 days throughout the quarter. Findings will be reported quarterly at QAPI.

See complete original report
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