Facility Fails to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the required minimum of 3.2 hours of direct nursing care per resident per day as mandated by the 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, effective July 1, 2024. On several dates in January 2025, the facility's staffing levels were insufficient, providing only 3.09, 2.81, 2.65, 3.13, and 3.08 hours of direct care per resident on January 24, 26, 27, 28, and 29, respectively. This deficiency was confirmed during an interview with the Director of Nursing on January 30, 2025.
Plan Of Correction
P5640 The Facility cannot retroactively correct this deficiency. Recruitment of nursing staff will continue via facility websites, Indeed, social media websites, job fairs, off site recruiters, and instant interviews from walk-in candidates. Agency staff may be utilized for open shifts if available. The Valentine Open Hiring Event was conducted with interest expressed. Retention efforts will be made in earnest. Referral bonuses are offered to current employees. The facility is currently offering a significant sign-on bonus for all nursing staff. The Director of Nursing/designee will review the PPD daily for compliance. All efforts will be made to meet the required PPD of 3.2. If a call off occurs, all efforts will be made to achieve the PPD. The Director of Nursing/designee will audit the PPD 1x/week for 4 weeks, then monthly for 2 months. Results of the audit will be presented to the QA committee for review and recommendation.