Staffing Deficiency in Nurse Aide Coverage
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides (NAs) on multiple occasions between January 2, 2025, and January 7, 2025. Specifically, the facility did not provide the mandated number of NAs per resident on the daylight shift for four out of six days, on the evening shift for two out of six days, and on the night shift for one out of six days. The daylight shift was particularly understaffed, with the facility providing significantly fewer hours than required based on the resident census. This deficiency was confirmed by the Nursing Home Administrator during an interview on January 8, 2025.
Plan Of Correction
Nursing Home Administrator will re-educate the Director of Nursing and Scheduler on CNA staffing ratios regulation effective July 1, 2024. Nursing Home Administrator/Designee will audit staffing sheets weekly for four weeks to identify CNA ratio is met during staffing meeting. Moving forward, the Nursing Home Administrator/Designee will monitor staffing sheets. Nursing Home Administrator/designee is reviewing all current staffing contracts to ensure most up to date rates are in place and has posted open positions on employment platform. Findings will be reported to QAPI.