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P5520

Staffing Deficiency in Nurse Aide Coverage

Beaver Falls, Pennsylvania Survey Completed on 12-18-2024

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 staffing levels for nurse aides on three specific days, resulting in a deficiency. On December 13, 2024, during the night shift, the facility provided only 48 hours of nurse aide care when 56 hours were required for a census of 105 residents. On December 14, 2024, the daylight shift required 84.80 hours of nurse aide care, but only 56 hours were provided, and the evening shift required 77.09 hours, with only 53.25 hours provided, for a census of 106 residents. On December 15, 2024, the daylight shift required 84.80 hours of nurse aide care, but the facility provided only 71.58 hours for a census of 106 residents. These deficiencies were identified through a review of nursing schedules and census information, indicating that the facility administrative staff failed to ensure adequate staffing levels as per the regulatory requirements effective July 1, 2024.

Plan Of Correction

The facility will continue to take measures to adequately staff nurses' aides to meet the staffing requirement. The Nursing Home Administrator or designee will conduct a daily labor meeting and audit the nurses' aide schedule to ensure the nurses' aide to resident ratio is met. The Department of Health staffing worksheet will be utilized at this meeting. Re-education will be completed by the Nursing Home Administrator or designee, on the nurses' aide to resident ratio with the Director of Nursing and the Assistant Director of Nursing. The Facility will continue to post open positions on hiring forums. The facility will continue to interview and hire nurses' aides to meet the facility needs.

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