Staffing and Care Hours Deficiency
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides on three specific days, namely 12/13/24, 12/14/24, and 12/15/24. During these days, the facility did not provide the minimum number of nurse aides per resident during the day, evening, and night shifts as mandated. Additionally, on 12/14/24, the facility did not meet the required 3.2 hours of direct resident care per resident in a 24-hour period, providing only 2.94 hours per resident with a census of 106. This deficiency was confirmed by the Nursing Home Administrator during an interview on 12/19/24.
Plan Of Correction
The facility will continue to take measures to adequately staff to meet the minimum of 3.2 hours of direct care for each resident. The Nursing Home Administrator will conduct a daily labor meeting and audit the staffing schedule to ensure the minimum hours of direct care for each resident 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 with the Director of Nursing and the Assistant Director of Nursing, on the state mandate for minimum hours of direct care for each resident in a 24-hour period. 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.