Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct nursing care per resident per day for the week beginning December 8, 2024. A review of the nursing staffing documents revealed that the facility provided less than the required hours on each day of the week, with per patient day (PPD) hours ranging from 3.04 to 3.16. This deficiency was confirmed during an interview with the Nursing Home Administrator on December 17, 2024, who acknowledged the shortfall in meeting the required direct care hours on the specified dates.
Plan Of Correction
1. Scheduler will continue to schedule sufficient staffing for shift. 2. If a call off occurs, Scheduler or Shift Supervisor will check to see who can stay late or come in early and also post shift(s) with agency. 3. If aide position cannot be filled in time, Scheduler or Shift Supervisor will check to see if any nurses can stay late or come in early and will adjust staffing sheet to indicate any hours a nurse may have filled in as an aide. 4. Facility will continue to work on staff recruitment and retention as identified in our Facility Assessment. 5. Facility is participating in a job fair on 10/30/2024 to recruit more staff. 6. Facility will schedule additional staffing through staffing resources available to the facility.