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P5520

Staffing Deficiency on Night Shift

Pittsburgh, Pennsylvania Survey Completed on 01-14-2025

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 state-mandated staffing requirements for nurse aides during the night shift on one occasion within the reviewed period from December 24, 2024, to January 13, 2025. Specifically, on December 27, 2024, the facility had a census of 115 residents, necessitating a minimum of 7.67 nurse aides to comply with the regulation of one nurse aide per 15 residents. However, only 6 nurse aides were present, resulting in a staffing shortfall. This deficiency was confirmed by the Nursing Home Administrator during an interview conducted on January 14, 2025.

Plan Of Correction

DON/ ADON/ RN Charge Nurse will be re-educated on maintaining state required staffing levels. Daily audits will be completed by the Director of Nursing/ ADON/ Staffing Coordinator on maintaining state mandated staffing levels and ratios for each shift. Audits will be completed by DON/ Designee on state mandated PPD/ratio requirements weekly x 4 weeks and monthly x 3. All results will be presented to the QAPI committee, which will review for need of ongoing audits and evaluation to make recommendations as needed.

See complete original report
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