Staffing Deficiencies in Nurse Aide Coverage
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides (NAs) on several occasions between December 10, 2024, and December 15, 2024. Specifically, on December 13, 2024, the facility did not provide the mandated one NA per 10 residents during the daylight shift. Additionally, on December 12 and December 15, 2024, the evening shift was understaffed, with the facility failing to provide one NA per 11 residents. Furthermore, on the night shift of December 15, 2024, the facility did not meet the requirement of one NA per 15 residents. These deficiencies were confirmed by the Nursing Home Administrator during an interview on December 16, 2024.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. P5520 1. The facility cannot correct that the nurse aide staffing ratio was not met on 12/12/24, 12/13/24, and 12/15/24. There were no adverse effects to residents on the identified dates. 2. The scheduler will be re-educated regarding the state ratios by the Nursing Home Administrator/designee. 3. Nursing Administration will be re-educated on staffing ratios by the Nursing Home Administrator/designee. Twice a day staffing meetings will be held to review the schedule with ratios. Nursing supervisors will monitor on weekends. If the facility is projected to not meet staffing ratios, the scheduler/or designee will call off duty facility staff and will utilize external staffing support resources. The facility has started regular job fairs to increase staffing. 4. Nursing Home Administrator/designee will audit staffing daily for three weeks and monthly for three months to ensure staffing ratios are being met. Outcomes will be reported to the Quality Assurance Performance Improvement Committee for review and recommendations.