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P5520

Staffing Deficiencies in Nurse Aide Ratios

Glen Mills, Pennsylvania Survey Completed on 01-03-2025

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 required staffing levels for nurse aides during specific shifts over a period from December 16 through December 25, 2024. Specifically, the facility did not maintain the minimum staffing ratio of one nurse aide per 10 residents during the day shift on December 16, 19, and 21. Additionally, the evening shift on December 23 did not meet the requirement of one nurse aide per 11 residents. Furthermore, the night shift on December 20, 21, and 23 fell short of the required one nurse aide per 15 residents. These deficiencies were confirmed through a review of the facility's staffing data and corroborated by the Nursing Home Administrator during a telephone interview on January 3, 2025.

Plan Of Correction

1. Nurse Aide staffing ratios will be reviewed for the last 7 days to evaluate if nurse aide ratios were met. 2. Administration and scheduler will continue to contact the multiple agencies under contract and in-house staff to fill callouts and meet ratios. All resources to meet staffing regulations will be utilized. 3. Nursing administration and scheduler will be reeducated on nurse staffing and ratio requirements. 4. Audits of nurse aide ratios will be conducted weekly x4 weeks by NHA/Designee to ensure nurse aide ratio is met. Audits will be reported to QAPI for review and further recommendations as needed.

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