Failure to Meet Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to meet the required nurse aide to resident ratios on two shifts out of 21 reviewed. On December 8, 2024, during the day shift, the facility provided 8.00 nurse aides instead of the required 8.20 for a census of 82 residents, failing to meet the 1:10 ratio. Additionally, on the same date during the night shift, the facility provided 4.25 nurse aides instead of the required 5.47, failing to meet the 1:15 ratio. No additional higher-level staff were available to compensate for this deficiency. The Director of Nursing confirmed the failure to meet the required ratios during an interview on December 13, 2024.
Plan Of Correction
The facility will provide staffing ratio based on July 1, 2024, regulation of one nurse aide per 10 residents on the day shift, one nurse aide per 11 residents during the evening shift, and one nurse aide per 15 residents during the night shift. All facility residents could be affected by this practice. The administrator, the nurse management team, and the nursing scheduler will be re-educated concerning CNA minimal staffing ratios and the appropriate response to unplanned variations in ratios. Administrator/designee during weekday daily review of nursing schedules will audit to ensure Certified Nurse Aide ratios are maintained. Results of these audits will be discussed at the monthly QAPI meeting for further review and recommendations.