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. This deficiency was identified during a review of nursing schedules over a 21-day period, specifically on eight days. On these days, the facility provided less than the required hours of care, with the lowest being 2.63 hours per resident. The specific dates where the care hours fell below the mandated minimum were September 1 and 7, October 26 and 27, and December 6, 7, 8, and 9, 2024. These findings indicate a consistent shortfall in meeting the required staffing levels to ensure adequate resident care during the specified periods.
Plan Of Correction
1 & 2. Education given to the Nurse Scheduler on the PPD requirements of 3.2 hours of direct care for each resident. 3. The facility is actively recruiting CNAs & LPNs; utilizing Nurse Agency to supplement CNAs & LPNs; recruiting Nursing Aides for classes and training with intent to hire when qualified; and staffing meetings conducted in attempts to maintain State Mandated ratios for LPNs. 4. The DON and/or designee will randomly audit the staffing schedules to ensure the facility is staffed appropriately to reach the mandated State PPD. The results of the audits will be submitted to the QA Committee to determine if additional action is necessary.