Nurse Aide Staffing Shortages in Facility
Penalty
Summary
The facility failed to meet the required nurse aide (NA) staffing ratios during various shifts over a 14-day period. Specifically, the facility did not have the minimum number of NAs per resident for the day, evening, and overnight shifts on multiple days. For the day shift, the facility was short of the required NAs on three days, with the census ranging from 107 to 108 residents, but the number of NAs working was consistently below the required number. Similarly, for the evening shift, the facility did not meet the required NA ratios on four days, with the census ranging from 107 to 109 residents, and the number of NAs working was below the required number. The overnight shift experienced the most significant staffing shortages, with the facility failing to meet the required NA ratios on nine days. The census during these days ranged from 105 to 109 residents, but the number of NAs working was consistently below the required number. The Nursing Home Administrator confirmed these staffing shortages during a telephone interview, acknowledging that the NA ratios were not met on the specified days.
Plan Of Correction
Plan of Correction: P 5520 Nursing Services 1. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice. Nursing home administrator/NHA or designee to in-service staffing coordinator, director of nursing, staff educator and assistant director of nursing and charge nurses on the state required minimum staffing ratios for nursing assistants. 2. How the care community will identify other residents having the potential to be affected by the same deficient practice and what corrective action will be taken. Nursing Home Administrator/NHA or designee to conduct staffing meetings 3 times/week to ensure the state required minimum staffing ratios for nursing assistants are met throughout the week, weekends and holidays. 3. What measures will be put into place or what systemic changes you will make to ensure that the deficient practice does not recur? NHA/ designee to review staffing sheets 3x weekly to ensure the state required minimum staffing ratios for nursing assistants are met for the day/ shifts prior. Staffing meeting includes discussion of open shifts, vacation coverage, review of current nursing staff schedule and what is needed to meet state required nurses aide ratio and PPD, interviews scheduled, new hires and orientation date. NHA/ designee to utilize corporate hiring and recruitment platform and Indeed for job applicants, attend job fairs, corporate talent acquisition specialist, newspaper ads, employee referral bonus program and tuition reimbursement for recruitment efforts. STNA's are offered call-in bonus pay and incentive programs for picking up additional shifts. NHA or designee will host open interview hours to increase recruitment efforts. The admission team will review potential admissions based on the ability to meet the care needs of the resident and meet minimum staffing needs. 4. How will the corrective action(s) be monitored to ensure that deficient practice will not recur, i.e., what quality assurance program will be put into place; and NHA/designee to meet 3x weekly with director of nursing/DON or designee and staffing coordinator to review nursing assistant ratios, staffing meeting and audit will continue to ensure sustained compliance. All audits will be reviewed through the quality and performance improvement process. 5. Dates when corrective action will be completed. March 3, 2025