Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
P5520

Failure to Meet State-Mandated Nurse Aide Staffing Levels

Harmony, Pennsylvania Survey Completed on 12-12-2024

Penalty

No penalty information released
tooltip icon
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 state-required minimum staffing levels for nurse aides across multiple shifts over a three-week period. Specifically, the facility did not provide the required number of nurse aides during daylight shifts on 11 out of 21 days, evening shifts on 15 out of 21 days, and overnight shifts on 4 out of 21 days. This deficiency was identified through a review of nurse staffing schedules and was corroborated by interviews with residents and the Director of Nursing (DON). Residents reported experiencing a shortage of staff, particularly during the evening shifts. The DON confirmed the facility's failure to meet the staffing requirements, acknowledging the specific dates on which the staffing levels fell below the state-mandated minimums. The deficiency was documented based on the review of staffing schedules and resident feedback, highlighting the facility's inability to maintain adequate staffing levels as required by state regulations.

Plan Of Correction

The facility cannot correct that nurse aide staffing ratios were not met on 11/22/24, 11/23/24, 11/25/24, 11/27/24, 11/28/24, 11/29/24, 11/30/24, 12/1/24, 12/2/24, 12/3/24, 12/4/24, 12/5/24, 12/6/24, 12/7/24, 12/8/24, 12/9/24, 12/10/24. The facility will ensure that nurse aide staffing ratios are met every shift. The Regional Clinical Consultant will re-educate the Nursing Home Administrator, Director of Nursing, and HR Director/Scheduler on regulation P5520 and ensuring nurse aide staffing ratios are met each shift. Daily shift staffing ratios will be reviewed at daily staffing meetings. The Nursing Supervisors will review shift staffing ratios on the weekends. If the facility projects to not meet staffing ratios on a given shift, the scheduler/designee will be responsible to call off duty personnel or call extra support staff to assist. The Nursing Home Administrator/designee will audit staffing daily for four weeks and monthly for three months to ensure nurse aide staffing ratios are being met. The results of these audits will be reported to the Quality Assurance Performance Improvement Committee for review, recommendations, and frequency of audits.

See complete original report
An unhandled error has occurred. Reload 🗙