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P5640

Deficiency in Meeting Minimum Nursing Care Hours

Philadelphia, Pennsylvania Survey Completed on 01-22-2025

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 regulatory requirement of providing a minimum of 3.2 hours of direct nursing care per resident per 24-hour period. This deficiency was identified through a review of nursing time schedules over a span of 21 days, where it was found that on 16 of those days, the facility did not meet the required care hours. Specific dates were noted where the care hours per resident fell below the mandated 3.2 hours, with the lowest being 2.74 hours on one of the days. This indicates a consistent shortfall in the provision of adequate nursing care over the reviewed period.

Plan Of Correction

Review of General Nursing Care Staffing Ratios: The facility reviewed the total number of general nursing care staffing ratios for December 18, 2024, December 19, 2024, December 20, 2024, December 21, 2024, December 22, 2024, December 31, 2024, January 3, 2025, January 4, 2025, January 5, 2025, January 15, 2025, January 16, 2025, January 17, 2025, January 18, 2025, January 19, 2025, January 20, 2025, and January 21, 2025. No grievances or care were affected on those dates due to staffing ratios. Expanded Review: Additional dates were reviewed to ensure that ratios were met and to confirm that care was not adversely impacted. Education on Staffing Ratios: The scheduling coordinator will be educated on general nursing care staffing ratios: Minimum of 3.2 hours of direct resident care per resident per day. Monitoring and Audits: The NHA or designee will conduct audits to verify nursing care staffing ratios for all shifts. These audits will be conducted weekly for four weeks to ensure compliance. Quality Assurance Reporting: Audit results will be presented to the Quality Assurance and Performance Improvement (QAPI) committee for evaluation and further action as needed.

See complete original report
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