Failure to Meet State-Required Nurse Aide Staffing Levels
Penalty
Summary
The facility failed to meet the state-required minimum staffing levels for nurse aides during both daylight and evening shifts over a 21-day period. Specifically, the facility did not provide the required minimum of one nurse aide per 10 residents during the daylight shift on five occasions and one nurse aide per 11 residents during the evening shift on six occasions. The specific dates of non-compliance were identified as 1/13/25, 1/20/25, 1/24/25, 1/25/25, and 1/27/25 for the daylight shift, and 1/7/25, 1/12/25, 1/13/25, 1/24/25, 1/25/25, and 1/27/25 for the evening shift. The deficiency was confirmed through a review of the facility's nurse staffing schedules and census data, which showed that the number of nurse aides on duty was consistently below the required levels. For example, on 1/13/25, the facility needed 73.50 nurse aides for a census of 98 residents but only had 68.49. Similarly, on 1/25/25, the facility needed 75.00 nurse aides for a census of 100 residents but only had 56.65. The Nursing Home Administrator acknowledged the failure to meet the staffing requirements during an interview conducted on 1/28/25.
Plan Of Correction
1. The facility is actively hiring nurse aides for daylight and evening shifts. Shift pick up bonuses and sign on bonuses for new hires are offered. Shift differentials are offered for evening shifts. Job fair is scheduled for 2/19/2025. 2. Education on nurse aide ratios will be provided to the nurse scheduler and DON by NHA or designee. 3. Daily audits of nurse aide ratios will be completed by nurse scheduler. 4. Results of audits will be submitted to internal QA process for monitoring.