Failure to Meet Minimum Direct Care Hours
Penalty
Summary
The facility failed to meet the state-required minimum of 3.20 hours of direct resident care per patient daily (PPD) for six out of 21 days reviewed. Specifically, on the dates of 1/12/25, 1/13/25, 1/20/25, 1/24/25, 1/25/25, and 1/27/25, the actual PPD hours were below the required threshold, with figures ranging from 2.80 to 3.14 hours. The census on these days varied between 98 and 102 residents. This deficiency was confirmed through a review of staffing documents and nurse schedules, as well as an interview with the Nursing Home Administrator, who acknowledged the shortfall in meeting the required PPD hours of direct care for each resident.
Plan Of Correction
1. The facility is actively hiring nursing staff for all 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 staff PPD will be provided to the nurse scheduler and DON by NHA or designee. 3. Daily audits of nurse staff PPD will be completed by nurse scheduler. 4. Results of audits will be submitted to internal QA process for monitoring.