Failure to Meet Nurse Aide to Resident Ratios
Penalty
Summary
The facility failed to meet the required nurse aide (NA) to resident ratios over a 21-day period from December 15, 2024, to January 4, 2025. During the day shift, the facility did not maintain the minimum ratio of one NA per ten residents on multiple days, specifically from December 16 through 31, 2024, and January 1 and 4, 2025. Similarly, the evening shift did not meet the required ratio of one NA per eleven residents on several days, including December 17, 19 through 28, 30 and 31, 2024, and January 2, 2025. Additionally, the night shift failed to uphold the minimum ratio of one NA per fifteen residents on numerous occasions, including December 15, 17 through 23, 25 through 31, 2024, and January 1 through 4, 2025. These deficiencies were identified through a review of the nursing time schedules, indicating a consistent shortfall in staffing levels across all shifts during the specified period.
Plan Of Correction
1) Findings of nursing aide nursing staff care ratios cannot be retroactively corrected. 2) Facility will provide a minimum of 1 nurse aide per 10 residents on the day, one nurse aide per 11 residents during evening and one nurse aide per 15 residents overnight. 3) Scheduler will be educated on the requirements of 1 nurse aide of per 10 residents on the day, one nurse aide per 11 residents during evening and one nurse aide per 15 residents overnight. 4) NHA/designee will conduct random audits to verify that nurse aide dayshift, evening and overnight ratios meet the requirements weekly for 4 weeks. Audit results will be presented to the QAPI meeting for review and recommendations.