Failure to Meet Minimum Nursing Care Hours
Penalty
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 schedules over a 21-day period from December 15, 2024, to January 4, 2025. During this time, the facility consistently provided less than the required hours of care, with daily averages ranging from 2.58 to 3.03 hours per resident. The shortfall in nursing care hours was observed on all 21 days reviewed, indicating a systemic issue in meeting the mandated care standards.
Plan Of Correction
1) Findings of PPDs cannot be retroactively corrected. 2) The facility will provide a minimum of 3.20 hours of direct care for residents. 3) The scheduler will be educated on maintaining the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident. 4) NHA/designee will conduct random audits to verify that the minimum of 3.20 hours of direct care for residents is provided daily weekly for 4 weeks. Audit results will be presented at the QAPI meeting for review and recommendations.