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P5640

Deficiency in Nursing Care Hours

Murrysville, Pennsylvania Survey Completed on 12-10-2024

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 resident care per resident in a 24-hour period on nine out of fourteen days. This deficiency was identified through a review of nursing time schedules and confirmed by staff interviews. Specifically, on the dates of 11/24/24, 11/28/24, 11/29/24, 12/1/24, 12/2/24, 12/3/24, 12/5/24, 12/6/24, and 12/7/24, the facility provided less than the required hours, with the lowest being 2.67 hours on 11/29/24. The Director of Nursing confirmed the shortfall in nursing hours during an interview on 12/10/24.

Plan Of Correction

1. The facility cannot correct that the State required PPD (per patient daily) minimum hours of 3.20 was not met on 11/24/24, 11/28/24, 11/29/24, 12/1/24, 12/2/24, 12/3/24, 12/5/24, 12/6/24, 12/7/24. 2. The facility will provide a minimum of 3.20 hours of direct care for each resident. 3. Nursing Administration and the scheduler will be re-educated by the Nursing Home Administrator/designee on the required minimum PPD of 3.20. A staffing meeting will occur Monday through Friday to review daily PPD. Nursing supervisors will monitor on weekends. If the facility is projected to not meet staffing PPD, the scheduler/or designee will call off duty facility staff and will utilize external staffing support resources. 4. Nursing Home Administrator/designee will audit staffing daily for three weeks and monthly for three months to ensure staffing ratios and PPD are being met. Outcomes will be reported to the Quality Assurance Performance Improvement Committee for review and recommendations.

See complete original report
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