Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the required minimum of 2.87 hours of direct resident care per resident in a 24-hour period, as mandated by the 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, §211.12 Nursing Services, effective July 1, 2023. On February 5, 2025, the facility provided only 2.74 hours of direct care nursing per resident, and on February 9, 2025, it provided 2.68 hours per resident. This deficiency was confirmed during an interview with the Nursing Home Administrator on February 12, 2025, who acknowledged the facility's failure to consistently provide the minimum required nursing care hours to each resident daily.
Plan Of Correction
1. Facility cannot retroactively correct past nursing hours. 2. Facility continues to recruit for open nursing positions through online systems and fliers and utilizing agency staff. 3. Facility implemented system of daily staffing meetings to ensure efforts were met to meet the necessary nursing hours. Nursing scheduler was educated on this new process. 4. NHA will audit nursing hours weekly for 4 weeks and then monthly for 2 months to ensure CNA nursing hours are met. 5. Audits will be submitted to QAPI for review.