Failure to Meet Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to meet the required nurse aide to resident ratios on five out of 21 reviewed shifts. Specifically, on December 17, 2024, the evening shift had 9.00 nurse aides instead of the required 9.36 for a census of 103, and the night shift had 6.00 nurse aides instead of the required 6.87. On December 21, 2024, the night shift had 5.00 nurse aides instead of the required 6.80 for a census of 102. On December 22, 2024, the day shift had 9.00 nurse aides instead of the required 10.20, and the night shift again had 5.00 nurse aides instead of the required 6.80. No additional higher-level staff were available to compensate for these deficiencies. The Nursing Home Administrator confirmed the facility's failure to meet the required staffing ratios during an interview on December 30, 2024.
Plan Of Correction
The facility cannot retroactively correct the deficiency. The Nursing Staffing Coordinator will be re-educated regarding the ratios for nurse aides. The facility will focus on retention of existing nurse aides and recruitment of new nurse aides through efforts of the facility Recruitment & Retention Committee. Calculation of the daily nurse aide ratios will be completed and reviewed for accuracy by the scheduler/designee. Daily ratios will be audited weekly x4 then monthly x2. The audits will be taken to QAPI for further action planning as needed. Facility will be in compliance 02/15/2025.