Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the state regulation requiring a minimum of 3.2 hours of direct resident care per resident in each 24-hour period. On December 21, 2024, the facility provided only 3.06 hours of direct care nursing per resident, and on December 22, 2024, the facility provided 2.91 hours per resident. This deficiency was confirmed during an interview with the Nursing Home Administrator on December 30, 2024, who acknowledged the facility's failure to consistently provide the required minimum general nursing care hours to each resident daily.
Plan Of Correction
The facility cannot retroactively correct the deficiency. The Nursing Staffing Coordinator will be re-educated regarding the new staffing hours of 3.2. The facility will focus on retention of existing staff and recruitment of new staff through efforts of the facility Recruitment & Retention Committee. Calculation of the daily staffing hours will be completed and reviewed for accuracy by the Nursing Staffing Coordinator/designee. Daily hours 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 by 02/15/2025.