Overnight Nurse Aide Staffing Deficiency
Penalty
Summary
The facility failed to meet the required minimum nurse aide (NA) staffing ratios during the overnight shift on January 1, 2025. Specifically, the facility had a census of 113 residents but only 6.50 NAs were on duty, whereas 7.53 NAs were required to meet the regulatory standard of one NA per 15 residents. This deficiency was confirmed by the Nursing Home Administrator during a telephone interview on January 8, 2025.
Plan Of Correction
The Administrator and/or designee will provide education to the staffing coordinator, administrative nurses, and charge nurses on the state required minimum staffing ratios regarding nursing assistants. The Administrator and/or designee will review staffing sheets 4 times a week for 2 weeks, 3 times weekly for 4 weeks to ensure that the state required minimum staffing ratios for nursing assistants are met per regulation. All audits will be reviewed through the Quality Assurance/Performance Improvement process. The Administrator/designee will utilize recruitment platforms and Indeed for job applicants, attend job fairs as able, corporate talent acquisition specialist, employee referral bonus program, and tuition reimbursement for recruitment efforts. Charge Nurses will be provided employee contact listings and will be responsible for calling staff when ratios are projected to be unmet. They will be able to offer our hourly call-in pay to help with incentive shift pick-ups. Call-offs are to be addressed by these charge nurses to ensure staffing requirements are met.