Failure to Meet Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to meet the required nurse aide to resident ratios on two shifts out of 21 reviewed, as determined by a review of nurse staffing records and staff interviews. On January 19, 2025, during the evening shift, the facility provided only 6.10 nurse aides instead of the required 8 for a census of 88 residents, failing to meet the 1:11 ratio. Additionally, on the same date during the night shift, the facility provided 5.10 nurse aides instead of the required 5.87 for the same census, failing to meet the 1:15 ratio. No additional higher-level staff were available to compensate for this deficiency on the mentioned dates.
Plan Of Correction
1. Facility cannot retroactively correct the failure to meet the ratio requirements of the Certified Nursing Aides as identified in the outlined PA-2567. 2. Education given to the Nurse Scheduler and Director of Nursing on the Certified Nursing Aides ratio requirements. 3. Facility is actively recruiting Certified Nurses Aides through outside marketing sources; utilizing outside Nurse Agency to supplement Certified Nursing Aides; and daily staffing meetings being conducted in attempts to maintain State Mandated ratios for Certified Nursing Aides. 4. The Administrator will audit the staffing schedules to ensure the appropriate number of Certified Nursing Aides are scheduled to achieve compliance. Audits will occur three times per week for one week; weekly for four weeks and monthly for four weeks. The results of the audits will be submitted to the QA Committee.