Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to consistently meet the state regulation requiring a minimum of 3.2 hours of direct resident care per resident per day. A review of the facility's staffing levels revealed multiple dates where the nursing care hours fell below the required minimum. Specifically, on several occasions between October 2024 and January 2025, the facility provided between 2.90 and 3.17 hours of direct care per resident, which is below the mandated 3.2 hours. This deficiency was confirmed during an interview with the Nursing Home Administrator on January 9, 2025.
Plan Of Correction
5640 1. The facility cannot retroactively correct nursing PPDs for the past. 2. The facility will review nursing PPD daily to provide care according to Pennsylvania regulation on staffing (3.20 hours). 3. Regulations for nursing PPD have been reviewed by facility management. Facility management will project PPD daily to have staff set according to guidelines. 4. Nursing will track PPD daily and provide a copy of the numbers to the administrator. The numbers will be provided to the QA team to track compliance. 5. February 18, 2025