Staffing Deficiency in Nurse Aide Coverage
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides on both the day and evening shifts on January 20, 2025. Specifically, during the day shift, the facility had a census of 88 residents but provided only 64.06 hours of nurse aide coverage instead of the required 66.00 hours. Similarly, on the evening shift, the facility did not meet the required staffing ratio of one nurse aide per 11 residents. These deficiencies were identified through a review of staffing documents and staff interviews conducted by the surveyors.
Plan Of Correction
There were no adverse effects to the residents of our facility as a result of the decreased nurse aide ratio on 1/20/25. The Director of Nursing, Human Resources, and the Schedule will be re-educated on new July 1 nurse aide to resident ratios by the Nursing Home Administrator or designee. To ensure sufficient nursing aide staffing ratios to comply with state laws, staffing meetings will be held 3 days a week to review staffing and the projected nursing assistant staff ratios for the current day, as well as the upcoming week. If projected staffing levels are below the required minimum staffing ratios, then the facility will reach out to current staff and to the staffing agencies to enlist staff to meet the minimum staffing and ratio requirement. Facility will continue to recruit CNAs through all platforms and utilize bonuses and outside staffing agencies. Audits of nurse aide ratios will be completed weekly x4 by the NHA/designee to ensure nurse aide ratios are met. Results of the audits will be reported to our QAPI committee monthly for review and recommendations.