Failure to Meet Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to meet the required nurse aide (NA) to resident ratios for 18 out of 21 days reviewed, as evidenced by a review of nursing schedules from December 12, 2024, through January 1, 2025. Specifically, the facility did not maintain the minimum NA to resident ratio of one NA for ten residents during the day shift on multiple dates in December 2024. Additionally, the evening shift ratio of one NA for 11 residents was not met on several dates in December 2024. Furthermore, the night shift ratio of one NA for 15 residents was not achieved on numerous dates in December 2024 and January 1, 2025. The Nursing Home Administrator confirmed these staffing deficiencies during an interview conducted on January 2, 2025.
Plan Of Correction
1. The facility has reviewed past reported staffing information including ratios. 2. Facility will review schedules and ratios during the daily labor meetings for Nurse Aides. A variety of methods for staffing and recruitment will be utilized in order to fill vacant positions. Methods will be reviewed for effectiveness during daily labor review and adjusted according to facility need. 3. The Administrator / Designee re-educated the staffing coordinator on the policy regarding staffing, schedules, and ratios for Nurse Aides. 4. The Administrator / Designee will audit schedules and ratios 2 times per week for 2 weeks, then weekly for 4 weeks. Results of audits will be submitted to the Quality Assurance Performance Improvement Committee monthly for further review and recommendations as needed. Further audit frequency will be determined based on previous audit findings.