Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct resident care per resident in a 24-hour period on 15 out of 21 days. This deficiency was identified through a review of nursing time schedules and staff interviews. The specific dates where the facility did not meet the required hours were documented, with the provided nursing schedules and census information revealing that the hours per patient day (PPD) fell below the required 3.2 hours on these days. The Nursing Home Administrator confirmed the failure to meet the required nursing hours during an electronic communication.
Plan Of Correction
1. Facility did not meet minimum required PPD for the dates of (12/23/24, 12/24/24, 12/25/24, 12/26/24, 12/27/24, 12/28/24, 1/12/25, 1/13/25, 1/15/25, 1/16/25, 1/17/25, 1/18/25, 2/17/25, 2/19/25 and 2/21/25). 2. Review of PA Code 211.12 completed by NHA and DON. Education then provided to scheduler by DON. 3. Facility contracts with multiple staffing agencies. Additionally, the facility also has an active recruitment and retention committee in an attempt to retain staff. There are also consistent advertisements on both Apploi and Indeed and often has a running ad in local paper. The facility currently offers sign on bonus, referral bonus for recruiting new staff, extra shift bonuses when we are projecting low, flexible scheduling, and nursing management staff rotate extra shifts. 4. NHA, DON, and facility Staff Scheduler will review projected current day's PPD, weekly projection as able, and previous day actual PPD 5 x week for 4 weeks.