Facility Fails to Meet Minimum Nurse Aide Staffing Requirements
Penalty
Summary
The facility failed to meet the required minimum staffing levels for nurse aides across multiple shifts, as evidenced by a review of nursing staffing hours and staff interviews. Specifically, the facility did not ensure a minimum of one nurse aide per 10 residents on five of 21 day shifts and four of 21 evening shifts. Additionally, the facility failed to maintain a minimum of one nurse aide per 15 residents on nine of 21 overnight shifts. These deficiencies were identified during specific periods, including October 13 to 19, 2024, December 29, 2024, through January 4, 2025, and February 28, 2025, through March 6, 2025. The report details specific instances where the number of nurse aides scheduled was insufficient for the resident census. For example, on October 13, 2024, there were only 6.38 nurse aides for a census of 75 residents, requiring 7.5 aides. Similar shortfalls were noted on other dates, such as December 31, 2024, and January 4, 2025, across various shifts. These staffing inadequacies indicate a consistent failure to comply with the mandated nurse aide-to-resident ratios, potentially impacting the quality of care provided to residents.
Plan Of Correction
1. Nursing Staff care hours will be reviewed daily for the current day and for the remainder of the week during morning meeting for compliance with current regulations of a minimum of 1 CNA per 10 Residents during the day, 1 CNA per 11 residents during the evening shift, and 1 CNA per 15 Residents on the overnight shift. 2. Will continue to actively hire and advertise open positions to meet current regulations. 3. The facility will continue to use per diem staff to fill in open shifts and ask current LPNs, current CNAs, and RNs to fill in open CNA shifts. 4. DON/designee will complete weekly audits on CNA staffing ratio for four weeks and then monthly for three months and bring to the monthly QA meeting for review.