Staffing Deficiency in Nurse Aide Coverage
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides (NAs) on multiple shifts over a period of six days. Specifically, the facility did not provide the mandated one NA per 10 residents during the day shift on three out of six days, one NA per 11 residents during the evening shift on all six days, and one NA per 15 residents during the night shift on all six days. This deficiency was confirmed through a review of staffing documents and an interview with the Nursing Home Administrator, who acknowledged the shortfall in staffing on the specified dates and shifts.
Plan Of Correction
The facility cannot retroactively correct cited deficiencies. The facility will continue to maintain the required ratios and implement a contingency plan if needed by calling in off duty staff, calling sister facilities or utilizing agency as needed to ensure sufficient nursing staff meets PA Regulation. The RDO re-educated NHA/DON on ensuring sufficient nursing staff and a minimum of 3.20 PPD. To monitor and maintain ongoing compliance, the NHA/DON/scheduler will complete staffing meetings 5x daily for x4 weeks; then Weekly x2 Months and then Monthly X 2 months; to ensure required PPD and ratios are met. The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations.