Staffing Deficiencies in Nurse Aide Coverage
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides as mandated by the regulation effective July 1, 2024. Specifically, the facility did not maintain a minimum of one nurse aide per 10 residents during the day shift on March 21 and March 30, 2025. Additionally, the evening shift on March 29, 2025, did not have the required one nurse aide per 11 residents. Furthermore, the night shift was understaffed on nine occasions between March 21 and March 30, 2025, failing to provide one nurse aide per 15 residents. These deficiencies were identified through a review of the facility's staffing data and were communicated to the Nursing Home Administrator during a telephone interview on April 7, 2025.
Plan Of Correction
1. Nurse Aide staffing ratios will be reviewed for last 7 days to evaluate if nurse aide ratios were met. 2. Administration and scheduler will continue to contact the multiple agencies under contract and in house staff to fill callouts and meet ratios. All resources to meet staffing regulations will be utilized. 3. Nursing administration and scheduler will be reeducated on nurse staffing and ratio requirements. 4. Audits of nurse aide ratios will be conducted weekly x4 weeks by NHA/Designee to ensure nurse aide ratio is met. Audits will be reported to QAPI for review and further recommendations as needed.