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P5520

Staffing Deficiencies in Nurse Aide Coverage

Pittsburgh, Pennsylvania Survey Completed on 04-08-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to meet the required staffing levels for nurse aides (NAs) on multiple occasions between March 31, 2025, and April 6, 2025. Specifically, the facility did not provide the mandated one NA per 10 residents during the daylight shift on April 1, April 5, and April 6, 2025. Additionally, on April 6, 2025, the evening shift was understaffed with one NA per 11 residents not being met. Furthermore, the night shift was consistently understaffed from April 2 to April 6, 2025, failing to provide one NA per 15 residents. The Nursing Home Administrator confirmed these staffing deficiencies during an interview on April 8, 2025.

Plan Of Correction

1. Staffing coordinator will be educated on CNA ratio requirements. 2. A scheduling app has been implemented for direct care staff and staff are acclimating to the procedures of applying for shifts and picking up open shifts/called off shifts. 3. Facility conducts daily labor meetings attended by DON and NHA to manage direct care staff and monitor CNA ratios and track new applicants/new hires. 4. Staffing coordinator/designee to audit daily staffing sheet x 3 weeks to meet CNA ratio requirements. 5. Results reported to QAPI for review and approval.

See complete original report
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