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P5640

Failure to Meet Minimum Nursing Care Hours

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 state-required minimum of 3.2 hours of direct resident care per patient daily (PPD) on six out of seven days from April 1, 2025, to April 6, 2025. A review of staffing documents and nursing staff schedules revealed that the facility provided less than the required PPD hours on these dates, with specific deficiencies noted as follows: 2.98 PPD on April 1, 3.19 PPD on April 2, 3.10 PPD on April 3, 3.08 PPD on April 4, 3.10 PPD on April 5, and 2.65 PPD on April 6. During an interview on April 8, 2025, the Nursing Home Administrator confirmed the facility's failure to meet the minimum PPD hours on the specified dates.

Plan Of Correction

1. Staffing coordinator to be educated on maintaining a minimum PPD of 3.20 for direct care staff. 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. 3. Facility to conduct daily labor meetings attended by DON and NHA to manage direct care staff and monitor staffing calculation spreadsheet. 4. NHA/designee to educate DON and licensed nurses to alert NHA/DON to shortages and/or call offs. 5. NHA/designee to audit PPD 1/week for 6 weeks. 6. Results reported to QAPI for review and approval.

See complete original report
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