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F0727
D

Failure to Ensure RN Coverage for 8 Consecutive Hours

Holmes, New York Survey Completed on 04-04-2025

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 ensure that a Registered Nurse (RN) was on duty for at least 8 consecutive hours a day, 7 days a week, as required by regulation. Specifically, on November 2, 2024, no RN was present during the 24-hour period. This deficiency was identified during a recertification survey conducted from March 30, 2025, to April 4, 2025. The facility's Minimum Nursing Staffing Plan, reviewed on January 15, 2025, documented the requirement for an RN to be staffed on all shifts. During interviews conducted on April 4, 2025, both the Director of Human Resources/Covering Staffing Coordinator and the Director of Nursing confirmed the absence of an RN on the specified date and acknowledged their awareness of the regulatory requirement for RN coverage.

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