Failure to Meet Required Nursing Care Hours
Penalty
Summary
The facility failed to meet the required Per Patient Day (PPD) of 3.2 hours of direct resident care for each resident on seven days between April 12 and April 23, 2025. The specific days and their respective PPDs were as follows: April 12 (3.01), April 13 (3.14), April 14 (3.13), April 17 (3.19), April 19 (3.09), April 20 (3.12), and April 21 (2.83). This deficiency was identified through a review of the facility's staffing data and was communicated to the Nursing Home Administrator during a telephone interview on April 23, 2025.
Plan Of Correction
NHA/designee reviewed the following dates as they were below the required PPD minimum of 3.20: 4/12/25, 4/13/25, 4/14/25, 4/17/25, 4/19/25, 4/20/25, 4/21/25. No grievance or residents care were affected. To prevent this from happening again, NHA/designee will re-educate staffing coordinators on the need for PPD to be at 3.20 or above. To monitor and maintain ongoing compliance, NHA/designee will audit nursing schedules weekly x4, then monthly x1, to ensure correct PPD. The results of the audit will be forwarded to the facility QAPI committee for further review and recommendations as needed.