Nurse Aide Staffing Shortages
Penalty
Summary
The facility failed to meet the required nurse aide (NA) staffing ratios as per the regulation effective July 1, 2024. Specifically, the facility did not maintain the minimum staffing levels of one NA per 10 residents during the day shift on April 2, 2025, one NA per 11 residents during the evening shift on March 30, 2025, and one NA per 15 residents during the overnight shift on March 30, April 5, and April 6, 2025. The staffing documents revealed that on these dates, the number of NAs working was below the required number based on the resident census. For instance, on April 2, 2025, with a census of 41 residents, only 3.73 NAs worked when 4.10 were required. Similarly, on March 30, 2025, during the evening shift, 3.40 NAs worked for 39 residents when 3.55 were required. The overnight shift on March 30, 2025, had 2.47 NAs for 39 residents when 2.60 were required. The Nursing Home Administrator confirmed these staffing shortages during an interview on April 14, 2025.
Plan Of Correction
*No residents were found to be negatively affected by failing to meet the nurse aide ratios. *Residents will be visually monitored each shift by the RN supervisor to ensure the residents are receiving quality care. *Scheduler, RN Supervisors, Director of Nursing and Assistant Director of Nursing will be educated on the proper Nurse Aide ratios for each shift. *Daily staffing sheets and the biweekly schedule will be reviewed by the Administrator, Director of Nursing, and Scheduler Monday-Friday to assure that proper nurse aide ratios are being met. This is an ongoing process that has no end date. *Job ads are posted on Indeed and active hiring is occurring. *Admin nursing and scheduler who is a nurse aide fill in for open shifts when call-offs occur. Nurse aides who are currently working are asked to stay into another shift and those who are not on the schedule are called to come in. *Staff who call off are given progressive discipline so they understand the importance of calling off for their scheduled shifts. *Staffing ratios will be reviewed at Quality Assurance Process Improvement meetings.