Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct nursing care per resident per day for six out of seven days reviewed. Specifically, from April 17, 2025, to April 23, 2025, the facility's nursing care hours were consistently below the required threshold. On April 18, 2025, with a census of 332 residents, only 2.90 hours per patient day (PPD) were provided. On April 19, 2025, with 329 residents, the facility provided 3.02 PPD. On April 20, 2025, with 328 residents, the care hours dropped significantly to 2.08 PPD. On April 21, 2025, with 327 residents, 2.56 PPD were provided. On April 22, 2025, with 333 residents, the facility provided 2.80 PPD. Finally, on April 23, 2025, with 330 residents, the care hours were 2.29 PPD. This deficiency was confirmed with the Nursing Home Administrator on April 28, 2025.
Plan Of Correction
Facility will ensure that we will abide by the DOH guidelines for total number of hours of general nursing care provided in each 24-hour period. Staffing directors will be educated to ensure that we are abiding with DOH guidelines for total number of hours of general nursing care provided in each 24-hour period. NHA/designee will audit 3X weekly X4 weeks and then monthly X2 months to ensure that facility is abiding by DOH guidelines for total number of hours of general nursing care provided in each 24-hour period. Results will be reviewed during the facilities monthly QAPI Meeting X3 months to determine the need for further review.