Non-Compliance with Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to comply with the mandated nurse aide (NA) to resident ratios over a 21-day period from April 9 through 29, 2025. Specifically, the facility did not meet the required ratio of one NA per ten residents during the day shift on April 10, 15, and 20, 2025. Additionally, the evening shift ratio of one NA per eleven residents was not met on April 11 and 23, 2025. Furthermore, the night shift ratio of one NA per fifteen residents was not adhered to on April 10, 13, 20, 22, and 29, 2025. These deficiencies were identified through a review of the nursing schedules, indicating a failure to provide adequate staffing levels as per the regulatory requirements effective July 1, 2024.
Plan Of Correction
1. The daily nursing facility schedule will be reviewed by the Administrator and/or Director of Nursing to ensure that required staffing ratios are scheduled and met. 2. The scheduler and nursing supervisors will be educated by 5/31/25 on the nurse/aide ratios as of 7/1/2024. 3. An audit of schedules/timecards - All 3 shifts, 2 days a week for 2 months will be conducted. Results of the audit will be reported by the NHA/DON to the QAPI committee for review and further recommendation.