Insufficient Nursing Staff to Meet Resident Needs
Penalty
Summary
The facility failed to ensure that sufficient nursing staff with appropriate competencies and skill sets were available to meet the medical and supervision needs of 15 residents. This deficiency was identified through interviews and record reviews, which revealed that the number and qualifications of nursing personnel were inadequate to provide necessary nursing and related services as required by resident assessments and care plans. The lack of sufficient staff included both licensed nurses and other nursing personnel, such as nurse aides, and resulted in unmet resident needs for medical care and supervision during the period reviewed.
Plan Of Correction
Element 1: Resident R907 has been reviewed for any negative outcomes related to the alleged violation by Social Services / Designee. Care plan has been reviewed and updated as needed by Social Services. Completed by 5/8/2025. Resident R901 no longer resides in the facility. Nurse staffing patterns were reviewed by the Administrator to ensure that nurse staffing was sufficient to meet all current resident needs on 5/9/2025. Element 2: Nurse staffing was reviewed for the last 14 days to ensure that staffing was sufficient to meet all current residents needs. This was completed by the Administrator / Designee on 5/9/2025. Element 3: The Nursing Services and Sufficient Staff policy was reviewed by the QAPI committee and deemed appropriate on 5/2/2025. The facility Administrator and Director of Nursing were re-educated on the Nursing Services and Sufficient Staff policy by the Regional Director of Operations on 5/7/2025. Staffing will be reviewed daily, Monday through Friday, in morning stand-up meetings. Any concerns will be addressed.