Failure to Provide Adequate Nursing Staff and Timely Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of residents, as evidenced by multiple reports of delayed call light responses and unmet care needs. Several residents reported waiting from 30 minutes to over an hour for staff to respond to call lights, particularly during the day and night shifts. One resident noted that staff were too busy with other tasks, such as showers, resulting in delays in assistance with getting out of bed and eating meals. Another resident described being left unattended over the weekend due to short staffing, with staff indicating they would return but failing to do so. A grievance from a family member also documented long call light response times and uncompleted linen changes. Payroll Based Journal (PBJ) data and daily staff postings revealed that staffing levels, especially on weekends and certain shifts, were below the facility's own assessment of required staff-to-resident ratios. The facility assessment specified higher numbers of RNs, LPNs, CNAs, and medication aides per shift than were actually present according to the daily postings. The administrator acknowledged awareness of ongoing staffing concerns and indicated the facility assessment needed to be updated to reflect current needs.