Insufficient CNA Staffing Fails to Meet Facility Assessment Requirements
Penalty
Summary
The facility failed to provide sufficient Certified Nursing Assistant (CNA) staffing to meet the needs of all residents, as required by their own minimum staffing assessment. The facility's assessment specified the required number of CNAs per shift for each hall, but on 03/04/2025, staffing records showed only 2 CNAs were present for the entire facility during both the evening and night shifts, which was below the minimum required. Multiple staff interviews confirmed that staffing was often inadequate, particularly on Hall B and Hall C, and that CNAs were frequently required to work alone or cover more residents than appropriate for safe care. Staff reported being unable to complete their tasks on time due to insufficient staffing levels. The administrator acknowledged that the facility's staffing on the evening and night shifts did not meet the minimum requirements based on census and resident acuity. Staff interviews consistently described frequent short staffing, especially on weekends and certain shifts, with CNAs being asked to pick up extra shifts and sometimes working entire halls alone. This deficiency had the potential to affect the entire facility census of 68 residents, as the lack of adequate CNA coverage could impact the ability to provide necessary direct care and related services.