Deficiency Due to Inadequate Weekend Staffing
Penalty
Summary
The facility failed to ensure adequate weekend staffing, as evidenced by the Staffing Data Report for the fourth quarter, which indicated excessively low weekend staffing levels. This deficiency had the potential to affect all 89 residents in the facility. The issue was confirmed through interviews with the Administrator and the Regional Human Resources Director, who both acknowledged that the facility had reported accurate staffing hours but still triggered for low weekend staffing due to increased resident acuity, particularly in the vent unit. The deficiency was identified through review of staffing records and was corroborated by facility leadership, who noted that the increase in resident acuity contributed to the staffing shortfall. The report does not mention any specific residents or individual incidents but establishes that the staffing levels were insufficient to meet the needs of the entire resident population during weekends for the period in question.