Insufficient Nursing Staff and Delayed Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff and services to meet the needs of residents, as evidenced by multiple complaints documented in resident council minutes and resident interviews. Over a three-month period, residents reported persistent issues such as staff being on their cell phones, loud and inappropriate staff behavior in hallways, and delays in call bell responses, particularly during night shifts and weekends. Residents also noted that showers were not completed on designated days, bed sheets were not changed, and meal service was delayed, resulting in cold food and a non-homelike environment. During interviews, several residents described waiting 30 to 60 minutes for assistance after activating their call bells, with some requiring help for restroom use or ambulation that was not provided in a timely manner. Residents observed staff congregating in hallways or lounge areas, talking, watching TV, or using their phones while call lights remained unanswered. These actions and inactions directly contributed to unmet care needs, delays in assistance, and dissatisfaction with the quality of care provided.