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F0838
F

Incomplete Facility-Wide Assessment of Staffing and Resource Needs

Clay Center, Kansas Survey Completed on 04-09-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to conduct a comprehensive facility-wide assessment to determine the necessary resources for competent resident care during both routine operations and emergencies. The assessment provided by the administrative nurse was last updated on 11/13/24 and did not specify the required staffing levels for each unit, nor did it identify the number of RNs, LPNs/LVNs, CMAs, and CNAs needed based on patient acuity and census. Additionally, the assessment lacked details regarding staffing requirements for each shift, including evenings and weekends. When questioned, administrative staff indicated that staffing information might be in a separate report, which was subsequently provided but was created after the initial request. This deficiency affected all 13 residents included in the sample, out of a total census of 23 residents.

See complete original report
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