Failure to Provide Sufficient Weekend Staffing
Penalty
Summary
The facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents during weekends in the first quarter of the reporting period. Review of the Payroll Based Journal staffing report indicated that the facility triggered for low weekend staffing, and the DON confirmed that staffing levels were inadequate to meet resident needs on weekends. This deficiency was identified through both record review and direct confirmation by facility leadership. Additional evidence of insufficient staffing was found in Resident Council meeting minutes, which documented ongoing concerns about inconsistent staffing ratios, particularly on the second shift, and long wait times for call light responses. Residents reported that there was often only one aide per unit on the second shift, leading to delays in assistance. Grievances filed by the Resident Council further corroborated these concerns, specifically noting repeated issues with untimely responses to call lights.