Insufficient Staffing Leads to Missed Showers and Delayed Call Light Response
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of all 114 residents, resulting in missed or delayed showers and baths, as well as prolonged response times to call lights. Multiple certified nursing assistants (CNAs) reported being the only staff member on their unit during several shifts, which prevented them from adhering to the scheduled bathing routines and completing other assigned duties. The Director of Nursing and the Unit Manager both confirmed ongoing staffing shortages and acknowledged that these issues directly impacted residents' activities of daily living (ADLs), including personal hygiene care. Residents reported significant delays in having their call lights answered, with one resident stating she waited an average of three hours while in a soiled brief, and another noting long wait times at night due to only one CNA being present for the entire floor. Staff interviews corroborated these accounts, with CNAs confirming that low staffing levels led to delays of up to an hour or more in responding to residents' needs. These findings demonstrate that the facility did not have adequate staff on duty to ensure timely and appropriate care for all residents.