Insufficient CNA Staffing Resulting in Delayed Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of all residents as identified in its Facility Assessment (FA). Multiple residents reported that call lights were not answered in a timely manner, with some waiting over 30 minutes for assistance, resulting in incidents such as incontinence and residents attempting to care for themselves against staff instructions. Residents specifically noted delays during the second and third shifts, and staff interviews confirmed that CNA staffing was inadequate to handle the workload and respond to resident needs promptly. A review of staffing records revealed that on the date in question, the number of CNAs working during the second and third shifts was below the minimum required by the facility's own FA. During the second shift, only four CNAs were present for part of the shift when six were needed, and during the third shift, only three CNAs were present for part of the shift when four were required. The facility administrator confirmed the staffing shortfall during a review of the clock in and out reports.