Failure to Meet Minimum CNA Staffing Requirements
Penalty
Summary
The facility failed to provide sufficient certified nursing assistant (CNA) staffing to meet the required minimum of 2.4 direct care service hours per patient day (DHPPD) on two specific days in March and April 2025. Record review and interviews with the Director of Staff Development (DSD) and Director of Nursing (DON) confirmed that on March 1 and April 5, the actual CNA direct care hours fell below the mandated threshold, with 2.36 and 2.32 hours respectively. The DON attributed the shortfall to turnover among nightshift CNAs and acknowledged that the facility's goal was to consistently meet staffing requirements. The facility's policy requires adequate staffing to provide care and services for all residents in accordance with the facility assessment.