Failure to Meet Minimum Direct Nursing Care Hours
Penalty
Summary
The facility failed to meet the state-mandated minimum requirement of 3.2 hours of direct nursing care per resident per day over an eight-day period. Review of staffing documents and nursing schedules revealed that, from 6/23/25 through 6/30/25, the provided per patient daily (PPD) hours of direct care consistently fell below the required threshold, with daily PPDs ranging from 2.61 to 3.18. This deficiency was confirmed by the Nursing Home Administrator during an interview, who acknowledged that the facility did not provide the minimum required direct care hours on the specified dates. No additional details regarding specific residents, their medical history, or their condition at the time of the deficiency were provided in the report.
Plan Of Correction
The facility cannot correct that the minimum number of general nursing hours to each resident in a 24-hour period were not met on eight of eight days (6/23/25 through 6/30/25). 2. The facility will ensure that general nursing hours are met every shift. 3. The Regional Clinical Consultant will re-educate the Nursing Home Administrator, Director of Nursing, and HR Director/Scheduler on regulation P5640 and ensuring general nursing hours to each resident are met each shift. 4. In order to ensure staffing is met, the facility will focus on recruitment and retention and continue to utilize Indeed. 5. The Nursing Home Administrator/designee will audit staffing daily for four weeks. The results of these audits will be reported to the Quality Assurance Performance Improvement Committee for review, recommendations, and frequency of audits.