Failure to Meet Minimum Overnight Nurse Aide Staffing Requirements
Penalty
Summary
The facility failed to meet the required minimum staffing levels for nurse aides during the overnight shift on one of the 21 days reviewed. Specifically, on May 25, 2025, with a resident census of 85, the facility provided 5.38 nurse aides when 5.67 were required to comply with the regulation mandating at least one nurse aide per 15 residents overnight. This deficiency was confirmed through a review of nursing care hours and an interview with the Nursing Home Administrator.
Plan Of Correction
The statements made on this plan of correction are not an admission to and do not constitute an agreement with the alleged deficiencies. To remain in compliance with all federal and state regulations, the facility has taken or will take actions set forth in the following plan of correction. 1. The facility attempts to staff to meet state required hours of staff and ratios per current state regulations. There were no ill effects to any residents. 2. An active recruitment campaign is ongoing including sign on bonuses, shift differentials and employee referral bonuses. The facility utilizes staffing agencies to fill in shifts as needed. 3. The facility nursing home administrator or designee will review with the director of nursing the latest guidelines for staffing ratios. 4. The facility nursing home administrator and director of nursing will meet to review staffing sheets to ensure proper staffing ratios daily x 5, and then weekly x 4 with results to the facility Quality Assessment and Assurance Committee.