Failure to Meet Minimum Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to meet the required nurse aide (NA) to resident staffing ratios on multiple occasions, as evidenced by a review of nursing schedules, staffing information, and staff interviews. Specifically, on four separate shifts, the number of NAs scheduled and providing care was below the minimum required based on the facility's census. On the night shift of July 19, 2025, with a census of 75 residents, only 4.73 NAs were present when 5 were required. On the day shift of July 20, 2025, 7.47 NAs were present instead of the required 7.5 for 75 residents. On the evening shift of July 25, 2025, 6.97 NAs were present when 7.18 were required for 79 residents. On the day shift of July 27, 2025, 7.5 NAs were present instead of the required 8 for 80 residents. No additional higher-level staff were available to compensate for these deficiencies. The Nursing Home Administrator confirmed that the facility did not meet the required NA-to-resident staffing ratios for the days listed.
Plan Of Correction
1.) The facility is unable to correct the cited two of 21 days on the day shift, one of 21 days on the evening shift, and one of 21 days on the night shift for minimum nurse aides. There were no concerns noted due to staffing. 2.) Education will be provided to the Scheduler and Registered Nurse staff on the nurse aide ratios per shift. The facility has a labor management meeting to discuss staffing levels and needs. The facility can utilize agency and nursing management to assist with maintaining the ratio. 3.) Director of Nursing or designee will audit the nurse aide staffing ratio daily times 5 days, weekly times 3 weeks, and monthly times 2 months. 4.) Results of the audit will be reviewed at the Quality Assurance Performance Improvement meeting. P 5520