Failure to Meet Minimum Nursing Care Hours Requirement
Penalty
Summary
Facility administrative staff failed to provide the minimum required 3.2 hours of direct general nursing care per resident per day on seven out of twenty-one reviewed days. Review of nursing time schedules and facility census data revealed that on these specific dates, the provided nursing care hours per patient day (PPD) fell below the regulatory minimum, with PPDs ranging from 2.91 to 3.16. The Director of Nursing confirmed during an interview that the facility did not meet the mandated nursing care hours on these days. No specific resident medical histories or conditions were mentioned in relation to the deficiency.
Plan Of Correction
IA: The residents had no negative outcome for not meeting the minimum 3.2 number of general nursing hours to each resident in a 24-hour period. The facility has hired additional staff, holds daily staffing meetings to track staffing, and added additional agencies to utilize for staffing needs. Education: DON or designee will provide the staffing coordinator and HR with education on the Pennsylvania staffing requirements for the 3.2 number of general nursing hours to each resident in a 24-hour time period. Audits: Staffing coordinator or designee will audit PPD 3 times weekly for 2 weeks and monthly times 1 month.