Failure to Meet Minimum Nurse Aide Staffing Ratios
Penalty
Summary
A review of nursing schedules for a 21-day period from July 5 to July 25, 2025, showed that the facility did not meet the required minimum nurse aide (NA) to resident ratios on five separate days. Specifically, on two evening shifts, the facility failed to provide at least one NA for every 11 residents, and on three overnight shifts, the facility did not meet the minimum of one NA for every 15 residents. These findings were based solely on the documented nursing time schedules reviewed for the specified period. No additional information regarding the residents' medical history, conditions, or specific incidents involving patient care was provided in the report.
Plan Of Correction
1&2. Nurse Scheduler re-educated on the NA ratio requirements of 1 NA to 10 residents on day shift, 1 NA to 11 residents on evening shift, and 1 NA to 15 residents on night shift. 3. The facility is actively recruiting NAs; utilizing Nurse Agency to supplement NAs; and Mon-Fri staffing meetings conducted in attempts to maintain State Mandated ratios for NAs. 4. The DON and/or designee will randomly audit the staffing schedules to ensure the appropriate number of NAs are scheduled to achieve compliance. The results of the audits will be submitted to the QA Committee to determine if additional action is necessary.