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P5540

Failure to Meet Minimum RN Staffing Requirements

Bensalem, Pennsylvania Survey Completed on 08-06-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to comply with Pennsylvania state regulations requiring a minimum of one registered nurse (RN) per 250 residents on all shifts. A review of the facility's nursing staff ratio for the week of July 29, 2025, through August 5, 2025, showed that on two separate shifts, the required RN coverage was not met. Specifically, there was no RN coverage for the entire night shift on July 31, 2025, and no RN coverage for the entire evening shift on August 2, 2025, despite a minimum of 8.0 hours being required for each shift. These findings were discussed with the facility's administrator.

Plan Of Correction

No negative outcomes occurred due to this deficient practice. DON/designee will review and approve all schedules to ensure one RN is scheduled for each shift. DON/designee will audit staffing daily for 4 weeks, then weekly for 2 months, reporting results to the QA Committee. Noncompliance will be corrected immediately.

See complete original report
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