Failure to Meet Minimum Direct Care and CNA Staffing Requirements
Penalty
Summary
The facility failed to provide the required minimum of 3.5 Direct Care Service Hours Per Patient Day (DHPPD) and 2.4 Certified Nursing Assistant (CNA) DHPPD on ten weekend days, as evidenced by interviews and record reviews. Staff responsible for scheduling and staffing, including the Staff Developer Assistant and Director of Staff Development, confirmed awareness of the minimum staffing requirements. Payroll records reviewed with the Payroll Coordinator showed that on multiple dates, both overall DHPPD and CNA DHPPD fell below the mandated levels. Specific staffing data from the facility's census and DHPPD reports indicated that on several days, the DHPPD ranged from 3.07 to 3.49 and CNA DHPPD ranged from 1.79 to 2.23, all below the required minimums. The facility's staffing waiver also stipulated that no less than 3.5 direct care service hours per patient day should be provided, which was not met on the identified dates. This deficiency was identified through interviews and review of staffing records, but no information about specific residents or their conditions was provided in the report.