Failure to Meet Minimum Daily Nursing Care Staffing Ratios
Penalty
Summary
The facility failed to comply with State Regulation 22B DCMR sect. 3211.5 by not providing the required minimum daily average of 4.1 hours of direct nursing care per resident per day, with at least 0.6 hours provided by a registered nurse, on seven out of thirty-five sampled days. Review of daily staffing sheets showed that on multiple days, the facility's resident census ranged from 104 to 110, but the direct nursing care hours provided fell below the mandated threshold, with some days as low as 3.3 hours per resident and registered nurse hours also falling short. During an interview, the staffing coordinator acknowledged staff shortages on these days due to ongoing hiring efforts and admitted to being unaware of the specific staffing requirements.