Facility Assessment Lacks Emergency and Staffing Details
Penalty
Summary
The facility failed to update its facility-wide assessment to include necessary components such as emergency plans, staff competencies required for caring for residents with varying acuity levels, and specific staffing needs for each shift. Review of the existing facility assessment revealed it lacked sections addressing these critical areas. During interviews, the Staffing Coordinator indicated she was unaware of the facility assessment and based daily staffing solely on the current census, without reference to a comprehensive assessment. The Nursing Home Administrator reported updating the assessment upon arrival to the facility, focusing on a general overview of the building, residents, services, and employee information, but did not include the required details regarding emergency preparedness, staff competencies, or shift-specific staffing needs. No policy related to the facility assessment was provided.