Failure to Provide Sufficient Nursing Staff for Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of all residents, as evidenced by multiple documented concerns regarding inadequate care and delayed call light responses. Payroll-Based Journal (PBJ) staffing data indicated the facility triggered for One Star Staffing across several fiscal quarters. Resident Council minutes over several months documented ongoing complaints about missed showers, untimely call light responses, and staff communicating to residents that there were not enough staff to complete care tasks. Observations included a resident with unkempt hair and dirty, untrimmed fingernails, who reported missing scheduled baths for three consecutive weeks due to insufficient Sunday staffing. Electronic medical records confirmed the missed baths. Administrative staff acknowledged ongoing issues with staff telling residents that there was not enough staff to complete care, despite education on required staffing levels. The facility's policy required sufficient and competent staff to ensure completion of care and services according to resident care plans and the facility assessment. However, the documented observations, resident interviews, and council minutes indicated that these requirements were not consistently met, resulting in unmet resident care needs.